Journal article
Validation of the RIM Score-COVID in the Spanish SEMI-COVID-19 Registry
Internal and emergency medicine, pp 1-9
21 Jan 2023
PMID: 36680737
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The significant impact of COVID-19 worldwide has made it necessary to develop tools to identify patients at high risk of severe disease and death. This work aims to validate the RIM Score-COVID in the SEMI-COVID-19 Registry. The RIM Score-COVID is a simple nomogram with high predictive capacity for in-hospital death due to COVID-19 designed using clinical and analytical parameters of patients diagnosed in the first wave of the pandemic. The nomogram uses five variables measured on arrival to the emergency department (ED): age, sex, oxygen saturation, C-reactive protein level, and neutrophil-to-platelet ratio. Validation was performed in the Spanish SEMI-COVID-19 Registry, which included consecutive patients hospitalized with confirmed COVID-19 in Spain. The cohort was divided into three time periods: T1 from February 1 to June 10, 2020 (first wave), T2 from June 11 to December 31, 2020 (second wave, pre-vaccination period), and T3 from January 1 to December 5, 2021 (vaccination period). The model’s accuracy in predicting in-hospital COVID-19 mortality was assessed using the area under the receiver operating characteristics curve (AUROC). Clinical and laboratory data from 22,566 patients were analyzed: 15,976 (70.7%) from T1, 4,233 (18.7%) from T2, and 2,357 from T3 (10.4%). AUROC of the RIM Score-COVID in the entire SEMI-COVID-19 Registry was 0.823 (95%CI 0.819–0.827) and was 0.834 (95%CI 0.830–0.839) in T1, 0.792 (95%CI 0.781–0.803) in T2, and 0.799 (95%CI 0.785–0.813) in T3. The RIM Score-COVID is a simple, easy-to-use method for predicting in-hospital COVID-19 mortality that uses parameters measured in most EDs. This tool showed good predictive ability in successive disease waves.
Metrics
Details
- Title
- Validation of the RIM Score-COVID in the Spanish SEMI-COVID-19 Registry
- Creators
- José-Manuel Ramos-Rincón - 03550 Alicante, SpainPaula Sol Ventura - 08916 Badalona, SpainJosé-Manuel Casas-Rojo - Parla, 28981 Madrid, SpainMarc Mauri - Data Scientist, Kaizen AI, Barcelona, SpainCarlos Lumbreras Bermejo - Madrid, SpainAitor Ortiz de Latierro - Data Scientist, Kaizen AI, Barcelona, SpainManuel Rubio-Rivas - Barcelona, SpainLuis Mérida-Rodrigo - Málaga, SpainLucia Pérez-Casado - Internal Medicine Department. H. de Cabueñes, Gijón, Asturias SpainMaría Barrientos-Guerrero - Madrid, SpainVicente Giner-Galvañ - Internal Medicine Department. Hospital, Clínico Universitario de Sant Joan d’Alacant, Alicante, SpainCristina Gallego-Lezaun - Saragossa, SpainAlmudena Hernández Milián - Internal Medicine Department. H. U. Son Llàtzer, Palma, SpainLuis Manzano - Madrid, SpainJulio César Blázquez-Encinar - H. U. Torrevieja, Alicante, SpainMarta Nataya Solís-Marquínez - H. U. San Agustin. Avilés, Asturias, SpainMarcos Guzmán García - H. San Juan de La Cruz. Úbeda, Jaén, SpainJulia Lobo-García - H. Valle del Nalón. Riaño-Langreo, Asturias, SpainVictoria Achával-Rodríguez Valente - Severo Ochoa. Leganés, Madrid, SpainCelia Roig-Martí - Hospital General Universitario de Castellón, Plana, SpainMarta León-Téllez - H. Santa Bárbara. Soria, Soria, SpainPablo Tellería-Gómez - Valladolid, SpainMaría Jesús González-Juárez - Internal Medicine Department, Virgen del Mar Hospital, Madrid, SpainRicardo Gómez-Huelgas - Málaga, SpainAlejandro López-Escobar - Madrid, SpainSEMI-COVID-19 NetworkAna P Martinez-Donate - Community Health and Prevention
- Publication Details
- Internal and emergency medicine, pp 1-9
- Publisher
- Springer International Publishing
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000923063800001
- Scopus ID
- 2-s2.0-85152163705
- Other Identifier
- 991020099050404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Medicine, General & Internal