ArticleSao Paulo medical journal = Revista paulista de medicina
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.
Article in Sao Paulo medical journal = Revista paulista de medicina. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Lactate-to-albumin ratio, C-reactive protein-to-albumin ratio, and prognostic nutritional index in acute and critical care: A focused mini-review.World journal of critical care medicine · 2026Review
- External validation of the International Early Warning Score in non-traumatic emergency department patients: a prospective cohort study.BMC emergency medicine · 2025Observational
- Physiological scoring systems for early identification of critically ill older adults in the emergency department: a prospective observational cohort study.BMC emergency medicine · 2025Observational
- Evaluation of patients with decreased general condition and comparing HOTEL, WPS, and REMS for mortality prediction.Scientific reports · 2025Article
- SARS-CoV-2 infections in patients, health care workers and hospital outbreaks during the first 3 waves of the pandemic: a retrospective analysis in a secondary care hospital network in Germany.BMC infectious diseases · 2024Article
- Patient self-inflicted lung injury associated pneumothorax/pneumomediastinum is a risk factor for worse outcomes of severe COVID-19: a case-control study.Scientific reports · 2024Article
- Reverse shock index multiplied by simplified motor score as a predictor of clinical outcomes for patients with COVID-19.BMC emergency medicine · 2024Article
- Comparison of prognostic scores for inpatients with COVID-19: a retrospective monocentric cohort study.BMJ open respiratory research · 2022Article
- Bioelectric impedance body composition and phase angle in relation to 90-day adverse outcome in hospitalized COVID-19 ward and ICU patients: The prospective BIAC-19 study.Clinical nutrition ESPEN · 2021Observational
- External validation of prognostic scores for COVID-19: a multicenter cohort study of patients hospitalized in Greater Paris University Hospitals.Intensive care medicine · 2021Article
- The feasibility of home self-assessment of vital signs and symptoms: A new key to telehealth for individuals?International journal of medical informatics · 2021Article
- Performance of the CURB-65, ISARIC-4C and COVID-GRAM scores in terms of severity for COVID-19 patients.International journal of clinical practice · 2021Article
- Impact of COVID-19 Outbreak on Emergency Visits and Emergency Consultations: A Cross-Sectional Study.Cureus · 2021Article
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2 authors.
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Abstract
backgroundHealthcare 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.
objectivesTo 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
settingRetrospective study in the ED of a tertiary-care university hospital in Düzce, Turkey.
methodsPMEWS, 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.
resultsOne 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 (SpO2) < 90% and ED length of stay > 4 hours showed associations with 30-day mortality (P < 0.05).
conclusionsCURB-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 SpO2 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.
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