Criteria for Hyperinflammation Developing in COVID‐19: Analysis of 2 Cohorts From Different Periods of the Pandemic

Arthritis RheumatolPublished Diagnostic accuracy study

Authors' conclusion

The use of the 12-item criteria for HIC can better define patients with HIC with reasonable sensitivity and specificity and enables an earlier treatment start.

Study context

Population
Hospitalized patients with symptomatic COVID-19 in Turkey2 cohorts
Participants
685 vs 156
Comparison
12-item criteria for COVID-19-associated hyperinflammation (HIC) vs expert panel diagnosis
  • Discoveryn = 685
  • Replicationn = 156
Outcome
Sensitivity and specificity of 12-item criteria for identification of HIC
Methodological detailsdiscovery and replication cohorts, expert panel diagnosis
  • Discovery and replication cohorts
  • Expert panel diagnosis

Performance

As reported in the abstract

12-item HIC criteria, score of 35, identification of HIC (discovery cohort)

Sensitivity, score of 35

85.3%

Specificity, score of 35

81.7%

Further findings

Events

OutcomeDiscoveryReplication
Patients receiving treatment for HI15061

Mortality

Hyperinflammation (HI) patients, discovery cohort
23.3%
Patients without HI, discovery cohort
3.7%
Overall replication cohort
10.3%

Original publication

Criteria for Hyperinflammation Developing in COVID‐19: Analysis of 2 Cohorts From Different Periods of the Pandemic. Arthritis Rheumatol. Published 20 March 2023. doi:10.1002/art.42417

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