Prognostic Value of Physiological Scoring Systems in COVID-19 Patients

Abstract

The objective of this study was to investigate the accuracy of the Modified Early Warning Score (MEWS), Rapid Emergency Medicine Score (REMS), Rapid Acute Physiology Score (RAPS), Worthing Physiological Scoring System (WPSS), and Revised Trauma Score (RTS) for predicting the inhospital mortality of COVID-19 patients. This diagnostic accuracy study was conducted in Tehran, Iran, from November 15, 2020, to March 10, 2021. The participants consisted of 246 confirmed cases of COVID-19 patients who were admitted to the emergency department. The patients were followed from the point of admission up until discharge from the hospital. The mortality status of patients (survivor or nonsurvivor) was reported at the discharge time, and the receiver operating characteristic curve analysis of each scoring system for predicting inhospital mortality was estimated. The area under the curve of REMS was significantly higher than other scoring systems and in cutoff value of 6 and greater had a sensitivity and specificity of 89.13% and 55.50%, respectively. Among the five scoring systems employed in this study, REMS had the best accuracy to predict the inhospital mortality rate of COVID-19 patients and RAPS had the lowest accuracy for inhospital mortality. Thus, REMS is a useful tool that can be employed in identifying high-risk COVID-19 patients.

A short decision time for transcatheter embolization can better associate mortality in patients with pelvic fracture: a retrospective study

“…As age and sex are important characteristics affecting mortality ( 18 , 19 ), the Cox proportional hazards model was adjusted for them to avoid confounding by patient baseline characteristics ( 18 , 19 ). GCS and transfer were also incorporated into the model as covariates based on the previous report ( 20 ) and background of the study, as they are strongly related to outcome and decision-TAE time. Sensitivity analysis with GCS replaced by ISS or RTS was performed to confirm the robustness of the Hazard ratio for decision-TAE time.…”

Acil Servise Motosiklet Kazası Nedeniyle Başvuran Hastalar ile Araç İçi Trafik Kazası Nedeniyle Başvuran Hastaların Travma Skorlarının ve Prognozunun Karşılaştırılması

“…Hastalara yaklaşımı kolaylaştırmak, klinisyenler arasında ortak dili sağlamak, hastanın prognozonu, üst merkez ihtiyacını öngörmek amacıyla travma skorları kullanılmaktadır. Günümüzde çok çeşitli travma skorları kullanılmakta ve hala ideal travma skorlama sistemi ile ilgili çalışmalar devam etmektedir [12][13][14].…”