Investigation of the Relationship between Early Warning Scores and Clinical Course in Patients Presenting to the Emergency Department with Hematuria

Authors : Akif Koç, Merve Dayi, Muhammed Dayı, Abdurrahman Tekin, Melih Yüksel
Pages : 435-441
Doi:10.32708/uutfd.1741054
View : 40 | Download : 184
Publication Date : 2025-12-08
Article Type : Research Paper
Abstract :This study aimed to investigate the relationship between the the Modified Early Warning Score, the National Early Warning Score 2, the Rapid Emergency Medicine Score (REMS), and the Emergency Department Triage Early Warning Score, and shock index at presentation to the emergency department in patients with hematuria presenting to the emergency department, and mortality on days 28 and 90. Patients presenting with hematuria to a single-center, tertiary emergency department were retrospectively analyzed. Mortality on days 28 and 90 after the emergency department discharge was analyzed. A total of 179 patients were included in the study. The median age of the patients was 69 years [Inter Quartile Range (IQR), 25-75: 61-79)], and 137 (76.5%) were male. In the receiver operating characteristic analysis (ROC) performed for the 28- and 90-day mortality prediction values of the patients, only the REMS score was found to be statistically significant. The area under the curve (AUC) value of the REMS score for 28-day mortality prediction was 0.740 [95% Confidence interval (CI) (0.538-0.943)], (p<0.05), and the AUC value of the REMS score for 90-day mortality prediction was 0.685 [(95% CI 0.541-0.828), (p<0.05)]. When the REMS score was set at a cutoff value of 6.5 for 28-day mortality prediction, the sensitivity was 71.4% and the specificity was 73.3%. When the cutoff value was set at 5.5 for 90-day mortality prediction, the sensitivity was 90.9% and the specificity was 45.2%. We found that REMS is superior to other early warning scores in predicting short- and medium-term mortality. These findings support the routine use of REMS in emergency departments, contributing to timely and effective intervention for patients at high risk of mortality.
Keywords : Erken Uyarı Skorları, Hematüri, Mortalite

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