Thrombocytopenia And Estimated Mortality Probability In Relation To SOFA, APACHE II And News-2 Scoring Systems In Hospitalized Patients With COVID-19

Abstract

Introduction:

It has been shown that thrombocytopenia, like coagulation disorders, are common complications of COVID-19, increasing the risk of thrombosis and bleeding, producing in patients symptoms such as hematomas, petechiae, equimosis and bleeding from natural cavities, which are usually related to the severity of thrombocytopenia. For this reason, the present research aimed to establish the relationship between thrombocytopenia and the probability of mortality with the SOFA, APACHE II and NEWS-2 scoring systems in patients with COVID-19 admitted to the Ambato General Hospital during the period June 2021-November 2021.

Materials and Methods :

For the development of the research, there was a sample of 216 hospitalized patients who met the inclusion criteria, where 156 patients were in the clinical unit and 60 patients in the intensive care unit. Ifit was a descriptive, retrospective and cross-sectional study, in which data from hospitalized patients were collected through the internal results reporting system DATALAB, and the AS-400 medical system for the review of patients' medical records, in addition to finding the relationship that existed between the study variables, the statistical program SPSS 25 was used.

Results and Conclusions :

The results indicate that, in terms of the risk factors of the patients, it was found that 64.81% were male, 54.6% over 50 years, 43.1% of hospitalized patients did not present or did not know their pathological history. When analyzing the analytical data of thrombocytopenia it was found that 14.8% of pacientis the presented during hospitalization, finally when analyzing the relationship between thrombocytopenia and the scoring systems SOFA, APACHE II and NEWS-2, Chi-square values of 1.329; 3.327; 2.406 respectively were obtained, indicating that no This is a correlation between the variables. It was concluded that there is no statistically significant relationship between thrombocytopenia and scoring systems. Further analyses with a larger population and that they have all theparameters necessary for the calculation of scoring systems are recommended.