October 1, 2003Academic Emergency Medicine
Comparison of the Rapid Emergency Medicine Score and APACHE II in Nonsurgical Emergency Department Patients
Why the study?
Does the Rapid Emergency Medicine Score (REMS) improve prediction of in-hospital mortality compared to RAPS and APACHE II in nonsurgical emergency department patients?
Population
162 critically ill patients consecutively admitted to the ICU over one year, and 865 nonsurgical patients…
Comparison
Rapid Emergency Medicine Score calculation vs Rapid Acute Physiology Score and Acute…
Design
Cohort
Follow-up
In-hospital
Authors
Discussion
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Member takes
Implication
REMS may simplify mortality prediction versus APACHE II in ED patients; leaves open need for prospective validation before adoption.
Structured PICO
Does the Rapid Emergency Medicine Score (REMS) improve prediction of in-hospital mortality compared to RAPS and APACHE II in nonsurgical emergency department patients?
P
Population
162 critically ill patients consecutively admitted to the ICU over one year, and 865 nonsurgical patients presenting to an adult emergency department and admitted to a medical department of a 1,200-bed university hospital over two months.
I
Intervention
Rapid Emergency Medicine Score (REMS) calculation (RAPS plus noninvasive peripheral oxygen saturation and patient age)
C
Comparator
Rapid Acute Physiology Score (RAPS) and Acute Physiology and Chronic Health Examination (APACHE II) calculation
O
Outcome
In-hospital mortalityhard clinical
The Rapid Emergency Medicine Score (REMS) provides similar predictive accuracy for in-hospital mortality as the more complex APACHE II score in nonsurgical ED patients.
Cite This Study
Olsson et al. (2003) studied this question.