Performance of the Pandemic Medical Early Warning Score (PMEWS), Simple Triage Scoring System (STSS) and Confusion, Uremia, Respiratory rate, Blood pressure and age >= 65 (CURB-65) score among patients with COVID-19 pneumonia in an emergency department triage setting: a retrospective study

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dc.authoridDemir, Mehmet Cihat/0000-0002-0106-3383
dc.authoridIlhan, Bugra/0000-0002-3255-2964
dc.authorwosidDemir, Mehmet Cihat/A-9087-2017
dc.contributor.authorDemir, Mehmet Cihat
dc.contributor.authorIlhan, Bugra
dc.date.accessioned2021-12-01T18:49:00Z
dc.date.available2021-12-01T18:49:00Z
dc.date.issued2021
dc.department[Belirlenecek]en_US
dc.description.abstractBACKGROUND: Healthcare institutions are confronted with large numbers of patient admissions during large-scale or long-term public health emergencies like pandemics. Appropriate and effective triage is needed for effective resource use. OBJECTIVES: To evaluate the effectiveness of the Pandemic Medical Early Warning Score (PMEWS), Simple Triage Scoring System (STSS) and Confusion, Uremia, Respiratory rate, Blood pressure and age >= 65 years (CURB-65) score in an emergency department (ED) triage setting. DESIGN AND SETTING: Retrospective study in the ED of a tertiary-care university hospital in Duzce, Turkey. METHODS: PMEWS, STSS and CURB-65 scores of patients diagnosed with COVID-19 pneumonia were calculated. Thirty-day mortality, intensive care unit (ICU) admission, mechanical ventilation (MV) need and outcomes were recorded. The predictive accuracy of the scores was assessed using receiver operating characteristic curve analysis. RESULTS: One hundred patients with COVID-19 pneumonia were included. The 30-day mortality was 6%. PMEWS, STSS and CURB-65 showed high performance for predicting 30-day mortality (area under the curve: 0.968, 0.962 and 0.942, respectively). Age > 65 years, respiratory rate > 20/minute, oxygen saturation (SpO(2)) < 90% and ED length of stay > 4 hours showed associations with 30-day mortality (P < 0.05). CONCLUSIONS: CURB-65, STSS and PMEWS scores are useful for predicting mortality, ICU admission and MV need among patients diagnosed with COVID-19 pneumonia. Advanced age, increased respiratory rate, low SpO(2) and prolonged ED length of stay may increase mortality. Further studies are needed for developing the triage scoring systems, to ensure effective long-term use of healthcare service capacity during pandemics.en_US
dc.identifier.doi10.1590/1516-3180.2020.0649.R1.10122020
dc.identifier.endpage177en_US
dc.identifier.issn1516-3180
dc.identifier.issue2en_US
dc.identifier.pmid33681885en_US
dc.identifier.scopus2-s2.0-85104048215en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage170en_US
dc.identifier.urihttps://doi.org/10.1590/1516-3180.2020.0649.R1.10122020
dc.identifier.urihttps://hdl.handle.net/20.500.12684/10645
dc.identifier.volume139en_US
dc.identifier.wosWOS:000637319500011en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherAssociacao Paulista Medicinaen_US
dc.relation.ispartofSao Paulo Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCOVID-19 [supplementary concept]en_US
dc.subjectEmergency service, hospitalen_US
dc.subjectPandemicsen_US
dc.subjectPneumoniaen_US
dc.subjectTriageen_US
dc.titlePerformance of the Pandemic Medical Early Warning Score (PMEWS), Simple Triage Scoring System (STSS) and Confusion, Uremia, Respiratory rate, Blood pressure and age >= 65 (CURB-65) score among patients with COVID-19 pneumonia in an emergency department triage setting: a retrospective studyen_US
dc.typeArticleen_US

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