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首页> 外文期刊>Emergency medicine journal: EMJ >The comparison of modified early warning score with rapid emergency medicine score: A prospective multicentre observational cohort study on medical and surgical patients presenting to emergency department
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The comparison of modified early warning score with rapid emergency medicine score: A prospective multicentre observational cohort study on medical and surgical patients presenting to emergency department

机译：修改后的预警评分与急诊急诊医学评分的比较：对急诊科就诊的外科手术患者进行的多中心前瞻性观察队列研究

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Objective: There are a few scoring systems in emergency departments (ED) to establish critically ill patients quickly and properly and to predict hospitalisation. We aim to compare the efficacy of Modified Early Warning Score (MEWS) and Rapid Emergency Medicine Score (REMS) on in-hospital mortality, and as predictor of hospitalisation in general medical and surgical patients admitted to ED. Methods: This is a prospective, multicentre and observational cohort study. The study included general medical and surgical patients admitted to the EDs of three education and research hospitals during a period of 6 months. The primary outcome of the study is the admission of the patient to a ward/an intensive care unit (ICU)/high dependency unit (HDU) and in-hospital mortality. Receiver operating characteristics (ROC) curve analysis was performed to evaluate and compare the performances of two scores. Results: Total patients were 2000 (51.95% male, 48.05% female). The mean age was 61.41±18.92. Median MEWS and REMS values of the patients admitted to the ICU/HDU from ED were 1 and 6, respectively; and there was a significant difference in terms of REMS values, compared with patients discharged from ED. REMS (area under the curve (AUC): 0.642) was found to have a better predictive strength than MEWS (AUC: 0.568) in discriminating in-patients and discharged patients. Additionally, REMS (0.707) was superior to MEWS (AUC 0.630) in terms of predicting inhospital mortality of patients presenting to ED. Conclusions: The efficiency of REMS was found to be superior to MEWS as a predictor of in-hospital mortality and hospitalisation in medical and surgical patients admitted to ED.
机译：目的：急诊科（ED）中有一些计分系统，可以快速正确地确定重症患者并预测住院情况。我们的目的是比较改良的预警评分（MEWS）和快速急诊医学评分（REMS）对住院死亡率的疗效，并作为接受ED的普通内科和外科患者住院治疗的预测指标。方法：这是一项前瞻性，多中心和观察性队列研究。这项研究包括在6个月的时间内接受三所教育和研究医院急诊科诊治的普通内科和外科患者。该研究的主要结果是患者进入病房/重症监护病房（ICU）/高依赖病房（HDU）和住院死亡率。进行接收者工作特征（ROC）曲线分析以评估和比较两个分数的表现。结果：总患者为2000（男性51.95％，女性48.05％）。平均年龄为61.41±18.92。 ED入ICU / HDU的患者的MEWS和REMS中​​位数分别为1和6;与从ED出院的患者相比，REMS值存在显着差异。发现REMS（曲线下面积（AUC）：0.642）比MEWS（AUC：0.568）在区分住院病人和出院病人方面具有更好的预测强度。此外，在预测出现ED的患者住院死亡率方面，REMS（0.707）优于MEWS（AUC 0.630）。结论：发现REMS的效率优于MEWS，可预测ED内科和外科患者的院内死亡率和住院率。

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