Comparative studies of four scoring systems on assessing the severity and prognosis of pre-hospital emergency patients
Fan Conghua
Lv Hu
Wang Fang
Zhang Lan
Abstract：Objective:To compare the accuracy of four scoring systems:modified early warning score (MEWS),rapid emergency medical score (REMS),simple clinical score (SCS) and systemic inflammatory response syndrome (SIRS) on evaluating the severity and prognosis of pre-hospital emergency patients.Methods:MEWS,REMS,SCS and SIRS scores were performed on 685 pre-hospital emergency patients.The patients were followed-up until they discharged or died in the hospital.The accuracies of four scoring systems on assessing the severity and prognosis of the emergency patients were compared by the area under receiver operating characteristic (ROC) curve.Results:There were significant differences in MEWS,REMS,SCS and SIRS scores between survival and the dead (P＜0.05).The higher the MEWS,REMS,SCS and SIRS score (x2=72.60,82.31,151.94 and 72.49,all P＜0.05),the higher the mortality.The areas under the ROC curve of MEWS,REMS,SCS and SIRS scores were 0.765,0.758,0.829 and 0.695,respectively,and the largest one was SCS.Conclusions:All the MEWS,REMS,SCS and SIRS scores can be used to predict the mortality of pre-hospital emergency patients.The accuracy shows SCS＞ MEWS＞ REMS＞ SIRS,and SCS is more accurate for evaluating the early prognosis of pre-hospital emergency patients.
Keywords：Modified early warning scoreSimple clinical scoreSystemic inflammatory response syndrome scoreRapid emergency medical scorePre-hospital care
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 49-52 )