ACİL SERVİSE BAŞVURAN GERİATRİK HASTALARDA 28 GÜNLÜK MORTALİTE TAHMİNİNDE “MODIFIED EARLY WARNING SCORE” VE “RAPID EMERGENCY MEDICINE SCORE”UN LAKTAT İLE KOMBİNASYONUNUN KARŞILAŞTIRILMASI

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

Ayhan ÖZHASENEKLER, Gülhan KURTOĞLU ÇELİK, Şervan GÖKHAN, Serkan DEMİRCAN, Çağrı Serdar ELGÖRMÜŞ, Mehmet ERGİN, Fatih TANRIVERDİ

Özet

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

Abstract

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