Evaluation of Relationship between Modified ATRIA Risk Score and Mortality in Hospitalized Patients with COVID-19

Authors : Abdulmecit AFŞİN, Kasım TURGUT, Nurbanu BURSA, Erdal YAVUZ, Taner GÜVEN, Yusuf HOŞOĞLU

Pages : 107-14

Doi:10.37990/medr.1176092

View : 17 | Download : 5

Publication Date : 2023-01-15

Article Type : Research Paper

Abstract :Aim: The ATRIA score was developed to assess the probability of an ischemic stroke in patients with atrial fibrillation insert ignore into journalissuearticles values(AF);. The modified ATRIA insert ignore into journalissuearticles values(M-ATRIA); risk score incorporates predictive risk variables for coronavirus disease 2019 insert ignore into journalissuearticles values(COVID-19);. As a result, we looked into the association between the M-ATRIA risk score and the risk of in-hospital death in COVID-19 patients. Materials and Methods: The data of 595 inpatients in the COVID-19 research were evaluated retrospectively and separated into three groups based on the M-ATRIA scoring system. The M-ATRIA score used the troponin I level as a parameter in place of the proteinuria criterion in the ATRIA score. Those with a score between 0 and 5 were classified as group 1 insert ignore into journalissuearticles values(n = 269);, those with a score of 6 as group 2 insert ignore into journalissuearticles values(n = 64);, and those with a score of 7 and above were classified as group 3 insert ignore into journalissuearticles values(n = 162);. In-hospital death, mechanical ventilation, and admission to the critical-care unit were all considered adverse clinical events. Results: The M-ATRIA risk score associated with adverse clinical events insert ignore into journalissuearticles values(all, p < 0.001);. An M-ATRIA score of 6, an M-ATRIA score greater than 7, procalcitonin, and C- reactive protein were found to be independent predictors of in-hospital mortality in the multivariate logistic regression analysis. In the ROC analysis, an M-ATRIA score of 4.5 or above predicted in-hospital mortality with a sensitivity of 90.2% and a specificity of 58.9%. Conclusion: Regardless of the status of AF, the M-ATRIA risk score computed at admission may be a valuable tool for predicting in-hospital mortality in COVID-19 patients.
Keywords : coronavirus disease 2019, M ATRIA risk score, intensive care unit, in hospital mortality