Assessment of the Relationship of REMS and MEWS Scores with Prognosis in Patients Diagnosed with COVID-19 Admitted to the Emergency Department

Abstract

Objective: The current study predicts their clinical termination and the mortality rate at the end of the first-month with rapid scoring systems such as rapid emergency medicine score (REMS) and modified early warning score (MEWS) of Coronavirus disease-2019 (COVID-19) patients admitted to the emergency department. Methods: A total of 392 patients diagnosed with COVID-19 admitted to the emergency department in 1-month included in the study. REMS and MEWS were calculated for each case. Demographic data of patients, clinical outcomes [discharge, service or intensive care unit (ICU) hospitalization] and first-month mortality were analysed with receiver operating characteristic (ROC) curves to determine the cut-off value based on these scores. Results: The 1-month mortality rate of our patients was 4.3% (n=17). REMS was higher in the mortality of patients who are (7.24±3.77) with COVID-19 than survival (2.87±3.09), and there was a statistically significant difference between them (p