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

Cetinkaya H. B. , KÖKSAL Ö., SIĞIRLI D., Leylek E. H. , Karasu O.

INTERNAL AND EMERGENCY MEDICINE, vol.12, no.8, pp.1253-1257, 2017 (Peer-Reviewed Journal) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 12 Issue: 8
  • Publication Date: 2017
  • Doi Number: 10.1007/s11739-016-1559-7
  • Journal Indexes: Science Citation Index Expanded, Scopus
  • Page Numbers: pp.1253-1257
  • Keywords: Geriatric patient, ViEWS-L scoring system, Emergency department, Mortality, MEDICAL ADMISSIONS, CARE


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.