Özet:

Introduction and Objective: The prognostic assessment tools such as the Pulmonary Embolial Violence Index (PESI) and the Simplicated Pulmonary Embolial Violence Index (sPESI) are used in the prognostic mortality for acute pulmonary embolism. The aim of this study is to assess the adequacy of PESI and sPESI scores in the prognosis of COVID-19 patients and to compare the prognostic values of the original and simplified PESI. Method and Requirements: The study designed as a retrospective, one-centric cohort study used the medical data obtained in the hospital hospital to calculate PESI and sPESI. Patients were divided into low-risk and high-risk groups using PESI and sPESI. The primary end point was identified as hospital mortality. The accuracy was assessed by measuring the specificity, predictive values and sensitivity of the scores in low and high risk patients. The field under the ROC curve was also calculated to compare the distinctive forces of the models. PESI and sPESI had similar sensitivities to predict mortality (82.1% to 84.6%), and negative predictive values (96.7% to 97) to predict mortality. The remaining area under the ROC curve for mortality forecast was 0.82 (p<0,001) for PESI and 0.72 (p<0,001) for sPESI. The ability to predict hospital mortality was identified similar to PESI and sPESI. COVID-19 patients with PESI and sPESI scores can predict hospital mortality and facilitate risk classification.

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