The value of Modified Early Warning Score (MEWS) in surgical in-patients: a prospective observational study
The Modified Early Warning Score (MEWS) is a simple, physiological score that may allow improvement in the quality and safety of management provided to surgical ward patients. The primary purpose is to prevent delay in intervention or transfer of critically ill patients. A total of 334 consecutive w...
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| Veröffentlicht in: | Annals of the Royal College of Surgeons of England 2006-10, Vol.88 (6), p.571-575 |
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| container_title | Annals of the Royal College of Surgeons of England |
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| creator | Gardner-Thorpe, J Love, N Wrightson, J Walsh, S Keeling, N |
| description | The Modified Early Warning Score (MEWS) is a simple, physiological score that may allow improvement in the quality and safety of management provided to surgical ward patients. The primary purpose is to prevent delay in intervention or transfer of critically ill patients.
A total of 334 consecutive ward patients were prospectively studied. MEWS were recorded on all patients and the primary end-point was transfer to ITU or HDU.
Fifty-seven (17%) ward patients triggered the call-out algorithm by scoring four or more on MEWS. Emergency patients were more likely to trigger the system than elective patients. Sixteen (5% of the total) patients were admitted to the ITU or HDU. MEWS with a threshold of four or more was 75% sensitive and 83% specific for patients who required transfer to ITU or HDU.
The MEWS in association with a call-out algorithm is a useful and appropriate risk-management tool that should be implemented for all surgical in-patients. |
| doi_str_mv | 10.1308/003588406X130615 |
| format | Article |
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A total of 334 consecutive ward patients were prospectively studied. MEWS were recorded on all patients and the primary end-point was transfer to ITU or HDU.
Fifty-seven (17%) ward patients triggered the call-out algorithm by scoring four or more on MEWS. Emergency patients were more likely to trigger the system than elective patients. Sixteen (5% of the total) patients were admitted to the ITU or HDU. MEWS with a threshold of four or more was 75% sensitive and 83% specific for patients who required transfer to ITU or HDU.
The MEWS in association with a call-out algorithm is a useful and appropriate risk-management tool that should be implemented for all surgical in-patients.</description><identifier>ISSN: 0035-8843</identifier><identifier>EISSN: 1478-7083</identifier><identifier>DOI: 10.1308/003588406X130615</identifier><identifier>PMID: 17059720</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Algorithms ; Critical care ; Critical Care - statistics & numerical data ; Critical Illness - mortality ; Critical Illness - therapy ; Emergency communications systems ; Female ; General Surgery ; Heart rate ; Hospital Mortality ; Hospitalization ; Hospitals ; Humans ; Intensive care ; Male ; Medical Staff, Hospital ; Middle Aged ; Observational studies ; Patient Transfer ; Patients ; Physiology ; Sensitivity and Specificity ; Sepsis ; Severity of Illness Index ; Surgical Procedures, Operative ; Workload</subject><ispartof>Annals of the Royal College of Surgeons of England, 2006-10, Vol.88 (6), p.571-575</ispartof><rights>Copyright Royal College of Surgeons of England Oct 2006</rights><rights>Copyright © 2006 by the Annals of The Royal College of Surgeons of England 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-92fe37822d2f4597574c6d38eb551f42b19c8fe3dc46591a515bdc3a14023dd53</citedby><cites>FETCH-LOGICAL-c422t-92fe37822d2f4597574c6d38eb551f42b19c8fe3dc46591a515bdc3a14023dd53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1963767/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1963767/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17059720$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gardner-Thorpe, J</creatorcontrib><creatorcontrib>Love, N</creatorcontrib><creatorcontrib>Wrightson, J</creatorcontrib><creatorcontrib>Walsh, S</creatorcontrib><creatorcontrib>Keeling, N</creatorcontrib><title>The value of Modified Early Warning Score (MEWS) in surgical in-patients: a prospective observational study</title><title>Annals of the Royal College of Surgeons of England</title><addtitle>Ann R Coll Surg Engl</addtitle><description>The Modified Early Warning Score (MEWS) is a simple, physiological score that may allow improvement in the quality and safety of management provided to surgical ward patients. The primary purpose is to prevent delay in intervention or transfer of critically ill patients.
A total of 334 consecutive ward patients were prospectively studied. MEWS were recorded on all patients and the primary end-point was transfer to ITU or HDU.
Fifty-seven (17%) ward patients triggered the call-out algorithm by scoring four or more on MEWS. Emergency patients were more likely to trigger the system than elective patients. Sixteen (5% of the total) patients were admitted to the ITU or HDU. MEWS with a threshold of four or more was 75% sensitive and 83% specific for patients who required transfer to ITU or HDU.
The MEWS in association with a call-out algorithm is a useful and appropriate risk-management tool that should be implemented for all surgical in-patients.</description><subject>Algorithms</subject><subject>Critical care</subject><subject>Critical Care - statistics & numerical data</subject><subject>Critical Illness - mortality</subject><subject>Critical Illness - therapy</subject><subject>Emergency communications systems</subject><subject>Female</subject><subject>General Surgery</subject><subject>Heart rate</subject><subject>Hospital Mortality</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intensive care</subject><subject>Male</subject><subject>Medical Staff, Hospital</subject><subject>Middle Aged</subject><subject>Observational studies</subject><subject>Patient Transfer</subject><subject>Patients</subject><subject>Physiology</subject><subject>Sensitivity and Specificity</subject><subject>Sepsis</subject><subject>Severity of Illness Index</subject><subject>Surgical Procedures, Operative</subject><subject>Workload</subject><issn>0035-8843</issn><issn>1478-7083</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkc1LHDEYxkOp1NX23pMECtIexuZzkngQyrKtguJBi72FTJJZo7OTMZlZ2P_eiEv9OCXh-b0Pz5sHgK8YHWGK5E-EKJeSofpfedaYfwAzzISsBJL0I5g9yVXR6S7Yy_kOIayExJ_ALhaIK0HQDNxf33q4Nt3kYWzhRXShDd7BhUndBt6Y1Id-Ca9sTB5-v1jcXP2AoYd5SstgTVfu1WDG4PsxH0MDhxTz4O0Y1sWtyT6tixj7AuZxcpvPYKc1XfZftuc--Pt7cT0_rc4v_5zNf51XlhEyVoq0ngpJiCMtKzG5YLZ2VPqGc9wy0mBlZUGcZTVX2HDMG2epwQwR6hyn--Dk2XeYmpV3tsRLptNDCiuTNjqaoN8qfbjVy7jWWNVU1KIYHG4NUnyYfB71KmTru870Pk5Z11JJiWtVwG_vwLs4pbJw1oQgoUQphRUKPVO2_E9Ovv0fBSP91KN-32MZOXi9wsvAtjj6COU7mJM</recordid><startdate>200610</startdate><enddate>200610</enddate><creator>Gardner-Thorpe, J</creator><creator>Love, N</creator><creator>Wrightson, J</creator><creator>Walsh, S</creator><creator>Keeling, N</creator><general>BMJ Publishing Group LTD</general><general>The Royal College of Surgeons of England</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>EHMNL</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200610</creationdate><title>The value of Modified Early Warning Score (MEWS) in surgical in-patients: a prospective observational study</title><author>Gardner-Thorpe, J ; 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The primary purpose is to prevent delay in intervention or transfer of critically ill patients.
A total of 334 consecutive ward patients were prospectively studied. MEWS were recorded on all patients and the primary end-point was transfer to ITU or HDU.
Fifty-seven (17%) ward patients triggered the call-out algorithm by scoring four or more on MEWS. Emergency patients were more likely to trigger the system than elective patients. Sixteen (5% of the total) patients were admitted to the ITU or HDU. MEWS with a threshold of four or more was 75% sensitive and 83% specific for patients who required transfer to ITU or HDU.
The MEWS in association with a call-out algorithm is a useful and appropriate risk-management tool that should be implemented for all surgical in-patients.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>17059720</pmid><doi>10.1308/003588406X130615</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Algorithms Critical care Critical Care - statistics & numerical data Critical Illness - mortality Critical Illness - therapy Emergency communications systems Female General Surgery Heart rate Hospital Mortality Hospitalization Hospitals Humans Intensive care Male Medical Staff, Hospital Middle Aged Observational studies Patient Transfer Patients Physiology Sensitivity and Specificity Sepsis Severity of Illness Index Surgical Procedures, Operative Workload |
| title | The value of Modified Early Warning Score (MEWS) in surgical in-patients: a prospective observational study |
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