Use of Early Warning Scoring Systems to Predict the Prognosis of COVID-19 Patients in the Emergency Department

Nurettin KORKMAZ; Zeynep KARAKAYA; Hüseyin ACAR; Serkan BİLGİN; Ahmet KAYALI; Ecem ERMETE GÜLER

doi:10.16899/jcm.1281069

Use of Early Warning Scoring Systems to Predict the Prognosis of COVID-19 Patients in the Emergency Department

Authors : Nurettin KORKMAZ, Zeynep KARAKAYA, Hüseyin ACAR, Serkan BİLGİN, Ahmet KAYALI, Ecem ERMETE GÜLER

Pages : 490-495

Doi:10.16899/jcm.1281069

View : 50 | Download : 52

Publication Date : 2023-05-31

Article Type : Research Paper

Abstract :Aim: Increased emergency department insert ignore into journalissuearticles values(ED); admissions and the need for intensive care unit insert ignore into journalissuearticles values(ICU); brought with the pandemic has led to the need to make fast and accurate decisions. Early warning scores insert ignore into journalissuearticles values(EWS); may be useful in ED in this regard. This study was performed to evaluate the effectiveness of EWS in predicting mortality and need for ICU of patients with COVID-19. Materials and methods: This retrospective observational study was performed with subjects presented to the ED and were later admitted to a general ward or to the ICU because of COVID-19. Subjects aged ≥18 years with positive RT-PCR were included in the study. Subjects experienced a cardiac or respiratory arrest or intubated at the time of presentation to the ED and pregnant women were excluded from the study. MEWS, NEWS, NEWS-2, REMS, and qSOFA scores were calculated using patients’ data on first presentation. We examined the association of these scoring systems with mortality and need for ICU. Results: While 60insert ignore into journalissuearticles values(10%); of the 600 patients participating in the study were admitted to the ICU, 222insert ignore into journalissuearticles values(37%); patients died. The scoring systems’ negative predictive values for predicting ICU admission were 0.95, 0.98, 0.97, 0.96, and 0.96 respectively and for predicting mortality were 0.61, 0.67, 0.67, 0.66, and 0.61 respectively. All scorings assessed were significant predictors of the need for ICU and mortality in patients with COVID-19. Conclusions: All evaluated scoring systems were successful; however, NEWS and NEWS-2 had the highest predictive value both for the need for ICU and mortality.
Keywords : Erken uyarı skoru, Acil tıp, COVID 19, prognoz, mortalite

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