A new scoring system for Covid-19 in patients on hemodialysis: Modified Early Warning score

Introduction. At the very beginning of the Corona virus epidemic there was not enough data on whether hemodialysis patients have a higher risk for Corona virus infection and which factors may affect the severity of clinical picture. Objective. The aim of the study was to determine the significance o...

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Autores principales:	Stolić Radojica V., Bukumirić Dragica, Jovanović Milena Z., Nikolić Tomislav S., Labudović Tatjana, Mitrović Vekoslav, Bulatović Kristina M., Sovtić Saša, Miljković Dušica, Balović Aleksandra D., Krivcević Roksanda N., Jovanović Sanja M.
Formato:	article
Lenguaje:	EN SR
Publicado:	Medicinski fakultet Priština, Društvo lekara Kosova i Metohije Srpskog lekarskog društva 2021
Materias:	sars-cov-2 infection hemodialysis mews score predictor worsening Medicine R
Acceso en línea:	https://doaj.org/article/cf0fe28d6c58459291ac36a019277079
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spelling	oai:doaj.org-article:cf0fe28d6c58459291ac36a0192770792021-12-05T21:29:52ZA new scoring system for Covid-19 in patients on hemodialysis: Modified Early Warning score0350-87732560-331010.5937/pramed2102001Shttps://doaj.org/article/cf0fe28d6c58459291ac36a0192770792021-01-01T00:00:00Zhttps://scindeks-clanci.ceon.rs/data/pdf/0350-8773/2021/0350-87732101001S.pdfhttps://doaj.org/toc/0350-8773https://doaj.org/toc/2560-3310Introduction. At the very beginning of the Corona virus epidemic there was not enough data on whether hemodialysis patients have a higher risk for Corona virus infection and which factors may affect the severity of clinical picture. Objective. The aim of the study was to determine the significance of the Modified Early Warning Assessment (MEWS) score for the assessment of coronavirus disease exacerbation. Methods. The research was conducted in COVID dialysis, as a retrospective, descriptive-analytical study, at the University Clinical Center Kragujevac, Serbia, which was organized ad-hoc for treatment of SARS-Cov-2 infection positive patients, which are transfered from Center for Hemodialysis "Ćuprija". They were evaluated routine laboratory findings, demographic and gender structure, arterial blood pressure, presence of comorbidities and residual diuresis, duration of dialysis, radiological evaluation of lungs, determination of MEWS score were the parameters that were monitored. The results were monitored on admission and and in the end of treatment. Results. A statistically significant difference was registered in serum lactate dehydrogenase concentration (486 ± 107.62 vs. 423.7 ± 92.4 U/L); p = 0.022 and absolute monocyte count (0.46 ± 0.15 vs. 0.67 ± 0.34 x 103; p = 0.008). The significant increase in MEWS score was also found (b = 0.017; p = 0.030). There was a positive correlation between increase of MEWS score and age (b = 0.027; p = 0.002) and arterial hypertension as a concomitant comorbidity (b = 0.700; p = 0.033). Conclusion. In the observed period, there was a significant increase in the degree of MEWS score of dialysis patients who had SARS-Cov-2 infection.Stolić Radojica V.Bukumirić DragicaJovanović Milena Z.Nikolić Tomislav S.Labudović TatjanaMitrović VekoslavBulatović Kristina M.Sovtić SašaMiljković DušicaBalović Aleksandra D.Krivcević Roksanda N.Jovanović Sanja M.Medicinski fakultet Priština, Društvo lekara Kosova i Metohije Srpskog lekarskog društvaarticlesars-cov-2 infectionhemodialysismews scorepredictorworseningMedicineRENSRPraxis Medica, Vol 50, Iss 1-2, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN SR
topic	sars-cov-2 infection hemodialysis mews score predictor worsening Medicine R
spellingShingle	sars-cov-2 infection hemodialysis mews score predictor worsening Medicine R Stolić Radojica V. Bukumirić Dragica Jovanović Milena Z. Nikolić Tomislav S. Labudović Tatjana Mitrović Vekoslav Bulatović Kristina M. Sovtić Saša Miljković Dušica Balović Aleksandra D. Krivcević Roksanda N. Jovanović Sanja M. A new scoring system for Covid-19 in patients on hemodialysis: Modified Early Warning score
description	Introduction. At the very beginning of the Corona virus epidemic there was not enough data on whether hemodialysis patients have a higher risk for Corona virus infection and which factors may affect the severity of clinical picture. Objective. The aim of the study was to determine the significance of the Modified Early Warning Assessment (MEWS) score for the assessment of coronavirus disease exacerbation. Methods. The research was conducted in COVID dialysis, as a retrospective, descriptive-analytical study, at the University Clinical Center Kragujevac, Serbia, which was organized ad-hoc for treatment of SARS-Cov-2 infection positive patients, which are transfered from Center for Hemodialysis "Ćuprija". They were evaluated routine laboratory findings, demographic and gender structure, arterial blood pressure, presence of comorbidities and residual diuresis, duration of dialysis, radiological evaluation of lungs, determination of MEWS score were the parameters that were monitored. The results were monitored on admission and and in the end of treatment. Results. A statistically significant difference was registered in serum lactate dehydrogenase concentration (486 ± 107.62 vs. 423.7 ± 92.4 U/L); p = 0.022 and absolute monocyte count (0.46 ± 0.15 vs. 0.67 ± 0.34 x 103; p = 0.008). The significant increase in MEWS score was also found (b = 0.017; p = 0.030). There was a positive correlation between increase of MEWS score and age (b = 0.027; p = 0.002) and arterial hypertension as a concomitant comorbidity (b = 0.700; p = 0.033). Conclusion. In the observed period, there was a significant increase in the degree of MEWS score of dialysis patients who had SARS-Cov-2 infection.
format	article
author	Stolić Radojica V. Bukumirić Dragica Jovanović Milena Z. Nikolić Tomislav S. Labudović Tatjana Mitrović Vekoslav Bulatović Kristina M. Sovtić Saša Miljković Dušica Balović Aleksandra D. Krivcević Roksanda N. Jovanović Sanja M.
author_facet	Stolić Radojica V. Bukumirić Dragica Jovanović Milena Z. Nikolić Tomislav S. Labudović Tatjana Mitrović Vekoslav Bulatović Kristina M. Sovtić Saša Miljković Dušica Balović Aleksandra D. Krivcević Roksanda N. Jovanović Sanja M.
author_sort	Stolić Radojica V.
title	A new scoring system for Covid-19 in patients on hemodialysis: Modified Early Warning score
title_short	A new scoring system for Covid-19 in patients on hemodialysis: Modified Early Warning score
title_full	A new scoring system for Covid-19 in patients on hemodialysis: Modified Early Warning score
title_fullStr	A new scoring system for Covid-19 in patients on hemodialysis: Modified Early Warning score
title_full_unstemmed	A new scoring system for Covid-19 in patients on hemodialysis: Modified Early Warning score
title_sort	new scoring system for covid-19 in patients on hemodialysis: modified early warning score
publisher	Medicinski fakultet Priština, Društvo lekara Kosova i Metohije Srpskog lekarskog društva
publishDate	2021
url	https://doaj.org/article/cf0fe28d6c58459291ac36a019277079
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A new scoring system for Covid-19 in patients on hemodialysis: Modified Early Warning score

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