Rapid Emergency Medicine Score as a Predictive Value for 30-day Outcome of Nonsurgical Patients Referred to the Emergency Department
Alireza Ala, Samad Shams Vahdati, Mahsa Jalali, Sina Parsay
Citation Information :
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.
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.
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.
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.
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.
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.
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.
Coslovsky M, Takala J, Exadaktylos AK, Martinolli L, Merz TM. A clinical prediction model to identify patients at high risk of death in the emergency department. Intensive Care Med 2015;41(6):1029–1036. DOI: 10.1007/s00134-015-3737-x.
Olsson T, Lind L. Comparison of the rapid emergency medicine score and APACHE II in nonsurgical emergency department patients. Acad Emerg Med 2003;10(10):1040–1048. DOI: 10.1197/S1069-6563(03)00342-7.
Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Crit Care Med 1985;13(10):818–829. DOI: 10.1097/00003246-198510000-00009.
Chen Y-C, Hsu H-H, Kao K-C, Fang J-T, Huang C-C. Outcomes and APACHE II predictions for critically ill patients with acute renal failure requiring dialysis. Ren Fail 2001;23(1):61–70. DOI: 10.1081/jdi-100001284.
Challen K, Goodacre SW. Predictive scoring in non-trauma emergency patients: a scoping review. Emerg Med J 2011;28(10):827–837. DOI: 10.1136/emj.2010.099291.
Rhee KJ, Fisher CJ, Willitis NH. The rapid acute physiology score. Am J Emerg Med 1987;5(4):278–282. DOI: 10.1016/0735-6757(87) 90350-0.
Imhoff BF, Thompson NJ, Hastings MA, Nazir N, Moncure M, Cannon CM. Rapid emergency medicine score (REMS) in the trauma population: a retrospective study. BMJ Open 2014;4(5):e004738. DOI: 10.1136/bmjopen-2013-004738.
Goodacre S, Turner J, Nicholl J. Prediction of mortality among emergency medical admissions. Emerg Med J 2006;23(5):372–375. DOI: 10.1136/emj.2005.028522.
Bulut M, Cebicci H, Sigirli D, Sak A, Durmus O, Top AA, et al. 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. Emerg Med J 2014;31(6):476–481. DOI: 10.1136/emermed-2013-202444.
Ha DT, Dang TQ, Tran NV, Vo NY, Nguyen ND, Nguyen TV. Prognostic performance of the rapid emergency medicine score (REMS) and worthing physiological scoring system (WPS) in emergency department. Int J Emerg Med 2015;8(1):18. DOI: 10.1186/s12245-015-0066-3.
Seak C-J, Yen DH-T, Ng C-J, Wong Y-C, Hsu K-H, Seak JC-Y, et al. Rapid emergency medicine score: a novel prognostic tool for predicting the outcomes of adult patients with hepatic portal venous gas in the emergency department. PLoS ONE 2017;12(9):e0184813. DOI: 10.1371/journal.pone.0184813.