COMPARISON OF BASELINE CURB-65, A-DROP, QSOFA AND CALL SCORES IN PREDICTING OUTCOME IN COVID-19 PATIENTS: A RETROSPECTIVE STUDY

Abstract

Background : Covid-19 was declared pandemic in march 2020. Since then, there has been surges and falls in cases. According to epidemiologist further surges in cases are expected. A simple and reliable scoring system will be very useful in triaging and managing cases during such outburst of cases. In this study we compare various severity scores and their efcacy of predicting outcome in Covid-19 patients. To stud Aim: y the efcacy of CURB-65, ADROP score, qSOFA and CALL scores in predicting the outcome of covid 19 positive patients. To compare the above scores at baseline and their accuracy in predicting the outcome retrospectively. In this single centre ret Methods: rospective study 400 patients admitted in Victoria Hospital Bangalore with severe Covid-19 were enrolled. Baseline CURB-65, A-DROP, qSOFA and CALL scores were calculated and the outcome was compared retrospectively. The sensitivity, specicity, positive and negative predictive values were calculated using standard cut-offs. Among 400 patients, 295 patient Results: s were discharged and 105 patients died. Sensitivity specicity, positive predictive value and negative predictive value for CURB65 were 65%, 94%,73% and 91%, for A-DROP were 87%,86%,89%and 94%, for qSOFA were 49%,83%,74% and 93% and for CALL score were 82%,45%,35% and 88% respectively. A-DROP score was overall better and reliable outcome p Conclusion: redictor among severe Covid-19 patients, followed by CURB65, qSOFA and CALL scores. Utility of A-DROP score after obtaining baseline investigations can help prioritizing and managing the cases in future waves of Covid-19.