Specific risk factors for fatal outcome in critically ill COVID-19 patients: results from a European multicenter study

Please always quote using this URN: urn:nbn:de:bvb:20-opus-245191
  • (1) Background: The aim of our study was to identify specific risk factors for fatal outcome in critically ill COVID-19 patients. (2) Methods: Our data set consisted of 840 patients enclosed in the LEOSS registry. Using lasso regression for variable selection, a multifactorial logistic regression model was fitted to the response variable survival. Specific risk factors and their odds ratios were derived. A nomogram was developed as a graphical representation of the model. (3) Results: 14 variables were identified as independent factors(1) Background: The aim of our study was to identify specific risk factors for fatal outcome in critically ill COVID-19 patients. (2) Methods: Our data set consisted of 840 patients enclosed in the LEOSS registry. Using lasso regression for variable selection, a multifactorial logistic regression model was fitted to the response variable survival. Specific risk factors and their odds ratios were derived. A nomogram was developed as a graphical representation of the model. (3) Results: 14 variables were identified as independent factors contributing to the risk of death for critically ill COVID-19 patients: age (OR 1.08, CI 1.06–1.10), cardiovascular disease (OR 1.64, CI 1.06–2.55), pulmonary disease (OR 1.87, CI 1.16–3.03), baseline Statin treatment (0.54, CI 0.33–0.87), oxygen saturation (unit = 1%, OR 0.94, CI 0.92–0.96), leukocytes (unit 1000/μL, OR 1.04, CI 1.01–1.07), lymphocytes (unit 100/μL, OR 0.96, CI 0.94–0.99), platelets (unit 100,000/μL, OR 0.70, CI 0.62–0.80), procalcitonin (unit ng/mL, OR 1.11, CI 1.05–1.18), kidney failure (OR 1.68, CI 1.05–2.70), congestive heart failure (OR 2.62, CI 1.11–6.21), severe liver failure (OR 4.93, CI 1.94–12.52), and a quick SOFA score of 3 (OR 1.78, CI 1.14–2.78). The nomogram graphically displays the importance of these 14 factors for mortality. (4) Conclusions: There are risk factors that are specific to the subpopulation of critically ill COVID-19 patients.show moreshow less

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Author: David Meintrup, Stefan Borgmann, Karlheinz Seidl, Melanie Stecher, Carolin E. M. Jakob, Lisa Pilgram, Christoph D. Spinner, Siegbert Rieg, Nora Isberner, Martin Hower, Maria Vehreschild, Siri Göpel, Frank Hanses, Martina Nowak-Machen
URN:urn:nbn:de:bvb:20-opus-245191
Document Type:Journal article
Faculties:Medizinische Fakultät / Medizinische Klinik und Poliklinik II
Language:English
Parent Title (English):Journal of Clinical Medicine
ISSN:2077-0383
Year of Completion:2021
Volume:10
Issue:17
Article Number:3855
Source:Journal of Clinical Medicine (2021) 10:17, 3855. https://doi.org/10.3390/jcm10173855
DOI:https://doi.org/10.3390/jcm10173855
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Tag:COVID-19; SARS-CoV-2; comorbidities; critically ill patients; lasso regression; nomogram; risk factors
Release Date:2022/09/08
Date of first Publication:2021/08/27
Licence (German):License LogoCC BY: Creative-Commons-Lizenz: Namensnennung 4.0 International