Skip to main content

Advertisement

Log in

The predictive value of the modified early warning score with rapid lactate level (ViEWS-L) for mortality in patients of age 65 or older visiting the emergency department

  • EM - ORIGINAL
  • Published:
Internal and Emergency Medicine Aims and scope Submit manuscript

Abstract

The purpose of this study is to detect the predictive power of the modified early warning score with rapid lactate level (ViEWS-L) on mortality in critical patients over the age of 65 years admitted to the emergency department (ED). A total of 616 non-traumatic patients admitted to the Uludag University Faculty of Medicine ED who were 65 years of age or older were included in this study (Ethics board number: 2015-4/8). In this prospective study; the ViEWS-L score of the patients were calculated. The results have been evaluated with rate of mortality in the first 24 h starting from submission. The area under the ROC curve was found 0.872 and the cut-off value to detect mortality was found 10.83 for the ViEWS-L score. In the model obtained by the univariate binary logistic regression analysis, ViEWS-L score was found statistically significant and it was determined that mortality risk increased 1.286 times for each unit increase in the score of ViEWS-L score. As a result of this research, it was found that ViEWS-L scoring system is effective in determining the mortality of 65 years and older patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Singal BM, Hedges JR, Rousseau EW, Sanders AB, Berstein E, McNamara RM, Hogan TM (1992) Geriatric patient emergency visits. Part I: comparison of visits by geriatric and younger patients. Ann Emerg Med 21:802–807

    Article  CAS  PubMed  Google Scholar 

  2. Pitts SR, Pines JM, Handrigan MT, Kellermann AL (2012) National trends in emergency department occupancy, 2001 to 2008: effect of inpatient admissions versus emergency department practice intensity. Ann Emerg Med. 60(6):679–686.e3

    Article  PubMed  Google Scholar 

  3. Strange GR, Chen EH (1998) Use of emergency departments by elder patients: a five-year follow-up study. Acad Emerg Med 5(12):1157–1162

    Article  CAS  PubMed  Google Scholar 

  4. Ünsal A, Çevik AA, Metintaş S, Arslantaş D, İnan OÇ. Emergency Departments Visits by Elder Patients. Turk J Geriatr 2003; 6(3):83–88. http://geriatri.dergisi.org/pdf/pdf_TJG_174.pdf

  5. http://tuikapp.tuik.gov.tr/adnksdagitapp/adnks.zul. Accessed on 15 April 2016

  6. Durukan P, Çevik Y, Yıldız M (2005) Evaluation of elderly patients abdominal pain in the emergency department. Turk J Geriatr 8(3):111–114

    Google Scholar 

  7. Mangoni AA, Jackson SHD (2004) Age-related changes in pharmacokinetics and pharmacodynamics: basic principles and practical applications. Br J Clin Pharmacol 57(1):6–14

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Floroff CK, Slattum PW, Brophy GM (2015) Critical illness and the aging population: clinical implications and pharmacotherapy challenges. J Neurol Disord 3:197

    Article  Google Scholar 

  9. Hwang U, Shah MN, Han JH, Carpenter CR, Siu AL, Adams JG (2013) Transforming emergency care for older adults. Health Aff (Millwood). 32(12):2116–2121

    Article  PubMed  PubMed Central  Google Scholar 

  10. Subbe CP, Davies RG, Williams E, Rutherford P, Gemmell L (2003) Effect of introducing the modified early warning score on clinical outcomes, cardio-pulmonary arrests and intensive care utilisation in acute medical admissions. Anaesthesia 58:797–802

    Article  CAS  PubMed  Google Scholar 

  11. Prytherch DR, Smith GB, Schmidt PE, Featherstone P (2010) ViEWS–towards a national early warning score for detecting adult inpatient deterioration. Resuscitation 81:932–937

    Article  PubMed  Google Scholar 

  12. Cuthbertson BH, Boroujerdi M, Prescott G (2010) The use of combine physiological parameters in the early recognition of th deteriorating acute medical patient. J R Coll Physicians Edinb 40:19–25

    Article  CAS  PubMed  Google Scholar 

  13. Dundar ZD, Karamercan MA, Ergin M, Colak T, Tuncar A, Ayrancı K, Kocak S, Cander B (2015) Rapid emergency medicine score and HOTEL score in geriatric patients admitted to the emergency department. Int J Gerontol 9(2):87–92 (Published June 1, 2015)

    Article  Google Scholar 

  14. Jo S, Lee JB, Jin YH, Jeong TO, Yoon JC, Jun YK, Park BY (2013) Modified early warning score with rapid lactate level in critically ill medical patients: the ViEWS-L score. Emerg Med J 30(2):123–129

    Article  PubMed  Google Scholar 

  15. Groarke JD, Gallagher J, Stack J et al (2008) Use of an admission early warning score to predict patient morbidity and mortality and treatment success. Emerg Med J 25:803–806

    Article  CAS  PubMed  Google Scholar 

  16. Subbe CP, Kruger M, Rutherford P, Gemmell L (2001) Validation of a Modified early Warning score in medical admission. Q J Med 94:521–526

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ozlem Koksal.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Statement of human and animal rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Cetınkaya, H.B., Koksal, O., Sigirli, D. et al. The predictive value of the modified early warning score with rapid lactate level (ViEWS-L) for mortality in patients of age 65 or older visiting the emergency department. Intern Emerg Med 12, 1253–1257 (2017). https://doi.org/10.1007/s11739-016-1559-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11739-016-1559-7

Keywords

Navigation