- Applying the Rapid Emergency Medicine Score (REMS) to COVID-19 patients age
- Prospective validation is needed.
Why this matters
- An accurate rapid scoring system could ease treatment and disposition decisions early in the course of COVID-19 presentations.
- The previously developed REMS and Modified Early Warning Score (MEWS) use clinical variables like BP and oxygen saturation to aid in emergency department prognostication.
- This study applied them to COVID-19 patients.
- Area under the curve (95% CIs):
- MEWS: 0.677 (0.579-0.765).
- REMS: 0.841 (0.757-0.905); difference, P=.028.
- MEWS in subgroup age
- REMS in subgroup age
- Negative predictive value:
- MEWS, with cutoff score of 2: 90.32%.
- REMS, with cutoff score of 6: 96.77%.
- Performance for patients age ≥65 was similar and modest for both tools.
- Retrospective medical record review of critically ill adults in China on a COVID-19 ward (n=105).
- Authors extracted baseline demographic and clinical data to calculate prognostic scores using MEWS and REMS.
- Outcomes: in-hospital death.
- Funding: Sichuan University.
- Small single-center study subject to selection bias.