Rapid Emergency Medicine Score and HOTEL Score in Geriatric Patients Admitted to the Emergency Department

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dc.contributor.authorDundar, Zerrin Defne
dc.contributor.authorKaramercan, Mehmet Akif
dc.contributor.authorErgin, Mehmet
dc.contributor.authorColak, Tamer
dc.contributor.authorTuncar, Alpay
dc.contributor.authorAyranci, Kursat
dc.contributor.authorKocak, Sedat
dc.date.accessioned2024-02-23T14:03:09Z
dc.date.available2024-02-23T14:03:09Z
dc.date.issued2015
dc.departmentNEÜen_US
dc.description.abstractBackground: Emergency risk scoring systems have been defined in order to identify the health status of the patients on admission to the emergency department. In this study, we aimed to investigate the prognostic values of Rapid Emergency Medicine Score (REMS), REMS without age and the HOTEL scores in geriatric patients. Methods: This prospective, single-centered, observational study was carried out between the January 15, 2014 February 28, 2014. Patients admitted to the emergency department during the study period and aged 65 years or older were included in the study. Results: In total, 939 patients were included in the study. In predicting the intensive care unit admission, the area under the curve values of the REMS, REMS without age, and HOTEL scores were 0.772, 0.760, and 0.827 (p < 0.001, for all), respectively. The median (interquartile range) REMS and REMS without age scores of the nonsurvivors were statistically significantly higher than those of the survivors [10 (6) vs. 6 (3), 5 (6) vs. 1(2), respectively; p < 0.001 for both]. Similarly, the HOTEL scores of the nonsurvivors were also statistically significantly higher than those of the survivors [2 (1) vs. 1(1), p < 0.001]. In predicting the in-hospital mortality, the area under the curve values of the REMS, REMS without age and HOTEL scores were 0.833, 0.819, and 0.858 (p < 0.001 for all), respectively. Conclusion: The REMS, REMS without age, and the HOTEL scores cannot be efficiently employed to discriminate geriatric patients requiring hospitalization. Nonetheless, all three scores are proper predictive systems regarding intensive care unit admission and in-hospital mortality in geriatric emergency department patients. Copyright (C) 2015, Taiwan Society of Geriatric Emergency & Critical Care Medicine. Published by Elsevier Taiwan LLC. All rights reserved.en_US
dc.identifier.doi10.1016/j.ijge.2015.02.003
dc.identifier.endpage92en_US
dc.identifier.issn1873-9598
dc.identifier.issn1873-958X
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-84937525739en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage87en_US
dc.identifier.urihttps://doi.org/10.1016/j.ijge.2015.02.003
dc.identifier.urihttps://hdl.handle.net/20.500.12452/11991
dc.identifier.volume9en_US
dc.identifier.wosWOS:000366008300008en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherElsevier Taiwanen_US
dc.relation.ispartofInternational Journal Of Gerontologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectGeriatricsen_US
dc.subjectHotelen_US
dc.subjectIn-Hospital Mortalityen_US
dc.subjectRapid Emergency Medicine Scoreen_US
dc.subjectRisk Scoring Systemen_US
dc.titleRapid Emergency Medicine Score and HOTEL Score in Geriatric Patients Admitted to the Emergency Departmenten_US
dc.typeArticleen_US

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