Which score saves lives? new study tests REMS vs NEWS2 for sepsis
NCT ID NCT07171918
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study looked at 130 adults with suspected sepsis in an emergency department. Researchers compared two scoring systems—REMS and NEWS2—to see which one better predicts how sick a patient will become, including need for ICU care, ventilator use, and risk of death. The goal is to find a simple tool that helps doctors act faster and save lives.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If REMS proves more accurate than NEWS2, it could help doctors quickly identify the sickest sepsis patients and improve early treatment decisions.
- What could go wrong
- This is a small, single-center observational study, not a treatment trial. The results may not apply to other hospitals or change current practice.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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130 people
The number who actually took part.
- Started
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Jan 2023
- Finished
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Dec 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Based on the sensitivity of REMS score for predicting the morbidity and mortality as compared to NEWS2 in patients with clinical suspicion of sepsis as observed in earlier publications; citing hereby "The utility of the rapid emergency medicine score (REMS) compared with SIRS, qSOFA and NEWS for Predicting in-hospital Mortality among Patients with suspicion of Sepsis in an emergency department" \& "NEWS2 Is Superior to qSOFA in Detecting Sepsis with Organ Dysfunction in the Emergency Department" with 95% confidence level \& 15% relative allowable error, minimum sample size comes to 130.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * All patients presenting to ED of Tertiary Care Hospital in Thrissur. * Patients age \>/=18 years * Patients who give informed consent for participation in the study. * Suspicion of sepsis at the time of presentation to ED as per SSC Guidelines 2021 Exclusion Criteria: * All patients with an alternate diagnosis other than sepsis at the time of discharge. * Patients referred from other hospitals with diagnosis of sepsis, after initiation of treatment
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Department of Emergency Medicine, Jubilee Mission Medical College and Research Institute
Thrissur, India
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