Effectiveness of the rapid emergency medicine score and the rapid acute physiology score in prognosticating mortality in patients presenting to the emergency department with COVID-19 symptoms

Özdemir, Serdar; Akça, Hatice Şeyma; Algın, Abdullah; Altunok, İbrahim; Eroğlu, Serkan Emre

doi:10.1016/j.ajem.2021.06.020

Cited by 13 publications

(12 citation statements)

References 18 publications

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“…The ROC analysis demonstrated that the RAPS score could not predict the mortality of COVID-19 patients. These findings were consistent with what previous studies with similar objectives yielded (Hu et al, 2022; Martín-Rodríguez et al, 2021; Özdemir, Akça, Algın, Altunok, & Eroğlu, 2021). In two studies, the AUC of RAPS was not significant for predicting the mortality rate of COVID-19 patients.…”

Section: Discussionsupporting

confidence: 93%

Prognostic Value of Physiological Scoring Systems in COVID-19 Patients

Khari

Zandi

Zarmehrparirouy

et al. 2023

Advanced Emergency Nursing Journal

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The objective of this study was to investigate the accuracy of the Modified Early Warning Score (MEWS), Rapid Emergency Medicine Score (REMS), Rapid Acute Physiology Score (RAPS), Worthing Physiological Scoring System (WPSS), and Revised Trauma Score (RTS) for predicting the inhospital mortality of COVID-19 patients. This diagnostic accuracy study was conducted in Tehran, Iran, from November 15, 2020, to March 10, 2021. The participants consisted of 246 confirmed cases of COVID-19 patients who were admitted to the emergency department. The patients were followed from the point of admission up until discharge from the hospital. The mortality status of patients (survivor or nonsurvivor) was reported at the discharge time, and the receiver operating characteristic curve analysis of each scoring system for predicting inhospital mortality was estimated. The area under the curve of REMS was significantly higher than other scoring systems and in cutoff value of 6 and greater had a sensitivity and specificity of 89.13% and 55.50%, respectively. Among the five scoring systems employed in this study, REMS had the best accuracy to predict the inhospital mortality rate of COVID-19 patients and RAPS had the lowest accuracy for inhospital mortality. Thus, REMS is a useful tool that can be employed in identifying high-risk COVID-19 patients.

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Section: Discussionsupporting

confidence: 93%

Prognostic Value of Physiological Scoring Systems in COVID-19 Patients

Khari

Zandi

Zarmehrparirouy

et al. 2023

Advanced Emergency Nursing Journal

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“…2 Researchers have also improved existing early warning systems to be used in decision-making concerning the admission of patients to health-care centers and early detection of critical illness. 3 However, to the best of our knowledge, there is no study in the literature regarding an emergency warning system that can be used in geriatric patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. We consider that early warning systems should be studied separately in geriatric patients, who are already at higher risk of severe SARS-CoV-2 infection.…”

mentioning

confidence: 99%

Predictive Ability of the MEWS, REMS, and RAPS in Geriatric Patients With SARS-CoV-2 Infection in the Emergency Department

Özdemir

Algın

Akça

et al. 2022

Disaster med. public health prep.

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Background: To compare the ability of the Modified Early Warning Score (MEWS), Rapid Emergency Medicine Score (REMS), and Rapid Acute Physiology Score (RAPS) to predict 30 day-mortality in patients with SARS-CoV-2 infection aged 65 years and over. Methods: This prospective, single-center, observational study was carried out with 122 volunteers aged 65 years and over with patients confirmed to have SARS-CoV-2 infection according to the RT-PCR test, who presented to the emergency department between March 1, 2020 and May 1, 2020. Demographic data, comorbidities, vital parameters, hematological parameters, and MEWS, REMS and RAPS values of the patients were recorded prospectively. Results: Among the 122 patients included in the study, the median age was 71 (25th-75th quartile: 67-79) years. The rate of 30-day mortality was 10.7% for the study cohort. The area under the receiver operating characteristic curve values for MEWS, RAPS and REMS were 0.512 [95% confidence interval (CI): 0.420-0.604, p = 0.910], 0.500 (95% CI: 0.408-0.592, p = 0.996), and 0.675 (95% CI: 0.585-0.757, p = 0.014), respectively. The odds ratios of MEWS (≥2), RAPS (>2) and REMS (>5) for 30-day mortality were 0.374 (95% CI: 0.089-1.568, p = 0.179), 1.696 (95% CI: 0.090-31.815, p = 0.724), and 1.008 (95% CI: 0.257-3.948, p = 0.991), respectively. Conclusion: REMS, RAPS and MEWS do not seem to be useful in predicting 30-day mortality in geriatric patients with SARS-CoV-2 infection presenting to the emergency department.

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“…The disease, which spread rapidly during the pandemic, caused an overload in the health system. Identifying patients in need of medical support was essential to use health capacity effectively (11). Bradley et al reported in their study that CURB-65 can predict short-term mortality of COVID-19 (12).…”

Section: Discussionmentioning

confidence: 99%

Diagnostic accuracy of clinical gestalt of doctors with different experiences in COVID-19 suspected patients

ÖZKAN¹

2022

J. Exp. Clin. Med.

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This study aims to evaluate the ability of physicians' predictions to predict mortality in COVID-19 patients and compare physician predictions with scores developed for COVID-19 patients in predicting mortality and patient worsening. This study was conducted prospectively in the emergency department. Patient data were collected between 20.03.2021 and 20.06.2021. Patients who applied to our hospital with COVID-19 symptoms and were confirmed to be COVID-19 by rt-PCR results were included in our study. Patients aged 18 years and over who were tr-PCR positive were included in the study. Quick COVID-19 Severity Index (qCSI), Brescia-COVID Respiratory Severity Scale (BCRSS), and CURB- 65 scale were calculated and recorded by a researcher. A total of 176 patients were included in our study. There was no significant relationship between physicians' gestalt and 28-day mortality (p=0.121, p=0.282, Mann-Whitney U Test, respectively). Physicians' gestalt was found to be insufficient to predict mortality in COVID-19 patients. There was a significant difference between the CURB-65 short-term mortality group and the survivors.

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Effectiveness of the rapid emergency medicine score and the rapid acute physiology score in prognosticating mortality in patients presenting to the emergency department with COVID-19 symptoms

Cited by 13 publications

References 18 publications

Prognostic Value of Physiological Scoring Systems in COVID-19 Patients

Prognostic Value of Physiological Scoring Systems in COVID-19 Patients

Predictive Ability of the MEWS, REMS, and RAPS in Geriatric Patients With SARS-CoV-2 Infection in the Emergency Department

Diagnostic accuracy of clinical gestalt of doctors with different experiences in COVID-19 suspected patients

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