Correction: Mortality and other outcomes of patients with coronavirus disease pneumonia admitted to the emergency department: A prospective observational Brazilian study

Neto, Rodrigo Antônio Brandão; Marchini, Júlio Flávio Meirelles; Marino, Lucas Oliveira; Alencar, Júlio César Garcia de; Neto, Felippe Lazar; Ribeiro, Sabrina Corrêa da Costa; Valente, Fernando Salvetti; Rahhal, Hassan; Gómez, Luz Marina Gómez; Bueno, Cauê Gasparotto; Faria, Carine C.; Cunha, Valdeci da; Padrão, Eduardo Messias Hirano; Velasco, Irineu Tadeu; Souza, Heraldo Possolo de

doi:10.1371/journal.pone.0248327

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2022

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“…These patients were prioritized for hospital care, which may have positively influenced the outcome, despite their potentially higher risk ( 26 , 27 ). The use of ACEi was a protective factor against death in our study, as demonstrated by other authors ( 28 , 29 ).…”

Section: Discussionsupporting

confidence: 91%

Performance of NEWS, qSOFA, and SIRS Scores for Assessing Mortality, Early Bacterial Infection, and Admission to ICU in COVID-19 Patients in the Emergency Department

et al. 2022

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SARS-CoV-2 infection has a wide spectrum of presentations, from asymptomatic to pneumonia and sepsis. Risk scores have been used as triggers for protocols that combine several interventions for early management of sepsis. This study tested the accuracy of the score SIRS, qSOFA, and NEWS in predicting outcomes, including mortality and bacterial infection, in patients admitted to the emergency department (ED) during the COVID-19 pandemic. We described 2,473 cases of COVID-19 admitted to the ED of the largest referral hospital for severe COVID-19 in Brazil during the pandemic. SIRS, qSOFA and NEWS scores showed a poor performance as prognostic scores. However, NEWS score had a high sensitivity to predict in-hospital death (0.851), early bacterial infection (0.851), and ICU admission (0.868), suggesting that it may be a good screening tool for severe cases of COVID-19, despite its low specificity.

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