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10.1007/s11845-021-02696-y

http://scihub22266oqcxt.onion/10.1007/s11845-021-02696-y
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suck abstract from ncbi


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pmid34184206      Ir+J+Med+Sci 2022 ; 191 (3): 997-1003
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  • The role of emergency department triage early warning score (TREWS) and modified early warning score (MEWS) to predict in-hospital mortality in COVID-19 patients #MMPMID34184206
  • Aygun H; Eraybar S
  • Ir J Med Sci 2022[Jun]; 191 (3): 997-1003 PMID34184206show ga
  • BACKGROUND: It is necessary to identify critical patients requiring hospitalization early due to the rapid increase in the number of COVID-19 cases. AIM: This study aims to evaluate the effectiveness of scoring systems such as emergency department triage early warning score (TREWS) and modified early warning score (MEWS) in predicting mortality in COVID-19 patients. METHODS: In this retrospective cohort study, PCR positive patients evaluated for COVID-19 and decided to be hospitalized were evaluated. During the first evaluation, MEWS and TREWS scores of the patients were calculated. Intensive care needs as well as 24-h and 28-day mortality rates were evaluated. RESULTS: A total of 339 patients were included in the study. While 30 (8.8%) patients were hospitalized in the intensive care unit, 4 (1.2%) died in the emergency. The number of patients who died within 28 days was found to be 57 (16.8%). In 24-h mortality, the median MEWS value was found to be 7 (IQR 25-75) while the TREWS value was 11.5 (IQR 25-75). In the ROC analysis made for the diagnostic value of 28-day mortality of MEWS and TREWS scores, the area under the curve (AUC) for the MEWS score was found to be 0.833 (95% CI 0.777-0.888, p < 0.001) while it was identified as 0.823 (95% CI 0.764-0.882, p < 0.001) for the TREWS. CONCLUSION: MEWS and TREWS calculated at emergency services are effective in predicting 28-day mortality in patients requiring hospitalization due to COVID-19.
  • |*COVID-19/diagnosis[MESH]
  • |*Early Warning Score[MESH]
  • |Emergency Service, Hospital[MESH]
  • |Hospital Mortality[MESH]
  • |Humans[MESH]
  • |ROC Curve[MESH]
  • |Retrospective Studies[MESH]


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