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Compass in COVID-19 Illness: Disseminated Intravascular Coagulation/Sepsis-induced Coagulopathy Scoring in Predicting

Kapil G Zirpe1, Shrirang N Bamne2

  • 1Department of Neuro Trauma Unit, Grant Medical Foundation, Pune, Maharashtra, India.

Indian Journal of Critical Care Medicine : Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine
|January 14, 2022
PubMed

Insights

This study explores using scoring systems to predict COVID-19 severity. These scores help identify patients at risk of disseminated intravascular coagulation or sepsis-induced coagulopathy, aiding critical care decisions.

Area of Science:

  • Critical care medicine
  • Hematology
  • Infectious diseases

Background:

  • The COVID-19 pandemic has highlighted the need for accurate prognostic tools.
  • Disseminated intravascular coagulation (DIC) and sepsis-induced coagulopathy (SIC) are severe complications of COVID-19.
  • Existing scoring systems may not fully capture the complexity of coagulopathy in COVID-19.

Discussion:

  • This article reviews the utility of scoring systems in predicting COVID-19 severity.
  • Focus is placed on disseminated intravascular coagulation (DIC) and sepsis-induced coagulopathy (SIC) scoring.
  • The Compass score is evaluated for its predictive value in COVID-19 patients.

Key Insights:

  • Scoring systems can aid in predicting the severity of COVID-19 illness.
  • Identifying patients with DIC/SIC early is crucial for timely intervention.
  • The Compass score shows potential in stratifying risk among COVID-19 patients.

Outlook:

  • Further validation of scoring systems like Compass is needed in diverse COVID-19 populations.
  • Integration of these scores into clinical practice can optimize patient management.
  • Research into novel biomarkers for coagulopathy in critical illness is ongoing.

Keywords:
COVID-19COVID-19 infectionCOVID-19 mortalityD-dimerPulmonary embolismSepsis

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