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All Journal JKG (Jurnal Keperawatan Global) UNEJ e-Proceeding Jurnal Ilmiah Ilmu Keperawatan Indonesia (Indonesian Nursing Scientific Journal) Jurnal Inovasi Hasil Pengabdian Masyarakat (JIPEMAS) Journal of Islamic Nursing Patria Artha Journal of Nursing Science Jurnal ABDINUS : Jurnal Pengabdian Nusantara Jurnal Abdi Insani Nursing and Health Sciences Journal (NHSJ) Jurnal Keperawatan Jurnal Interprofesi Kesehatan Indonesia Jurnal Pengabdian Masyarakat Saga Komunitas Jurnal Penelitian Journal Nursing Care Jurusan Keperawatan Politeknik Kesehatan Gorontalo Jurnal Keperawatan Jurnal Farmasetis Dedikasi Saintek Jurnal Pengabdian Masyarakat Jurnal Pengabdian Kepada Masyarakat: Kesehatan (JPKMK) Jurnal Kegawatdaruratan Medis Indonesia Jurnal Berita Ilmu Keperawatan Jurnal Kesehatan Pertiwi International Journal of Biomedical Nursing Review (IJBNR) Jurnal Ilmiah Keperawatan Altruistik DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat
Ruris Haristiani
Faculty Of Nursing, University Of Jember, Jember, Indonesia
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Computer Science & IT Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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Predicting Mortality and ICU Admission in Trauma: An Emergency Nursing Comparison of NEWS, RTS, and MREMS Yunanto, Rismawan; Maysaroh, Salma; Setioputro, Baskoro; Haristiani, Ruris; 'Ala, Muhamad Zulfatul
Jurnal Berita Ilmu Keperawatan Vol. 19 No. 1 (2026): January
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v19i1.13037

Abstract

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.
Co-Authors Adi Yunanto Adi Yunanto Agus Purnama Akhmad Zainur Ridla Al Alawi, Rafi Izuddin Al Muvidah, Nadira Rifqi Asrul, Nur Al Marwah Badrus Sholeh Baehaqi Baskoro Setioputro Bina Salsabila Deskita Prastiwi Dewi Rokhmah Fhirawati, Fhirawati Hafan Sutawardana, Jon Heri Siswanto Ika Hestri Iksafani, Moh Afif Jakaria Karina Puspa Wulandari Puspa Kusumaningtyas, Prasita Maskuro, Indah Sofiatul Maysaroh, Salma Muhamad Zulfatul A’la Murtaqib Murtaqib Mustakim Mustakim Ni Komang Tri Pramesuari Ni'mah, Afa Faiqotun Novi Putri Cahyanti Nur Al Marwah Asrul Nurlim, Risma Rahayu, Putri Puji Rahman, Andi Adriana Ramadhani, Nurhafidin Redha Aulia Janah Rismawan Adi Yunanto Rivai, Andi Tenri Ola Rokhani Rondhianto Rondhianto Rondiantho Ruth Marten Safira, Nur Septi Nur Rachmawati Shastika, Yuniawati Siswoyo Siswoyo Sujarwanto Sujarwanto, Sujarwanto Susaldi Susaldi Susaldi, Susaldi Syaharani, Ghifara Alita Syisnawati Syisnawati Tanrewali, Muhammad Saddad Wa Ode Sri Asnaniar Wahyuningsih Wahyuningsih Wantiyah Wantiyah Widya Maulina Cantika Putri Yudho Tri Handoko Yunanto, Rismawan Yusmar Yusuf Zahra, Annisa