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Dergiler / KONURALP TIP DERGİSİ / 2026 / Volume: 16 Issue: 1

COVID-19 hastalarında hastane içi mortalitenin CHA₂DS₂VASc ve R₂CHA₂DS₂VASc skor tahmininin karşılaştırılması

Comparison of CHA₂DS₂VASc and R₂CHA₂DS₂VASc score estimation of in-hospital mortality among COVID-19 patients

Faruk Boyacı(UNIVERSITY OF HEALTH SCIENCES, SAMSUN HEALTH RESEARCH CENTER)0000-0002-3125-9328
Mustafa Kürşat Şahin(ONDOKUZ MAYIS UNIVERSITY, SCHOOL OF MEDICINE)0000-0002-3490-6009
Yankı Boyacı(UNIVERSITY OF HEALTH SCIENCES, SAMSUN HEALTH RESEARCH CENTER)0000-0002-4046-8922
Ahmet Yanık(UNIVERSITY OF HEALTH SCIENCES, SAMSUN HEALTH RESEARCH CENTER)0000-0003-3488-5372
Gökhan Aksan(UNIVERSITY OF HEALTH SCIENCES, SAMSUN HEALTH RESEARCH CENTER, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF CARDIOLOGY)0000-0002-9637-1820
Sayfa
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Yayın Tarihi
2024-03-14
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Bulgular: COVID-19 nedeniyle hastaneye yatırılan 1076 hastanın %15,1'i öldü, %84,9'u hayatta kaldı.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Amaç: Bu çalışma, COVID-19 hastalarında hastane içi mortalitenin CHA₂DS₂VASc ve R₂CHA₂DS₂VASc skor tahminini karşılaştırmayı ve CHA₂DS₂VASc ve R₂CHA₂DS₂VASc skorlarına bazı laboratuvar parametreleri ekleyerek hastane mortalitesini daha iyi tahmin edebilen yeni bir skorlama sistemi bulmayı amaçlamaktadır.
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Temel Bulgular & Veri:Eylül 2020'den Mart 2021'e kadar COVID-19 PCR testleri doğrulanmış toplam 1076 COVID-19 hastası dahil edildi.
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Sonuç & Katkı:Bulgular: COVID-19 nedeniyle hastaneye yatırılan 1076 hastanın %15,1'i öldü, %84,9'u hayatta kaldı.
🔬Tür:Laboratuvar & Saha Deneyi
📍Kapsam:2020 · 19 hasta
⚙️Değişkenler:COVID-19 · mortality · hospitalization

Özet

Amaç: Bu çalışma, COVID-19 hastalarında hastane içi mortalitenin CHA₂DS₂VASc ve R₂CHA₂DS₂VASc skor tahminini karşılaştırmayı ve CHA₂DS₂VASc ve R₂CHA₂DS₂VASc skorlarına bazı laboratuvar parametreleri ekleyerek hastane mortalitesini daha iyi tahmin edebilen yeni bir skorlama sistemi bulmayı amaçlamaktadır. Method: Bu bir kesitsel çalışmadır. Eylül 2020'den Mart 2021'e kadar COVID-19 PCR testleri doğrulanmış toplam 1076 COVID-19 hastası dahil edildi. Hastaların yaş, cinsiyet, komorbidite, laboratuvar, hayatta kalma süreleri ve ölüm durumları kaydedildi. Her hastanın CHA₂DS₂VASc ve R₂CHA₂DS₂VASc skorları hesaplandı. Laboratuvar değerleri de dahil olmak üzere lojistik regresyon analizi ile en etkili modeli oluşturmak için yeni bir ölüm tahmin skoru oluşturuldu. Bulgular: COVID-19 nedeniyle hastaneye yatırılan 1076 hastanın %15,1'i öldü, %84,9'u hayatta kaldı. İki grup arasında cinsiyet açısından anlamlı fark yoktu. Ölenlerde tüm komorbiditeler yaşayanlara göre anlamlı derecede yüksekti (p 6 puandı. Sonuç: CAN-R₂CHA₂DS₂VASc skoru, COVID-19 hastalarında hastane mortalitesini tahmin etmek için yararlı bir araçtır. CAN-R₂CHA₂DS₂VASc skoru, hastane içi mortaliteyi tahmin etmede R₂CHA₂DS₂VASc ve CHA₂DS₂VASc skorundan üstündü.

Abstract

Objectives: This study aims to compare of CHA₂DS₂VASc and R₂CHA₂DS₂VASc score estimation of in-hospital mortality among COVID-19 patients and find a new scoring system that can better predict the hospital mortality by adding some laboratory parameters to the CHA₂DS₂VASc and R₂CHA₂DS₂VASc scores. Methods: This is a cross-sectional study. A total of 1076 COVID-19 patients with confirmed COVID-19 PCR tests were included from September 2020 to March 2021. Age, sex, comorbidity, laboratory, survival times, and death status of the patients were recorded. The scores CHA₂DS₂VASc and R₂CHA₂DS₂VASc of each patient were calculated. A new mortality prediction score was created to establish the most effective model with logistic regression analysis, including laboratory values. Results: Of the 1076 patients hospitalized for COVID-19, 15.1% died, while 84.9% survived. There was no significant difference between the two groups in sex. All comorbidities were significantly higher in the deceased than in the survivors (p 6 points. Conclusion: The CAN-R₂CHA₂DS₂VASc score is a useful tool for estimating hospital mortality in COVID-19 patients. The CAN-R₂CHA₂DS₂VASc score was superior to the R₂CHA₂DS₂VASc and CHA₂DS₂VASc score in predicting in-hospital mortality.

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Bu Makaleye Atıf Yap

Boyacı, F., Şahin, M. K., Boyacı, Y., Yanık, A., Aksan, G. (2024). COVID-19 hastalarında hastane içi mortalitenin CHA₂DS₂VASc ve R₂CHA₂DS₂VASc skor tahmininin karşılaştırılması. KONURALP TIP DERGİSİ, Volume: 16 Issue: 1. https://doi.org/10.18521/ktd.1282982

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