Comparison of MEWS, REMS and RAPS for Predicting Outcomes of Non-Surgical Patients in Emergency Room
Journal Title: Indian Journal of Emergency Medicine - Year 2018, Vol 4, Issue 4
Abstract
Context: There are several scoring system in the literature to triage and predict prognosis of the patient using simple physiologic parameters. MEWS, REMS, RAPS are few among them. An appropriate scoring system is essential for risk stratification and hospitalisation in a busy Emergency Medicine department. Aims: We aim to compare the performance of MEWS, REMS, RAPS score in predicting mortality among the non-surgical patients presenting to the Emergency room. Settings and design: This prospective study was conducted in an ED of a teritary care hospital during a period of 2 months. Statistical analysis: ROC analysis was used to compare performance of all three scoring system in predicting mortality. Methods and materials: In this prospective study, all patients presenting to the ED with non-surgical complaints during a period of two months. MEWS, REMS, RAPS scores were calculated in the ED itself based on the physiologic parameters at the time of presentation. These patients were later followed up till discharge/death. Results: A total of 120 patients were included in our study, with mean age of 49.2±18.5. 60% of the study populations were males and 42.5% were females. The mortality in our study was around 16.7%. Though AUC of MEWS, REMS, RAPS were 0.73, 0.71, 0.69 respectively, but not significant difference were found between the three scoring system. Conclusion: All scores MEWS, REMS, RAPS performed equal in predicting in-hospital mortality among non- surgical patients presenting to the ED.
Authors and Affiliations
Fred John .
Keywords
Related Articles
- EP ID EP553161
- DOI 10.21088/ijem.2395.311X.4418.2
- Views 83
- Downloads 0
Killip Classification and Glucose Levels in Patients with Acute Myocardial Infarction
Aim: Current study is designed to determine the significance of Killip classification and blood glucose levels in risk stratification of patients with Myocardial Infarction. Method: 100 patients admitted for the treatmen...
Intussusception in Adults: A Case Report
Abdominal pain is one of most frequent presenting complain in ED among adult population. Intussusceptions although rare, can be consider as a cause of bowel obstruction in adults. Its occurrence in adult is not as common...
Clinical Profile of Patients with Rheumatoid Arthritis Attending Tertiary Care Hospital
Introduction:A major portion of disease burden due to RA, including the excess mortality,appears to be due to its extra-articular manifestations. Extra-articular manifestations are seen in nearly 50% of patients with RA....
Glossopharyngeal Neuralgia Leading to Sinus Pause: A Rare Entity
Glossopharyngeal neuralgia is in itself a rare entity and often remains undiagnosed. Asystole, convulsions, and syncope are associated with glossopharyngeal neuralgia in many patients described in the literature, and thi...
Rare Presentation of Prolonged Impaction of A Button Battery in Esophagus without Life-Threatening Consequences
The diagnosis of button battery ingestion in toddler age group can be quite difficult as the patient cannot give the history himself/herself (unless it is witnessed). Such ingestion can lead to serious complications due...