Naslov
Association of Different Risk Scores and 30-Day Mortality in Kidney Transplant Recipients with COVID-19

Autori
Domjanović, Josipa ; Domjanović Škopinić, Tea ; Matetić, Andrija

Izvornik
Medicina (1010-660X) 59 (2023), 4; 657, 15

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
kidney transplant recipients ; COVID-19 ; risk score ; mortality

Sažetak
Background and Objectives: Clinical risk scores were poorly examined in kidney transplant recipients (KTR) with COVID-19. Materials and Methods: This observational study compared the association and discrimination of clinical risk scores (MEWS, qCSI, VACO, PSI/PORT, CCI, MuLBSTA, ISTH-DIC, COVID-GRAM and 4C) with 30-day mortality in 65 hospitalized KTRs with COVID19. Cox regression was used to derive hazard ratios (HR) and 95% confidence intervals (95% CI), and discrimination was assessed by Harrell’s C. Results: A significant association with 30-day mortality was demonstrated for MEWS (HR 1.65 95% CI 1.21–2.25, p = 0.002) ; qCSI (HR 1.32 95% CI 1.15–1.52, p < 0.001) ; PSI/PORT (HR 1.04 95% CI 1.02–1.07, p = 0.001) ; CCI (HR 1.79 95% CI 1.13–2.83, p = 0.013) ; MuLBSTA (HR 1.31 95% CI 1.05–1.64, p = 0.017) ; COVID-GRAM (HR 1.03 95% CI 1.01–1.06, p = 0.004) ; and 4C (HR 1.79 95% CI 1.40–2.31, p < 0.001). After multivariable adjustment, significant association persisted for qCSI (HR 1.33 95% CI 1.11–1.59, p = 0.002) ; PSI/PORT (HR 1.04 95% CI 1.01–1.07, p = 0.012) ; MuLBSTA (HR 1.36 95% CI 1.01–1.85, p = 0.046) ; and 4C Mortality Score (HR 1.93 95% CI 1.45–2.57, p < 0.001) risk scores. The best discrimination was observed with the 4C score (Harrell’s C = 0.914). Conclusions: Risk scores such as qCSI, PSI/PORT and 4C showed the best association with 30-day mortality amongst KTRs with COVID-19.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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