@article{ref1,
title="Usability verification of the Emergency Trauma Score (EMTRAS) and Rapid Emergency Medicine Score (REMS) in patients with trauma: a retrospective cohort study",
journal="Medicine (Baltimore)",
year="2017",
author="Park, Hyun Oh and Kim, Jong Woo and Kim, Sung Hwan and Moon, Seong Ho and Byun, Joung Hun and Kim, Ki Nyun and Yang, Jun Ho and Lee, Chung Eun and Jang, In Seok and Kang, Dong Hun and Kim, Seong Chun and Kang, Changwoo and Choi, Jun Young",
volume="96",
number="44",
pages="e8449-e8449",
abstract="Early estimation of mortality risk in patients with trauma is essential. In this study, we evaluate the validity of the Emergency Trauma Score (EMTRAS) and Rapid Emergency Medicine Score (REMS) for predicting in-hospital mortality in patients with trauma. Furthermore, we compared the REMS and the EMTRAS with 2 other scoring systems: the Revised Trauma Score (RTS) and Injury Severity score (ISS).We performed a retrospective chart review of 6905 patients with trauma reported between July 2011 and June 2016 at a large national university hospital in South Korea. We analyzed the associations between patient characteristics, treatment course, and injury severity scoring systems (ISS, RTS, EMTRAS, and REMS) with in-hospital mortality. Discriminating power was compared between scoring systems using the areas under the curve (AUC) of receiver operating characteristic (ROC) curves.The overall in-hospital mortality rate was 3.1%. Higher EMTRAS and REMS scores were associated with hospital mortality (P < .001). The ROC curve demonstrated adequate discrimination (AUC = 0.957 for EMTRAS and 0.9 for REMS). After performing AUC analysis followed by Bonferroni correction for multiple comparisons, EMTRAS was significantly superior to REMS and ISS in predicting in-hospital mortality (P < .001), but not significantly different from the RTS (P = .057). The other scoring systems were not significantly different from each other.The EMTRAS and the REMS are simple, accurate predictors of in-hospital mortality in patients with trauma.<p /> <p>Language: en</p>",
language="en",
issn="0025-7974",
doi="10.1097/MD.0000000000008449",
url="http://dx.doi.org/10.1097/MD.0000000000008449"
}