E-ISSN: 2791-8823
A New Scoring: Can Brescia-COVID Respiratory Severity Scale Predict Mortality in Intensive Care? [Cam Sakura Med J]
Cam Sakura Med J. 2021; 1(3): 95-101 | DOI: 10.4274/csmedj.galenos.2021.2021-11-3

A New Scoring: Can Brescia-COVID Respiratory Severity Scale Predict Mortality in Intensive Care?

Burcu İleri Fikri1, Ezgi Direnç Kulunk2, Güldem Turan1
1University of Health Sciences Turkey, Başakşehir Çam and Sakura City Hospital, Intensive Care Unit, İstanbul, Turkey
2University of Health Sciences Turkey, Başakşehir Çam and Sakura City Hospital, Clinic of Anesthesiology and Reanimation, İstanbul, Turkey

Objective: This study aims to compare the Brescia-coronavirus disease (COVID) severity scale (BCRSS) with acute physiology and chronic health evaluation II (APACHE-II) and sequential organ failure assessment (SOFA) scores in terms of predicting mortality in patients with severe coronavirus disease-2019 (COVID-19).
Material and Methods: BCRSS, SOFA, and APACHE-II scores of patients with severe COVID-19 were calculated when they were first admitted to the intensive care unit. BCRSS score calculation was repeated at the 48th hour. Further treatment, intubation rates, and the result of the intensive care process were recorded and compared.
Results and Conclusion: When the three scoring systems are evaluated as the mortality indicators, SOFA score did not provide a statistically significant difference (p>0.05), whereas the APACHE-II score was found to be significantly higher in the fatal cases (p<0.01). Furthermore,
BCRSS scores at the time of intensive care unit admission and at 48 h were significantly higher in the fatal cases (p<0.01). As much as our experience with the disease has been increasing since the beginning of the pandemic, scoring systems are still used for patient triage area, intubation decisions, and directing the medical treatment. Although BCRSS, one of the COVID-19-specific
scales, is yet to be validated, our results indicate its potential benefit for predicting IC mortality.

Keywords: Severe COVID-19, BCRSS, APACHE-II, SOFA, mortality, ICU

Burcu İleri Fikri, Ezgi Direnç Kulunk, Güldem Turan. A New Scoring: Can Brescia-COVID Respiratory Severity Scale Predict Mortality in Intensive Care?. Cam Sakura Med J. 2021; 1(3): 95-101

Corresponding Author: Burcu İleri Fikri, Türkiye
Manuscript Language: English
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