DIAGNOSTIC ACCURACY OF RAPID EMERGENCY MEDICINE SCORE (REMS) AS A PROGNOSTIC MARKER AND ITS COMPARISON WITH TRADITIONAL SCORING SYSTEMS IN TRAUMA

Abstract

A Hospital-based screening test study was conducted at the Department of Emergency Medicine at Mahatma Gandhi Mission Medical College and Hospital, Kamothe, Navi Mumbai. The study aimed to compare the diagnostic accuracy of Rapid Emergency Medicine Score (REMS) with that of other traditional scoring systems like Injury Severity Score (ISS) and Revised Trauma Score (RTS). We also aimed to correlate in association with raised lactate values to predict in-hospital mortality in trauma patients as compared to REMS alone. The study included 100 consecutive trauma patients coming to our emergency department, fullling the eligibility criteria. Following observations were made during the study, Mean age of the study cases was 38.98 years with over half of them being between 21 to 40 years of age. Out of the 100 cases, 87% were males and 13% were females. Nature of trauma was a road trafc accident in the majority of the cases (63%). Other causes were falling (26%), assault (10%), and workplace injury (1%). Loss of consciousness was seen in 34% of cases while vomiting and seizures were seen in 21% and 6% cases respectively. Compromised airway was noted in 42% cases while the hypotensive and hypertensive state was observed in 68% and 3% cases respectively.Mortality rate in the present study was 11%.On ROC analysis, all the scores including REMS, ISS, and RTS were observed to be signicant predictors of mortality among trauma cases.