Evaluation of PORT/PSI and SOFA scores in predicting in-hospital mortality of patients with COVID-19

José M. Alanís-Naranjo; Salvador Hernández-Sandoval; Víctor M. Anguiano-Álvarez; Eduardo F. Hammeken-Larrondo; Gabriela Olguín-Contreras; María de Lourdes Alanís-Naranjo

doi:10.54034/mic.e1196

Authors

José M. Alanís-Naranjo Hospital of Specialties. Mexico City, Mexico https://orcid.org/0000-0001-6631-7228
Salvador Hernández-Sandoval Hospital of Specialties and “Ignacio Chávez” National Institute of Cardiology. Mexico City, Mexico
Víctor M. Anguiano-Álvarez Hospital General de Zona 32 IMSS. Mexico City, Mexico https://orcid.org/0000-0002-6977-4747
Eduardo F. Hammeken-Larrondo “Dr. Eduardo Liceaga” General Hospital of Mexico. Mexico City, Mexico
Gabriela Olguín-Contreras “Dr. Belisario Domínguez” Hospital of Specialties. Mexico City, Mexico https://orcid.org/0000-0001-9460-2683
María de Lourdes Alanís-Naranjo “Vasco de Quiroga” University. Morelia, Michoacán, Mexico

DOI:

https://doi.org/10.54034/mic.e1196

Keywords:

COVID-19, PORT, PSI, SOFA, In-hospital mortality

Abstract

Introduction: There is limited information analyzing the utility of different prognostic scores in predicting in-hospital mortality among patients with COVID-19. This study aimed to evaluate the performance of PORT/PSI and SOFA scores in predicting the in-hospital mortality of patients with COVID-19. Material and methods: This was an observational, analytical, and retrospective study that included consecutive patients hospitalized for COVID-19 from April 1, 2020, to May 31, 2020. The study population was characterized, and ROC analysis was performed and used to calculate the area under the curve of PORT/PSI and SOFA scores as well as the sensitivity, specificity, and predictive values. Results: A total of 151 patients were included, with a median age of 52 years (IQR 45-64); 69.5% were men, with a median BMI of 29.3 kg/m2 (IQR 25.5-34.7). Of the total, 102 patients died during hospitalization (67.5%). The areas under the ROC curves for predicting in-hospital mortality were 0.74 (95% CI 0.67-0.81) for the SOFA score and 0.85 (95% CI 0.78-0.90) for the PORT/PSI score. When compared, the PORT/PSI score predicted mortality significantly better than the SOFA score (p: 0.01). Conclusions: The PORT/PSI score is a good tool to predict in-hospital mortality in patients with COVID-19.

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