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- Thomas Olsson, Andreas Terent, and Lars Lind.
- Research and Development Unit, Department of Internal Medicine, Ostersund Hospital, SE-831 83 Ostersund, Sweden. thomas.olsson@jll.se.
- Acad Emerg Med. 2004 Oct 1;11(10):1008-13.
ObjectivesTo examine the Rapid Emergency Medicine Score (REMS) as a predictor of long-term (4.7 years) mortality in the nonsurgical emergency department (ED).MethodsThis was a prospective cohort study. A total of 12,006 nonsurgical patients consecutively presenting to an adult ED at a 1,200-bed university hospital during a period of one year were enrolled. REMS (including blood pressure, respiratory rate, pulse rate, Glasgow Coma Scale score, peripheral oxygen saturation, and patient age) was calculated for all patients admitted to the ED. The statistical associations between REMS and long-term mortality were examined.ResultsREMS could predict mortality over 4.7 years (hazard ratio, 1.26; p < 0.0001). Similar results were obtained in the major patient groups (chest pain, stroke, coma, dyspnea, and diabetes).ConclusionsREMS was a powerful predictor of long-term mortality in patients attending the ED for a wide range of common nonsurgical disorders.
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