Predicting Mortality and ICU Admission in Trauma: An Emergency Nursing Comparison of NEWS, RTS, and MREMS
Dublin Core
Title
Predicting Mortality and ICU Admission in Trauma: An Emergency Nursing Comparison of NEWS, RTS, and MREMS
Subject
emergency, early warning score, mortality, Intensive Care Unit, admission, trauma
Description
Trauma is a global health problem, which is a serious issue, claiming around 8% of all lives lost. Proper treatment
is crucial, and accurate assessment is key. Coming hotfooting out of nowhere or being involved in a sudden
accident are two of the most common causes. Many methods have been established for the determination of trauma
and for the guidance of treatment. This study attempted to compare the performance of NEWS, MREMS, and
RTS in predicting death and ICU admission among trauma patients in Indonesia. This cross-sectional design
analyzed 90 trauma patients admitted to the hospital in 2024. Patients aged ≥ 16 years with complete medical
records were included. The instruments used to predict mortality and ICU admission were NEWS (National
Early Warning Score), RTS (Revised Trauma Score), and MREMS. The analysis was conducted by
comparing the predictive performance using AUCROC with the optimal threshold value by the Youden index.
The Odds Ratio (OR) value was also determined. The analysis of this study was conducted using SPSS version
29. Interpretation results with p < 0.05 were considered significant. The results of this study analysis showed that
the three scoring systems (NEWS, RTS, and MREMS) had excellent discriminatory ability to predict mortality
(AUCROC ≥ 0.95, p < 0.001), with NEWS achieving the highest performance (AUCROC 0.979, sensitivity
0.966, specificity 0.883) compared to other instruments. In the ICU admission variable, the predictive
performance results were lower, but NEWS still had a better value (AUCROC 0.816) compared to the others.
This analysis concludes that the three instruments have acceptable discriminative power. NEWS is a superior
instrument, as evidenced by better descriptive results for sensitivity and specificity in predicting trauma mortality
and ICU admission. This finding further validates the usability of NEWS as an effective triage tool for predicting early risk of mortality and ICU admission in trauma patients
is crucial, and accurate assessment is key. Coming hotfooting out of nowhere or being involved in a sudden
accident are two of the most common causes. Many methods have been established for the determination of trauma
and for the guidance of treatment. This study attempted to compare the performance of NEWS, MREMS, and
RTS in predicting death and ICU admission among trauma patients in Indonesia. This cross-sectional design
analyzed 90 trauma patients admitted to the hospital in 2024. Patients aged ≥ 16 years with complete medical
records were included. The instruments used to predict mortality and ICU admission were NEWS (National
Early Warning Score), RTS (Revised Trauma Score), and MREMS. The analysis was conducted by
comparing the predictive performance using AUCROC with the optimal threshold value by the Youden index.
The Odds Ratio (OR) value was also determined. The analysis of this study was conducted using SPSS version
29. Interpretation results with p < 0.05 were considered significant. The results of this study analysis showed that
the three scoring systems (NEWS, RTS, and MREMS) had excellent discriminatory ability to predict mortality
(AUCROC ≥ 0.95, p < 0.001), with NEWS achieving the highest performance (AUCROC 0.979, sensitivity
0.966, specificity 0.883) compared to other instruments. In the ICU admission variable, the predictive
performance results were lower, but NEWS still had a better value (AUCROC 0.816) compared to the others.
This analysis concludes that the three instruments have acceptable discriminative power. NEWS is a superior
instrument, as evidenced by better descriptive results for sensitivity and specificity in predicting trauma mortality
and ICU admission. This finding further validates the usability of NEWS as an effective triage tool for predicting early risk of mortality and ICU admission in trauma patients
Creator
Rismawan Adi Yunanto, Salma Maysaroh, Baskoro Setioputro, Ruris Haristiani, Muhamad Zulfatul 'Ala
Source
https://doi.org/10.23917/bik.v19i1.13037
Publisher
Universitas Muhammadiyah Surakarta
Date
2026
Contributor
Sri Wahyuni
Rights
p-ISSN: 1979-2697
e-ISSN: 2721-1797
e-ISSN: 2721-1797
Format
PDF
Language
English
Type
Text
Files
Collection
Citation
Rismawan Adi Yunanto, Salma Maysaroh, Baskoro Setioputro, Ruris Haristiani, Muhamad Zulfatul 'Ala, “Predicting Mortality and ICU Admission in Trauma: An Emergency Nursing Comparison of NEWS, RTS, and MREMS,” Repository Horizon University Indonesia, accessed February 12, 2026, https://repository.horizon.ac.id/items/show/10838.