Conventional risk prediction models fail to accurately predict mortality risk among patients with coronavirus disease 2019 in intensive care units: a difficult time to assess clinical severity and quality of care

Hideki Endo, Hiroyuki Ohbe, Junji Kumasawa, Shigehiko Uchino, Satoru Hashimoto, Yoshitaka Aoki, Takehiko Asaga, Eiji Hashiba, Junji Hatakeyama, Katsura Hayakawa, Nao Ichihara, Hiromasa Irie, Tatsuya Kawasaki, Hiroshi Kurosawa, Tomoyuki Nakamura, Hiroshi Okamoto, Hidenobu Shigemitsu, Shunsuke Takaki, Kohei Takimoto, Masatoshi UchidaRyo Uchimido, Hiroaki Miyata

Research output: Contribution to journalLetterpeer-review

2 Citations (Scopus)

Abstract

Since the start of the coronavirus disease 2019 (COVID-19) pandemic, it has remained unknown whether conventional risk prediction tools used in intensive care units are applicable to patients with COVID-19. Therefore, we assessed the performance of established risk prediction models using the Japanese Intensive Care database. Discrimination and calibration of the models were poor. Revised risk prediction models are needed to assess the clinical severity of COVID-19 patients and monitor healthcare quality in ICUs overwhelmed by patients with COVID-19.

Original languageEnglish
Article number42
JournalJournal of Intensive Care
Volume9
Issue number1
DOIs
Publication statusPublished - 2021 Dec

Keywords

  • Coronavirus disease 2019
  • Intensive care unit
  • Quality improvement
  • Risk of death
  • Risk prediction model

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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