Predictive ability of the MEWS, REMS, and RAPS in geriatric patients with SARS-CoV-2 infection in the emergency department

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dc.authorid0000-0002-6186-6110
dc.authorid0000-0002-3183-3713
dc.contributor.authorÖzdemir, Serdar
dc.contributor.authorAlgın, Abdullah
dc.contributor.authorAkça, Hatice Şeyma
dc.contributor.authorAltunok, İbrahim
dc.contributor.authorKokulu, Kamil
dc.contributor.authorEroğlu, Serkan Emre
dc.contributor.authorAksel, Gökhan
dc.date.accessioned2022-06-20T07:04:15Z
dc.date.available2022-06-20T07:04:15Z
dc.date.issued2023
dc.departmentTıp Fakültesi
dc.description.abstractTo compare the ability of the Modified Early Warning Score (MEWS), Rapid Emergency Medicine Score (REMS), and Rapid Acute Physiology Score (RAPS) to predict 30 day-mortality in patients with SARS-CoV-2 infection aged 65 years and over. Methods: This prospective, single-center, observational study was carried out with 122 volunteers aged 65 years and over with patients confirmed to have SARS-CoV-2 infection according to the 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) years. The rate of 30-day 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-day 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. Conclusion: REMS, RAPS and MEWS do not seem to be useful in predicting 30-day mortality in geriatric patients with SARS-CoV-2 infection presenting to the emergency department
dc.identifier.doi10.1017/dmp.2022.107
dc.identifier.endpage-en_US
dc.identifier.issn1935-7893
dc.identifier.issue-en_US
dc.identifier.pmid35492014
dc.identifier.scopusqualityQ2
dc.identifier.startpage-en_US
dc.identifier.urihttps:/dx.doi.org/10.1017/dmp.2022.107
dc.identifier.urihttps://hdl.handle.net/20.500.12451/9438
dc.identifier.volume-en_US
dc.identifier.wosWOS:000819226200001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherCambridge University Press
dc.relation.ispartofDisaster Medicine and Public Health Preparedness
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAging
dc.subjectCovid-19
dc.subjectEmergency Services
dc.subjectGeriatrics
dc.subjectMortality
dc.subjectOlder
dc.titlePredictive ability of the MEWS, REMS, and RAPS in geriatric patients with SARS-CoV-2 infection in the emergency department
dc.typeArticle

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