Modified Early Warning Score and VitalPac Early Warning Score in geriatric patients admitted to emergency department

Abstract

The MEWS and VIEWS are powerful scoring systems that are easy-to-use for predicting the hospitalization and in-hospital mortality of geriatric ED patients.

Clinical frailty and functional trajectories in hospitalized older adults: A retrospective observational study

“…The clinically fit date is used in National Health Service hospitals to indicate that the acute medical episode has finished and discharge‐planning arrangements (often via social care providers) can commence. Emergency Department Modified Early Warning Score (ED‐MEWS; highest recorded in the ED). MEWS scores are considered a measure of acute illness severity . Our ED‐MEWS and its scoring protocol are shown in Table . Inpatient mortality (yes or no). Place of residence before admission and discharge destination (own home vs others: extra sheltered accommodation, residential home, nursing home or another inpatient facility). Existence of a formal care package, before admission and on discharge (yes or no). Readmission to hospital within 30 days after discharge (yes or no). CFS.…”

“…MEWS scores are considered a measure of acute illness severity. [9][10][11] Our ED-MEWS and its scoring protocol are shown in Table 1. • Inpatient mortality (yes or no).…”

Early prediction of hospital admission for emergency department patients: a comparison between patients younger or older than 70 years

“…The Modified Early Warning Score (MEWS)8 is frequently used to quantify disease severity and can predict probability of hospital admission,9 disposition10 and mortality11 of ED patients. However, physiology, polypharmacy and multiple comorbidities of older patients affect measured vital signs and delay recognition of serious disease; when relying solely on vital signs, a proportion of severely ill older patients requiring admission will not be identified 12.…”

Association of cognition with functional trajectories in patients admitted to geriatric wards: A retrospective observational study

“…The following measures were extracted from the hospital's electronic information systems: Age (years) and sex. Total length of stay (LOS; days). Emergency Department Modified Early Warning Score (ED‐MEWS, highest recorded in the ED). MEWS scores are considered a measure of acute illness severity . Our ED‐MEWS and its scoring protocol are shown in Table . Inpatient mortality (yes or no). Readmission within 30 days of discharge. Place of residence before admission and discharge destination (own home versus others: extra sheltered accommodation, residential home, nursing home or another inpatient facility). Existence of a formal care package, before admission and on discharge (yes or no). Clinical Frailty Score (CFS) .…”

“…MEWS scores are considered a measure of acute illness severity. 12,13 Our ED-MEWS and its scoring protocol are shown in Table 1. • Inpatient mortality (yes or no).…”