Abstract:This study shows that the Modified Early Warning Score is a useful predictor of mortality in the ICU, 30-day mortality and length of stay in the ICU.
“…This is obviously attributed to the increased severity of patients' condition. Higher MEWS score associated with increased length of stay in the ICU was also reported by other studies (Burch, Tarr, & Morroni, ; Reini, Fredrikson, & Oscarsson, ). Moreover, the MEWS at the last time point (MEWS 5 ) before the ICU admission was significantly higher in the subgroup of patients who died in the ICU than in the group of survivors.…”
Patient deterioration in general wards can result in severe adverse events. Modified Early Warning Score is a strong predictor of outcome and may be used as a monitoring tool for potentially avoidable deaths and unplanned admissions to ICU.
“…This is obviously attributed to the increased severity of patients' condition. Higher MEWS score associated with increased length of stay in the ICU was also reported by other studies (Burch, Tarr, & Morroni, ; Reini, Fredrikson, & Oscarsson, ). Moreover, the MEWS at the last time point (MEWS 5 ) before the ICU admission was significantly higher in the subgroup of patients who died in the ICU than in the group of survivors.…”
Patient deterioration in general wards can result in severe adverse events. Modified Early Warning Score is a strong predictor of outcome and may be used as a monitoring tool for potentially avoidable deaths and unplanned admissions to ICU.
“…12 , as well as 30-day mortality and length of stay on ICU. 13 In nursing home residents admitted to hospital, MEWS was found to be an important predictor of 7-day mortality.…”
“…Several algorithms have been developed to predict patient outcome in different settings, such as the ICU or the general ward. Algorithms developed for use in the ED are either based on data from very small or restricted groups of patients, such as medical or elderly patients, or based on elaborate laboratory tests or serial measurements [5][6][7][8][9][10][11][12][13][14][15][16][17]. These studies find level of consciousness, systolic blood pressure and respiratory frequency to be good indicators of later clinical deterioration and/or need for intensive care [8,10,14,15,17].…”
The predictors identified could be used as part of ED triage to identify high-risk patients for ICU. These findings should be examined in a well-designed prospective cohort study.
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