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892792.pdf (1.64 MB)

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2025-04-05

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cc-by-nc-nd (c) Azeli, Youcef et al., 2025
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/220935

A transfer triage tool for COVID-19 mass critical care surges

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Recurs relacionat

https://doi.org/10.1038/s41598-025-95337-8

Resum

The objective of this study is to develop and validate a predictive model for mortality among severe COVID-19 patients who are candidates for inter-hospital transfer. A multicenter prospective observational study was conducted between 1 January 2021 and 30 April 2021 (third and fourth pandemic waves) in regional coordination centers of the Emergency Medical Services of eight Spanish autonomous communities. Hospitalized patients with severe COVID-19 transferred to other hospitals were included. Clinical variables from the initial evaluation, the triage score, and in-hospital mortality rates were collected. A Lasso-type regression analysis was performed to fit the mortality predictive model and its performance was evaluated by a leave-one-out cross-validation. Subsequently, the regional mass triage (MATER) score was created. 1,018 transferred patients were included, with a mean age of 62.3 years (SD 12), of whom 65.1% were male and 89.6% were admitted to an Intensive Care Unit. In-hospital mortality was 23.0%. The MATER score included six variables and presented good discrimination ability with an area under the curve of 0.79 (95% CI 0.77–0.81) and a good calibration with a Brier score of 0.135. The MATER score successfully predicted the mortality rate of severe COVID-19 patients and can be helpful in decision-making for triage and transfer prioritization in mass critical care surges.

Matèries

Serveis d'urgències mèdiques, Triatge (Medicina), COVID-19, Salut pública

Matèries (anglès)

Emergency medical services, Triage (Medicine), COVID-19, Public health

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Col·leccions

Articles publicats en revistes (Genètica, Microbiologia i Estadística)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

Citació

AZELI, Youcef, et al. A transfer triage tool for COVID-19 mass critical care surges. Scientific Reports. 2025. Vol. 15, num. 1-9. ISSN 2045-2322. [consulted: 11 of August of 2026]. Available at: https://hdl.handle.net/2445/220935

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