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Title

RAPID ACUTE PHYSIOLOGY SCORE VERSUS RAPID EMERGENCY MEDICINE SCORE IN TRAUMA OUTCOME PREDICTION, A COMPARATIVE STUDY

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Abstract

 Introduction: Rapid acute physiology score (RAPS) and rapid emergency medicine score (REMS) are two physiologic models for measuring injury severity in emergency settings. The present study was designed to compare the two models in outcome prediction of trauma patients presenting to emergency department (ED).Methods: In this cross-sectional study, the two models of RAPS and REMS were compared regarding prediction of mortality and poor outcome (severe disability) of trauma patients presenting to the EDs of 5 educational hospitals.The discriminatory power and calibration of the models were calculated and compared using STATA 11.Results: 2148 patients with the mean age of 39.50±17.27 years were studied (75.56% males). The area under the curve of REMS and RAPS in predicting in-hospital mortality were 0.93 (95% CI: 0.92-0.95) and 0.899 (95% CI: 0.86-0.93), respectively (p=0.02). These measures were 0.92 (95%CI: 0.90-0.94) and 0.86 (95% CI: 0.83-0.90), respectively, regarding poor outcome (p=0.001). The optimumcut-off point in predicting outcome was found to be 3 for REMS model and 2 for RAPS model. The sensitivity and specificity of REMS and RAPS in the mentioned cut offs were 95.93 vs.85.37 and 77.63 vs.83.51, respectively, in predicting mortality. Calibration and overall performance of the two models were acceptable.Conclusion: The present study showed that adding age and level of arterial oxygen saturation to the variables included in RAPS model can increase its predictive value. Therefore, it seems that REMS could be used for predicting mortality and poor outcome of trauma patients in emergency settings.

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    APA: Copy

    NAKHJAVAN SHAHRAKI, BABAK, BAIKPOUR, MASOUD, YOUSEFIFARD, MAHMOUD, NIKSERESHT, ZAHRA SADAT, ABIRI, SAMANEH, MIRZAY RAZAZ, JALALEDIN, FARIDAALAEE, GHOLAMREZA, POURAGHAEI, MAHBOOB, SHIRZADEGAN, SAHAR, & HOSSEINI, MOSTAFA. (2017). RAPID ACUTE PHYSIOLOGY SCORE VERSUS RAPID EMERGENCY MEDICINE SCORE IN TRAUMA OUTCOME PREDICTION, A COMPARATIVE STUDY. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), 5(1), 0-0. SID. https://sid.ir/paper/339766/en

    Vancouver: Copy

    NAKHJAVAN SHAHRAKI BABAK, BAIKPOUR MASOUD, YOUSEFIFARD MAHMOUD, NIKSERESHT ZAHRA SADAT, ABIRI SAMANEH, MIRZAY RAZAZ JALALEDIN, FARIDAALAEE GHOLAMREZA, POURAGHAEI MAHBOOB, SHIRZADEGAN SAHAR, HOSSEINI MOSTAFA. RAPID ACUTE PHYSIOLOGY SCORE VERSUS RAPID EMERGENCY MEDICINE SCORE IN TRAUMA OUTCOME PREDICTION, A COMPARATIVE STUDY. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY)[Internet]. 2017;5(1):0-0. Available from: https://sid.ir/paper/339766/en

    IEEE: Copy

    BABAK NAKHJAVAN SHAHRAKI, MASOUD BAIKPOUR, MAHMOUD YOUSEFIFARD, ZAHRA SADAT NIKSERESHT, SAMANEH ABIRI, JALALEDIN MIRZAY RAZAZ, GHOLAMREZA FARIDAALAEE, MAHBOOB POURAGHAEI, SAHAR SHIRZADEGAN, and MOSTAFA HOSSEINI, “RAPID ACUTE PHYSIOLOGY SCORE VERSUS RAPID EMERGENCY MEDICINE SCORE IN TRAUMA OUTCOME PREDICTION, A COMPARATIVE STUDY,” ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), vol. 5, no. 1, pp. 0–0, 2017, [Online]. Available: https://sid.ir/paper/339766/en

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