Comparison of Rapid Acute Physiological Score (RAPS) with Modified Rapid Emergency Medicine Score (mREMS) in Prediction of Mortality in Traumatic Injury Patients Presenting to Emergency Medicine Department: A Prospective Observational Study
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Abstract
Objective: This study aims to assess and compare the prognostic value of Rapid Acute Physiological Score and modified Rapid Emergency Medicine Score for mortality and outcome of trauma patients presenting in Emergency department. Methods: This prospective observational study was conducted among patients > 18 years age presenting with traumatic injury at B J Medical College. The RAPS and mREMS were calculated. The efficacy in predicting mortality was evaluated using ROC curve analysis. Results: In the 200 patients studied (68% males) 43.5% were in 18-30 years age group. Mortality rate was 7.50% (n = 15), also found that among 15 non-survivors, 93.33% each had RAPS >6 and mREMS >8. Sensitivity, specificity, positive predictive value and negative predictive value of RAPS and mREMS for mortality were 93.33%, 96.75%, 70%, 99.44% and 99.92%, 93.51%, 55.55% and 99.97% (p<0.0001) respectively. ROC curve for RAPS and mREMS score was 0.981 and 0.995 respectively, showed no significant difference (p=0.143), but mREMS was slightly superior to RAPS in predicting mortality. Conclusion: We found that mREMS score is comparable to RAPS and marginally superior in predicting death and vegetative state. We also found that mREMS score is rather better predictor of severe disability (morbidity) than RAPS in trauma.
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Copyright (c) 2025 Shruti V. Sangani, MD, Vishakhaben G. Patel, MD, Sonal K. Ginoya, MD
This work is licensed under a Creative Commons Attribution 4.0 International License.
Creative Commons License All articles published in Annals of Medicine and Medical Sciences are licensed under a Creative Commons Attribution 4.0 International License.
Shruti V. Sangani, MD, Associate Professor, Department of Emergency Medicine, B. J. Medical College, Civil Hospital, Asarwa, Ahmedabad, Gujarat, India.
Associate Professor, Department of Emergency Medicine, B. J. Medical College, Civil Hospital, Asarwa, Ahmedabad, Gujarat, India.
Vishakhaben G. Patel, MD, Senior Resident, Department of Emergency Medicine, Government Medical College, Vadodara, Gujarat, India. Past Affiliation: 3rd year Resident, Department of Emergency Medicine, B. J. Medical College, Civil Hospital, Asarwa, Ahmedabad, Gujarat, India.
Senior Resident, Department of Emergency Medicine, Government Medical College, Vadodara, Gujarat, India.
Past Affiliation: 3rd year Resident, Department of Emergency Medicine, B. J. Medical College, Civil Hospital, Asarwa, Ahmedabad, Gujarat, India.
Sonal K. Ginoya, MD, Assistant Professor, Department of Emergency Medicine, B. J. Medical College, Civil Hospital, Asarwa, Ahmedabad, Gujarat, India.
Assistant Professor, Department of Emergency Medicine, B. J. Medical College, Civil Hospital, Asarwa, Ahmedabad, Gujarat, India.
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