Is the Modified Early Warning Score (MEWS) superior to clinician judgement in detecting critical illness in the pre-hospital environment?

Fullerton, James N.; Price, Charlotte L; Silvey, Natalie; Brace, Samantha J.; Perkins, Gavin D.

doi:10.1016/j.resuscitation.2012.01.004

Cited by 117 publications

(142 citation statements)

References 29 publications

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“…In addition, these early warning scores are increasingly becoming available for automated calculation within the electronic health record. Furthermore, data suggest that general early warning scores such as MEWS and the electronic Cardiac Arrest Risk Triage model add useful predictive information to clinical judgment (23)(24)(25). Currently, it is unknown whether using >2 qSOFA criteria, which would identify a patient with both mental status changes and hypotension as a patient to pay more attention to, offers additional value above caregiver intuition.…”

Section: Discussionmentioning

confidence: 99%

Quick Sepsis-related Organ Failure Assessment, Systemic Inflammatory Response Syndrome, and Early Warning Scores for Detecting Clinical Deterioration in Infected Patients outside the Intensive Care Unit

Churpek

Snyder²,

Han³

et al. 2017

Am J Respir Crit Care Med

553

418

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Rationale: The 2016 definitions of sepsis included the quick Sepsisrelated Organ Failure Assessment (qSOFA) score to identify highrisk patients outside the intensive care unit (ICU).Objectives: We sought to compare qSOFA with other commonly used early warning scores. . Using the highest non-ICU score of patients, >2 SIRS had a sensitivity of 91% and specificity of 13% for the composite outcome compared with 54% and 67% for qSOFA >2, 59% and 70% for MEWS >5, and 67% and 66% for NEWS >8, respectively. Most patients met >2 SIRS criteria 17 hours before the combined outcome compared with 5 hours for >2 and 17 hours for >1 qSOFA criteria.Conclusions: Commonly used early warning scores are more accurate than the qSOFA score for predicting death and ICU transfer in non-ICU patients. These results suggest that the qSOFA score should not replace general early warning scores when risk-stratifying patients with suspected infection.

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Section: Discussionmentioning

confidence: 99%

Quick Sepsis-related Organ Failure Assessment, Systemic Inflammatory Response Syndrome, and Early Warning Scores for Detecting Clinical Deterioration in Infected Patients outside the Intensive Care Unit

Churpek

Snyder²,

Han³

et al. 2017

Am J Respir Crit Care Med

553

418

View full text Add to dashboard Cite

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“…46 The system has also proved valuable in the prehospital setting. 47,48 Challen and Walter describe how early warning scores can help to safely divert patients from the ED to alternative care providers. 49 However, another study amongst the ambulance service showed no effect of MEWS implementation on transportation or revisit rates.…”

Section: Influence On Clinical Outcomesmentioning

confidence: 99%

Strengths and limitations of early warning scores: A systematic review and narrative synthesis

Downey

Tahir

Randell

et al. 2017

International Journal of Nursing Studies

212

153

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“…Research by [5] explained that 3504 patients were involved in this study. 76 patients (2.5%) experienced adverse events within 24 hours after they came to the hospital.…”

Section: Sensitivity and Specivitymentioning

confidence: 99%

Modified Early Warning System (Mews), Indicator Of Changes In Patient's Condition In The General Wards: A Sistematic Review

Abidin¹,

Sila²,

Revai³

et al. 2017

Proceedings of the 8th International Nursing Conference on Education, Practice and Research Development in Nursing (INC 2017)

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Abstract-Introduction: Changes in patient condition into critical condition characterized by hemodynamic changes in several indicators. Early recognition to such changes becomes nurse's responsibility, it requires a special clue or instrument to assess the changes in patient's condition. Modified Early Warning System (MEWS) is one method to assess changes in the patient's condition through some hemodynamic indicators including temperature, blood pressure, pulse, respiratory rate, and level of consciousness. Through this systematic review,

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Is the Modified Early Warning Score (MEWS) superior to clinician judgement in detecting critical illness in the pre-hospital environment?

Cited by 117 publications

References 29 publications

Quick Sepsis-related Organ Failure Assessment, Systemic Inflammatory Response Syndrome, and Early Warning Scores for Detecting Clinical Deterioration in Infected Patients outside the Intensive Care Unit

Quick Sepsis-related Organ Failure Assessment, Systemic Inflammatory Response Syndrome, and Early Warning Scores for Detecting Clinical Deterioration in Infected Patients outside the Intensive Care Unit

Strengths and limitations of early warning scores: A systematic review and narrative synthesis

Modified Early Warning System (Mews), Indicator Of Changes In Patient's Condition In The General Wards: A Sistematic Review

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