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Comparison of rox and hacor scales to predict high-flow nasal cannula failure in patients with SARS-CoV-2 pneumonia

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dc.contributor.authorValencia, Carlos Fernando
dc.contributor.authorLucero, Oscar David
dc.contributor.authorCastro Casas, Onofre
dc.contributor.authorAlexandrovich Sanko, Andrey
dc.contributor.authorOlejua, Peter Alfonso
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Medicina de Urgencias. Grupo de Investigación en Urgencias y Emergencias en Saludspa
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Hospital Universitario San Ignaciospa
dc.date.accessioned2022-08-17T16:12:29Z
dc.date.available2022-08-17T16:12:29Z
dc.date.created2021-11-11
dc.description.abstractenglishThe pandemic of SARSCov2 infection has created a challenge in health services worldwide. Some scales have been applied to evaluate the risk of intubation, such as the ROX and HACOR. The objective of this study is to compare the predictive capacity of the HACOR scale and the ROX index and defne the optimal cut-of points. Study of diagnostic tests based on a retrospective cohort. Composite outcome was the proportion of patients that needed endotracheal intubation (ETI) or died of COVID19 pneumonia. Discrimination capacity was compared by the area under the curve of each of the two scales and the optimal cut-of point was determined using the Liu method. 245 patients were included, of which 140 (57%) required ETI and 152 (62%) had the composite end result of high-fow nasal cannula (HFNC) failure. The discrimination capacity was similar for the two scales with an area under receiver operating characteristic curve of 0.71 and 0.72 for the HACOR scale for the ROX index, respectively. The optimal cut-of point for the ROX index was 5.6 (sensitivity 62% specifcity 65%), while the optimal cut-of point for the HACOR scale was 5.5 (sensitivity 66% specifcity 65%). The HACOR scale and the ROX index have a moderate predictive capacity to predict failures to the HFNC strategy. They can be used in conjunction with other clinical variables to defne which patients may require invasive mechanical ventilation.spa
dc.description.esciNospa
dc.description.indexingRevista Internacional - Indexadaspa
dc.description.quartilescopusQ1spa
dc.description.quartilewosQ1spa
dc.formatPDFspa
dc.format.mimetypeapplication/pdfspa
dc.identifierhttps://login.ezproxy.javeriana.edu.co/login?url=https://search.ebscohost.com/login.aspx?direct=true&AuthType=ip&db=a9h&AN=153683040&lang=es&site=eds-livespa
dc.identifier.doihttps://doi.org/10.1038/s41598-021-02078-5spa
dc.identifier.instnameinstname:Pontificia Universidad Javerianaspa
dc.identifier.issn2045-2322spa
dc.identifier.reponamereponame:Repositorio Institucional - Pontificia Universidad Javerianaspa
dc.identifier.repourlrepourl:https://repository.javeriana.edu.cospa
dc.identifier.urihttp://hdl.handle.net/10554/61404
dc.language.isoengspa
dc.relation.citationendpage7spa
dc.relation.citationissue1spa
dc.relation.citationstartpage1spa
dc.relation.citationvolume11spa
dc.relation.ispartofjournalScientific Reportsspa
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2spa
dc.rights.licenceAtribución-NoComercial 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.titleComparison of rox and hacor scales to predict high-flow nasal cannula failure in patients with SARS-CoV-2 pneumoniaspa
dc.type.coarhttp://purl.org/coar/resource_type/c_6501spa
dc.type.hasversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.localArtículo de revistaspa

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