Efficiency in Predicting Mortality Rate of Critically Ill Patients, with REMS (Rapid Emergency Medicine Score) in the Emergency Room, Saraburi Hospital
Keywords:
REMS = Rapid Emergency Medicine Score, triage, critical patients, mortality rateAbstract
Objective: The study aimed to determine the efficiency of REMS (Rapid Emergency Medicine Score) in predicting mortality rate of critically ill patients who visited the emergency room at Saraburi Hospital.
Methods: A retrospective cohort study of patients who attended the emergency room at Saraburi Hospital and were classified as the critical level (Resuscitation) by the R4TS triage system in March 2018, a total of 322 samples. The primary outcome is the relationship between REMS and 30-day mortality rate.
Results: A total of 322 patients were enrolled during March 1-20, 2018. The mortality rate is 23.9%. All patients included in this study were received the treatment in the resuscitation zone. The 30-day mortality rate prediction at REMS ≥ 12 showed 38% sensitivity (95%CI: 24.7-52.8), 78.7% specificity (95%CI: 73.3-83.4), 24.7% positive predictive value (95%CI: 15.6-35.8) and 87.3% negative predictive value (95%CI: 82.5-91.2).
Conclusion: REMS ≥12 in critical patients is a good method to predict 30-day mortality rate. The recording of vital signs parameters in REMS should be implemented as a routine activity.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
