Turkish Journal of Geriatrics 2018 , Vol 21, Issue 3
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
Serkan DEMİRCAN1, Mehmet ERGİN1, Fatih TANRIVERDİ1, Çağrı Serdar ELGÖRMÜŞ1, Gülhan KURTOĞLU ÇELİK1, Ayhan ÖZHASENEKLER1, Şervan GÖKHAN1
1Ankara Yıldırım Beyazıt University, Emergency Department, Emergency Medicine, Ankara, Turkey DOI : 10.31086/tjgeri.2018344050 Introduction: Aim was to compare the efficacy of Rapid Emergency Medicine Score, Rapid Emergency Medicine Score-Lactate, Modified Early Warning Score and Modified Early Warning Score-Lactate scores in predicting 28-day mortality after emergency department visit and hospitalization from emergency department for patients with age ?65 years.

Materials and Method: The prospective observational study that carried out between February 29 to April 30, 2016 included patients with age ?65 years who were referred to emergency 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 Early Warning 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 Early Warning 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 were powerful in predicting hospital admission from emergency department and had moderate force in predicting 28-day mortality. Rapid Emergency Medicine Score-Lactate and Modified Early Warning Score-Lactate scoring systems are more powerful than isolated Rapid Emergency Medicine Score and Modified Early Warning Score in predicting both for hospitalization and 28-day mortality. Keywords : Aged; Geriatrics; Hospitalization; Latic acid; Mortality