Evaluation of patients with decreased general condition and comparing HOTEL, WPS, and REMS for mortality prediction

Basit Öğe Kaydı
dc.authoridDemir, Mehmet Cihat/0000-0002-0106-3383
dc.authoridSultanoglu, Hasan/0000-0003-4099-572X;
dc.contributor.authorAykol, Emine
dc.contributor.authorDemir, Mehmet Cihat
dc.contributor.authorSelki, Kudret
dc.contributor.authorSultanoglu, Hasan
dc.date.accessioned2025-10-11T20:48:24Z
dc.date.available2025-10-11T20:48:24Z
dc.date.issued2025
dc.departmentDüzce Üniversitesien_US
dc.description.abstractThe emergency department (ED) plays a crucial role in evaluating patients with decreased general condition (DGC). Prompt diagnosis and precise risk stratification enhances clinical care outcomes. This study aimed to reveal which scoring system is better for predicting mortality in patients with DGC. This single-center prospective study was conducted between 1 March 2021 and 1 June 2021 in a tertiary university hospital's ED. All patients presented with DGC were included. The scores assessed upon ED admission for patients include the Hypotension, Oxygen saturation, low Temperature, ECG changes, and Loss of independence, abbreviated as HOTEL score, Rapid Emergency Medicine Score (REMS), and the Worthing Physiological Scoring (WPS). The study aimed to compare the scoring systems to identify which is the best mortality predictor. Independent risk factors for 30-day mortality were analyzed using binary logistic regression and ROC curves to assess the effectiveness of HOTEL, REMS, and WPS scores in predicting mortality. The study was conducted with 137 DGC patients. The median age of patients presented to the ED with DGC was 77 (66.5-87), and 50.4% were male. 52.6% of patients died within one month. Analysis of mortality risk factors revealed that gender, age, day of admission, visit type, home oxygen, urinary catheter use, and speech status were not independent risk factors. For one-month mortality prediction, AUCs were: HOTEL 0.644 (cut-off 1), REMS 0.635 (cut-off 8), WPS 0.547 (cut-off 5). For mechanical ventilation: HOTEL 0.689 (10), REMS 0.790 (10), WPS 0.777 (4). For ICU admission: HOTEL 0.697 (2), REMS 0.770 (9), WPS 0.728 (4). Both the HOTEL and REMS scoring systems have moderate prognostic value in predicting mortality in patients with a DGC. The REMS, and WPS scores are also more helpful in determining the need for intensive care unit admission and mechanical ventilation.en_US
dc.identifier.doi10.1038/s41598-025-97386-5
dc.identifier.issn2045-2322
dc.identifier.issue1en_US
dc.identifier.pmid40200107en_US
dc.identifier.scopus2-s2.0-105003201355en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1038/s41598-025-97386-5
dc.identifier.urihttps://hdl.handle.net/20.500.12684/21905
dc.identifier.volume15en_US
dc.identifier.wosWOS:001463205300006en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherNature Portfolioen_US
dc.relation.ispartofScientific Reportsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKA_WOS_20250911
dc.subjectDecreased general conditionen_US
dc.subjectEmergency departmenten_US
dc.subjectMortalityen_US
dc.subjectHOTELen_US
dc.subjectWPSen_US
dc.subjectREMSen_US
dc.titleEvaluation of patients with decreased general condition and comparing HOTEL, WPS, and REMS for mortality predictionen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu