Emergency Department Triage Early Warning Score (TREWS) predicts in -hospital mortality in the emergency department
- Lee, Sang Bong; Kim, Dong Hoon; Kim, Taeyun; Kang, Changwoo; Lee, Soo Hoon; Jeong, Jin Hee; Kim, Seong Chun; Park, Yong Joo; Lim, Daesung
- Issue Date
- W B SAUNDERS CO-ELSEVIER INC
- AMERICAN JOURNAL OF EMERGENCY MEDICINE, v.38, no.2, pp.203 - 210
- Journal Title
- AMERICAN JOURNAL OF EMERGENCY MEDICINE
- Start Page
- End Page
- Aim: The purpose is to assess the adequacy of the National Early Warning Score (NEWS) in the emergency department (ED) and the usefulness of the Triage in Emergency Department Early Warning Score (TREWS) that has been developed using the NEWS in the ED. Methods: In this retrospective observational cohort study, we performed univariable and multivariable regression analyses with 81,520 consecutive ED patients to develop a new scoring system, the TREWS. The primary outcome was in-hospital mortality within 24 h, and secondary outcomes were in-hospital mortality within 48 h, 7 days, and 30 days. The prognostic properties of the TREWS were compared with those of the NEWS, Modified Early Warning Score (MEWS), and Rapid Emergency Medicine Score (REMS) using the area under the receiver operating characteristic curve (AUC) technique. Results: The AUC of the TREWS for in-hospital mortality with in 24 h was 0.906 (95% CI, 0.903-0.908), those of the NEWS, MEWS, and REMS were 0.878 (95% CI, 0.875-0.881), 0.857 (95% CI, 0.854-0.860), and 0.834 (95% CI, 0.831-0.837), respectively. Differences in the AUC between the TREWS and NEWS, the TREWS and MEWS, and the TREWS and REMS were 0.028 (95% CI, 0.022-0.033; p < .001), 0.049 (95% CI, 0.041-0.057; p < .001), and 0.072 (95% CI, 0.063-0.080; p < .001), respectively. The TREWS showed significantly superior performance in predicting secondary outcomes. Conclusion: The TREWS predicts in-hospital mortality within 24 h, 48 h, 7 days, and 30 days better than the NEWS, MEWS, and REMS for patients arriving at the ED. (C) 2019 Elsevier Inc. All rights reserved.
- Files in This Item
- There are no files associated with this item.
- Appears in
- College of Medicine > Department of Medicine > Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.