COMBINATION OF LACTATE WITH MODIFIED EARLY WARNING SCORE AND RAPID EMERGENCY MEDICINE SCORE IN GERIATRIC PATIENTS ADMITTED TO EMERGENCY DEPARTMENT TO PREDICT 28-DAY MORTALITY
Yıl: 2018 Cilt: 21 Sayı: 3 Sayfa Aralığı: 354 - 364 Metin Dili: İngilizce DOI: 10.31086/tjgeri.2018344050 İndeks Tarihi: 03-07-2019
COMBINATION OF LACTATE WITH MODIFIED EARLY WARNING SCORE AND RAPID EMERGENCY MEDICINE SCORE IN GERIATRIC PATIENTS ADMITTED TO EMERGENCY DEPARTMENT TO PREDICT 28-DAY MORTALITY
Öz: Introduction: Aim was to compare the efficacy of Rapid Emergency Medicine Score, RapidEmergency Medicine Score-Lactate, Modified Early Warning Score and Modified Early WarningScore-Lactate scores in predicting 28-day mortality after emergency department visit andhospitalization from emergency department for patients with age ≥65 years.Materials and Method: The prospective observational study that carried out betweenFebruary 29 to April 30, 2016 included patients with age ≥65 years who were referred toemergency department and did not have any trauma history.Results: The mean age of 1106 patients included was 77.23±7.41 years and 52.3% (n=578)were female. In the prediction of hospital admission, AUC for Rapid Emergency Medicine Score,Rapid Emergency Medicine Score-Lactate, Modified Early Warning Score and Modified EarlyWarning Score-Lactate were 0.837, 0.918, 0.817, 0.927 (p=0.001, p<0.001, p=0.002, p<0.001)respectively. In the prediction of 28-day mortality AUC for Rapid Emergency Medicine Score,Rapid Emergency Medicine Score-Lactate, Modified Early Warning Score and Modified EarlyWarning Score-Lactate were 0.659, 0.695, 0.647, 0.681 (p<0.001, p<0.001, p<0.001, p<0.001)respectively.Conclusion: Rapid Emergency Medicine Score and Modified Early Warning Score werepowerful in predicting hospital admission from emergency department and had moderateforce in predicting 28-day mortality. Rapid Emergency Medicine Score-Lactate and ModifiedEarly Warning Score-Lactate scoring systems are more powerful than isolated Rapid EmergencyMedicine Score and Modified Early Warning Score in predicting both for hospitalization and28-day mortality.
Anahtar Kelime: Konular:
ACİL SERVİSE BAŞVURAN GERİATRİK HASTALARDA 28 GÜNLÜK MORTALİTE TAHMİNİNDE “MODIFIED EARLY WARNING SCORE” VE “RAPID EMERGENCY MEDICINE SCORE”UN LAKTAT İLE KOMBİNASYONUNUN KARŞILAŞTIRILMASI
Öz: Giriş: Acil servise başvuran 65 yaş üstü hastalarda mortalite tahmininde kullanılan Rapid Emergency Medicine Score, Rapid Emergency Medicine Score-Laktat, Modified Early Warning Score ve Modified Early Warning Score-Laktat skorlarının 28 günlük mortalite tahmini ve hastane yatışı tahmini açısından güvenilirliği ve kullanılabilirliğini araştırmak ve etkinliğini karşılaştırmaktır. Gereç ve Yöntem: Bu çalışma 29 Şubat-30 Nisan 2016 tarihleri arasında hastanemiz acil servisine başvuran 65 yaş ve üstü olan 1106 hasta dahil edildi. Bulgular: Çalışmaya alınan hastaların yaş ortalaması 77.23±7.41 yıl ve %52.3’ü (n=578) kadındı. Hastane yatışı tahmininde ROC eğrisinin altında kalan alan Rapid Emergency Medicine Score, Rapid Emergency Medicine Score-Laktat, Modified Early Warning Score ve Modified Early Warning Score-Laktat için sırası ile 0.837, 0.918, 0.817, 0.927 (sırası ile p=0.001, p<0.001, p=0.002, p<0.001); 28 günlük mortalite açısından ROC eğrisinin altında kalan alan Rapid Emergency Medicine Score, Rapid Emergency Medicine Score-Laktat, Modified Early Warning Score ve Modified Early Warning Score-Laktat için sırası ile 0.659, 0.695, 0.647, 0.681 olarak hesaplandı (sırası ile p<0.001, p<0.001, p<0.001, p<0.001). Sonuç: Çalışmamıza göre Rapid Emergency Medicine Score ve Modified Early Warning Score skorlama sistemleri geriatrik hastaların acil servisten hastane yatışı tahmini açısından güçlü; 28 günlük mortalite tahmininde orta kuvvette puanlama skorlarıdır. Rapid Emergency Medicine Score-Laktat ve Modified Early Warning Score-Laktat skorlarını skorlama sistemleri ise geriatrik hastaların hem acil servisten hastane yatışı hem 28 günlük mortalite tahmini açısından izole Rapid Emergency Medicine Score ve Modified Early Warning Score’dan daha güçlüdür.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | DEMİRCAN S, ergin m, Tanrıverdi F, ELGÖRMÜŞ Ç, KURTOĞLU ÇELİK G, Ozhasenekler A, GÖKHAN Ş (2018). COMBINATION OF LACTATE WITH MODIFIED EARLY WARNING SCORE AND RAPID EMERGENCY MEDICINE SCORE IN GERIATRIC PATIENTS ADMITTED TO EMERGENCY DEPARTMENT TO PREDICT 28-DAY MORTALITY. , 354 - 364. 10.31086/tjgeri.2018344050 |
| Chicago | DEMİRCAN SERKAN,ergin mehmet,Tanrıverdi Fatih,ELGÖRMÜŞ Çağrı Serdar,KURTOĞLU ÇELİK Gülhan,Ozhasenekler Ayhan,GÖKHAN Şervan COMBINATION OF LACTATE WITH MODIFIED EARLY WARNING SCORE AND RAPID EMERGENCY MEDICINE SCORE IN GERIATRIC PATIENTS ADMITTED TO EMERGENCY DEPARTMENT TO PREDICT 28-DAY MORTALITY. (2018): 354 - 364. 10.31086/tjgeri.2018344050 |
| MLA | DEMİRCAN SERKAN,ergin mehmet,Tanrıverdi Fatih,ELGÖRMÜŞ Çağrı Serdar,KURTOĞLU ÇELİK Gülhan,Ozhasenekler Ayhan,GÖKHAN Şervan COMBINATION OF LACTATE WITH MODIFIED EARLY WARNING SCORE AND RAPID EMERGENCY MEDICINE SCORE IN GERIATRIC PATIENTS ADMITTED TO EMERGENCY DEPARTMENT TO PREDICT 28-DAY MORTALITY. , 2018, ss.354 - 364. 10.31086/tjgeri.2018344050 |
| AMA | DEMİRCAN S,ergin m,Tanrıverdi F,ELGÖRMÜŞ Ç,KURTOĞLU ÇELİK G,Ozhasenekler A,GÖKHAN Ş COMBINATION OF LACTATE WITH MODIFIED EARLY WARNING SCORE AND RAPID EMERGENCY MEDICINE SCORE IN GERIATRIC PATIENTS ADMITTED TO EMERGENCY DEPARTMENT TO PREDICT 28-DAY MORTALITY. . 2018; 354 - 364. 10.31086/tjgeri.2018344050 |
| Vancouver | DEMİRCAN S,ergin m,Tanrıverdi F,ELGÖRMÜŞ Ç,KURTOĞLU ÇELİK G,Ozhasenekler A,GÖKHAN Ş COMBINATION OF LACTATE WITH MODIFIED EARLY WARNING SCORE AND RAPID EMERGENCY MEDICINE SCORE IN GERIATRIC PATIENTS ADMITTED TO EMERGENCY DEPARTMENT TO PREDICT 28-DAY MORTALITY. . 2018; 354 - 364. 10.31086/tjgeri.2018344050 |
| IEEE | DEMİRCAN S,ergin m,Tanrıverdi F,ELGÖRMÜŞ Ç,KURTOĞLU ÇELİK G,Ozhasenekler A,GÖKHAN Ş "COMBINATION OF LACTATE WITH MODIFIED EARLY WARNING SCORE AND RAPID EMERGENCY MEDICINE SCORE IN GERIATRIC PATIENTS ADMITTED TO EMERGENCY DEPARTMENT TO PREDICT 28-DAY MORTALITY." , ss.354 - 364, 2018. 10.31086/tjgeri.2018344050 |
| ISNAD | DEMİRCAN, SERKAN vd. "COMBINATION OF LACTATE WITH MODIFIED EARLY WARNING SCORE AND RAPID EMERGENCY MEDICINE SCORE IN GERIATRIC PATIENTS ADMITTED TO EMERGENCY DEPARTMENT TO PREDICT 28-DAY MORTALITY". (2018), 354-364. https://doi.org/10.31086/tjgeri.2018344050 |
| APA | DEMİRCAN S, ergin m, Tanrıverdi F, ELGÖRMÜŞ Ç, KURTOĞLU ÇELİK G, Ozhasenekler A, GÖKHAN Ş (2018). COMBINATION OF LACTATE WITH MODIFIED EARLY WARNING SCORE AND RAPID EMERGENCY MEDICINE SCORE IN GERIATRIC PATIENTS ADMITTED TO EMERGENCY DEPARTMENT TO PREDICT 28-DAY MORTALITY. Türk Geriatri Dergisi, 21(3), 354 - 364. 10.31086/tjgeri.2018344050 |
| Chicago | DEMİRCAN SERKAN,ergin mehmet,Tanrıverdi Fatih,ELGÖRMÜŞ Çağrı Serdar,KURTOĞLU ÇELİK Gülhan,Ozhasenekler Ayhan,GÖKHAN Şervan COMBINATION OF LACTATE WITH MODIFIED EARLY WARNING SCORE AND RAPID EMERGENCY MEDICINE SCORE IN GERIATRIC PATIENTS ADMITTED TO EMERGENCY DEPARTMENT TO PREDICT 28-DAY MORTALITY. Türk Geriatri Dergisi 21, no.3 (2018): 354 - 364. 10.31086/tjgeri.2018344050 |
| MLA | DEMİRCAN SERKAN,ergin mehmet,Tanrıverdi Fatih,ELGÖRMÜŞ Çağrı Serdar,KURTOĞLU ÇELİK Gülhan,Ozhasenekler Ayhan,GÖKHAN Şervan COMBINATION OF LACTATE WITH MODIFIED EARLY WARNING SCORE AND RAPID EMERGENCY MEDICINE SCORE IN GERIATRIC PATIENTS ADMITTED TO EMERGENCY DEPARTMENT TO PREDICT 28-DAY MORTALITY. Türk Geriatri Dergisi, vol.21, no.3, 2018, ss.354 - 364. 10.31086/tjgeri.2018344050 |
| AMA | DEMİRCAN S,ergin m,Tanrıverdi F,ELGÖRMÜŞ Ç,KURTOĞLU ÇELİK G,Ozhasenekler A,GÖKHAN Ş COMBINATION OF LACTATE WITH MODIFIED EARLY WARNING SCORE AND RAPID EMERGENCY MEDICINE SCORE IN GERIATRIC PATIENTS ADMITTED TO EMERGENCY DEPARTMENT TO PREDICT 28-DAY MORTALITY. Türk Geriatri Dergisi. 2018; 21(3): 354 - 364. 10.31086/tjgeri.2018344050 |
| Vancouver | DEMİRCAN S,ergin m,Tanrıverdi F,ELGÖRMÜŞ Ç,KURTOĞLU ÇELİK G,Ozhasenekler A,GÖKHAN Ş COMBINATION OF LACTATE WITH MODIFIED EARLY WARNING SCORE AND RAPID EMERGENCY MEDICINE SCORE IN GERIATRIC PATIENTS ADMITTED TO EMERGENCY DEPARTMENT TO PREDICT 28-DAY MORTALITY. Türk Geriatri Dergisi. 2018; 21(3): 354 - 364. 10.31086/tjgeri.2018344050 |
| IEEE | DEMİRCAN S,ergin m,Tanrıverdi F,ELGÖRMÜŞ Ç,KURTOĞLU ÇELİK G,Ozhasenekler A,GÖKHAN Ş "COMBINATION OF LACTATE WITH MODIFIED EARLY WARNING SCORE AND RAPID EMERGENCY MEDICINE SCORE IN GERIATRIC PATIENTS ADMITTED TO EMERGENCY DEPARTMENT TO PREDICT 28-DAY MORTALITY." Türk Geriatri Dergisi, 21, ss.354 - 364, 2018. 10.31086/tjgeri.2018344050 |
| ISNAD | DEMİRCAN, SERKAN vd. "COMBINATION OF LACTATE WITH MODIFIED EARLY WARNING SCORE AND RAPID EMERGENCY MEDICINE SCORE IN GERIATRIC PATIENTS ADMITTED TO EMERGENCY DEPARTMENT TO PREDICT 28-DAY MORTALITY". Türk Geriatri Dergisi 21/3 (2018), 354-364. https://doi.org/10.31086/tjgeri.2018344050 |
