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. 2020 Jun;24(6):418-422.
doi: 10.5005/jp-journals-10071-23456.

Rapid Emergency Medicine Score as a Predictive Value for 30-day Outcome of Nonsurgical Patients Referred to the Emergency Department

Alireza Ala  1 , Samad Shams Vahdati  1 , Mahsa Jalali  1 , Sina Parsay  1
Affiliations

Rapid Emergency Medicine Score as a Predictive Value for 30-day Outcome of Nonsurgical Patients Referred to the Emergency Department

Alireza Ala et al. Indian J Crit Care Med. 2020 Jun.

Abstract

Background and aims: Multiple scoring systems are designed and prepared nowadays that can be used to determine and predict the severity, morbidity, and mortality rate of patients. Among them, the rapid emergency medicine score (REMS) system has been designed to predict the motility of nonsurgical patients admitted to the emergency department (ED). This study was performed with the aim of evaluating the predictive value of REMS in the mortality rate of nonsurgical patients.

Materials and methods: This study was carried out in 2017 among 300 nonsurgical patients referred to the ED. Data were collected using a checklist containing two parts of demographic information and REMS scale.

Results: Based on the results, we found a significant correlation between the duration of hospitalization and other parameters of the study. The results of this study indicated that the REMS of patients increased by 11%, 3%, and 5%, per each unit rise in patient's age, heart rate, and respiratory rate, respectively. On the contrary, 12% and 22% decrements for every unit increase in SPO2 and GCS levels were observed, respectively. All the reported findings were statistically significant.

Conclusion: In sum, the outcomes of the present study corroborate the REMS system as a successful scale in predicting mortality and the duration of hospitalization in nonsurgical ED patients.

How to cite this article: Ala A, Vahdati SS, Jalali M, Parsay S. Rapid Emergency Medicine Score as a Predictive Value for 30-day Outcome of Nonsurgical Patients Referred to the Emergency Department. Indian J Crit Care Med 2020;24(6):418-422.

Keywords: Emergency department; Outcome; Rapid emergency medicine score; Scoring system.

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Conflict of interest statement

Source of support: Nil Conflict of interest: None

Figures

Fig. 1
Fig. 1
Regression p–p plot graph of the effect of REMS on the duration of hospitalization
Fig. 2
Fig. 2
Mean REMS in each of the age groups
Fig. 3
Fig. 3
Regression p–p plot graph of the effect of increase in the age on REMS
See this image and copyright information in PMC

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References

    1. Olsson T, Terént A, Lind L. Rapid emergency medicine score: a new prognostic tool for in-hospital mortality in nonsurgical emergency department patients. J Intern Med Suppl. 2004;;255((5):):579––587.. doi: 10.1111/j.1365-2796.2004.01321.x. DOI: - DOI - PubMed
    1. Toma T, Abu-Hanna A, Bosman R-J. Discovery and inclusion of SOFA score episodes in mortality prediction. J Biomed Inform. 2007;;40((6):):649––660.. doi: 10.1016/j.jbi.2007.03.007. DOI: - DOI - PubMed
    1. Howell MD, Donnino MW, Talmor D, Clardy P, Ngo L, Shapiro NI. Performance of severity of illness scoring systems in emergency department patients with infection. Acad Emerg Med. 2007;;14((8):):709––714.. doi: 10.1197/j.aem.2007.02.036. DOI: - DOI - PubMed
    1. Rahimzadeh P, Taghipur Anvari Z, Hassani V. Estimation of mortality rate of patients in surgical intensive care unit of Hazrat-Rasul hospital. Hakim Res J. 2008;;11::22––28..
    1. Brabrand M, Folkestad L, Clausen NG, Knudsen T, Hallas J. Risk scoring systems for adults admitted to the emergency department: a systematic review. Scand J Trauma Resusc Emerg Med. 2010;;18((1):):8.. doi: 10.1186/1757-7241-18-8. DOI: - DOI - PMC - PubMed