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COVID outcome prediction in the ED (COPE): Using retrospective Dutch hospital data to develop simple and valid models for predicting mortality and need for ICU admission in patients who present at the ED with suspected COVID-19

BMJ Open Sep 23, 2021

van Klaveren D, Rekkas A, Alsma J, et al. - Researchers developed COPE and validated it to be a simple tool for predicting mortality and need for ICU admission in cases presenting to the ED with suspected COVID-19.

  • In this retrospective study, model development was conducted using data from 5,831 first-wave patients and model validation was done using data of 3,252 second-wave patients.

  • COPE included age, respiratory rate, C reactive protein, lactate dehydrogenase, albumin and urea and captured most of the ability to predict death.

  • COPE was well calibrated and exhibited good discrimination for mortality in second-wave patients.

  • In addition, COPE allowed identification of patients at high risk of needing ICU admission in second-wave patients.

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