Abstract

Aims: Emergency medicine is a new specialty that started in India in 2012 to treat severely ill patients as soon as possible. The main principle is triage which is useful for patient treatment and counseling of attenders regarding prognosis. Material and Methods: A prospective study was conducted in the adult ED of a 1200-bed hospital. A totalof thousandpatients presented with acute medicalconditions were included in the study. Data collected at admission includedpulse rate, respiratory rate, mean arterial pressure, mental status, pulse oximetry, age, blood pressure, and Glasgow coma scale. Aim was to investigate relationship between the scoring systems to predict in-hospital mortality. Results: In our study majority of the population was male and in the age group of 21 to 30 years. Cases admitted in ICU (62%) were higher thanin wards (38%).The HOTEL score showed a better prediction of mortality comparedwith REMS and MEWS. Conclusion: A HOTEL score of more than 1, predicts ICU admission and in-hospital mortality compared to MEWS and REMS.

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