Serkan DEMİRCAN
(Ankara Yıldırım Beyazıt Üniversitesi, Ankara, Türkiye)
MEHMET ERGİN
(Ankara Yıldırım Beyazıt Üniversitesi, Ankara, Türkiye)
FATİH TANRIVERDİ
(Ankara Yıldırım Beyazıt Üniversitesi, Ankara, Türkiye)
Çağrı Serdar ELGÖRMÜŞ
(Ankara Yıldırım Beyazıt Üniversitesi, Ankara, Türkiye)
GÜLHAN KURTOĞLU ÇELİK
(Ankara Yıldırım Beyazıt Üniversitesi, Ankara, Türkiye)
AYHAN ÖZHASENEKLER
(Ankara Yıldırım Beyazıt Üniversitesi, Ankara, Türkiye)
ŞERVAN GÖKHAN
(Ankara Yıldırım Beyazıt Üniversitesi, Ankara, Türkiye)
Yıl: 2018Cilt: 21Sayı: 3ISSN: 1304-2947 / 1307-9948Sayfa Aralığı: 354 - 364İngilizce

174 1
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
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.
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DergiAraştırma MakalesiErişime Açık
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