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Observational Study
. 2022 May 2:17:e174.
doi: 10.1017/dmp.2022.107.

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

Serdar Özdemir  1 , Abdullah Algın  1 , Hatice Şeyma Akça  2 , İbrahim Altunok  1 , Kâmil Kokulu  3 , Serkan Emre Eroğlu  1 , Gökhan Aksel  1
Affiliations
Observational Study

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

Serdar Özdemir et al. Disaster Med Public Health Prep. .

Abstract

Background: The aim of this study was 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-d mortality in patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection aged 65 y and over.

Methods: This prospective, single-center, observational study was carried out with 122 volunteers aged 65 y and over with patients confirmed to have SARS-CoV-2 infection according to the reverse transcriptase-polymerase chain reaction (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) y. The rate of 30-d 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-d 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.

Conclusions: REMS, RAPS, and MEWS do not seem to be useful in predicting 30-d mortality in geriatric patients with SARS-CoV-2 infection presenting to the emergency department.

Keywords: COVID-19; aging; emergency services; geriatrics; mortality; older.

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References

    1. Watkins J, Maruthappu M. Public health and economic responses to COVID-19: finding the tipping point. Public Health. 2021;191:21-22. doi: 10.1016/j.puhe.2020.05.025 - DOI - PMC - PubMed
    1. Aksel G, İslam MM, Algın A, et al. Early predictors of mortality for moderate to severely ill patients with SARS-CoV-2 infection [published online ahead of print, 2020 Aug 28]. Am J Emerg Med. 2020;S0735-6757(20)30770-1. doi:10.1016/j.ajem.2020.08.076
    1. Özdemir S, Akça HŞ, Algın A, et al. 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. Am J Emerg Med. 2021;49:259-264. doi: 10.1016/j.ajem.2021.06.020 - DOI - PMC - PubMed
    1. Hu H, Yao N, Qiu Y. Predictive value of 5 early warning scores for critical COVID-19 Patients. Disaster Med Public Health Prep. 2020:1-8. doi:10.1017/dmp.2020.324 - PMC - PubMed
    1. Hu H, Kong W, Yao N, et al. Prognostic value of three rapid scoring scales and combined predictors for the assessment of patients with coronavirus disease 2019. Nurs Open. 2022:9(3):1865-1872. doi: 10.1002/nop2.934 - DOI - PMC - PubMed

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