Modified early warning score (MEWS): A user friendly and sensitive predictor of poor outcome in acute pancreatitis

Suppiah, Aravind; Malde, Deep J.; Arab, Tameem; Hamed, Mazen Y.; Aldouri, Amer; Menon, Krishna; Smith, Andrew M.

doi:10.1016/j.pan.2012.03.028

Cited by 7 publications

(9 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In published papers, most of the studies are retrospective analyses (3,7,8,(10)(11)(12)(13), and only a few are prospective studies (14)(15)(16). Most of the current publications are still used to assess whether patients need to be transferred to the ICU (14), and some of them are used for predicting the outcome of in-hospital cardiac arrest (12).…”

Section: Discussionmentioning

confidence: 99%

Detection of deteriorating patients after Whipple surgery by a modified early warning score (MEWS)

Yu¹,

Huang²,

Liu³

et al. 2019

Ann. Transl. Med.

View full text Add to dashboard Cite

Background: The modified early warning score (MEWS) was set up to supply prompt recognition of clinically deteriorating patients before they undergo a severe and life-threatening event. The study aimed to describe the probable usefulness of the MEWS in identifying deteriorating post-Whipple patients in hospital wards. Methods:We performed a study to analyze the relationship between the vital parameters and postoperative severe adverse events of patients after Whipple surgery in Guangdong Provincial People's Hospital from 2000 to 2017. In the retrospective study, a total of 13,651 sets of vital parameters in 236 Whipple postoperative patients were included. Subsequently, we applied a MEWS scoring system and explored the accuracy of the MEWS in evaluating the patients' final events versus advanced mathematical models. We then put the MEWS into the ward warning system and confirmed the accuracy of the MEWS based on the results of prospective studies again. Results:We assessed the ability of the MEWS to predict postoperative complications with an accuracy rate of 90.86-91.23%, a sensitivity of 83.04-90.88%, and a specificity of 90.85-95.73%. Conclusions:The MEWS model was applied to identify post-Whipple patients at risk of complication.Once the MEWS ≥2, interventions were needed to minimize the adverse events. Our data suggest that the MEWS is comparable to the advanced mathematical models, but MEWS is more accessible to perform and more generally applicable.

show abstract

Section: Discussionmentioning

confidence: 99%

Detection of deteriorating patients after Whipple surgery by a modified early warning score (MEWS)

Yu¹,

Huang²,

Liu³

et al. 2019

Ann. Transl. Med.

View full text Add to dashboard Cite

show abstract

“…The significance of BISAP score in relation to other scoring systems has been proven in earlier studies. Singh et al have showed that BISAP is equivalent to APACHE II scoring in predicting mortality of patients with AP (24). BISAP0 and MEWS0 have no relevance to AP weight.…”

Section: Disscusionmentioning

confidence: 99%

Oxid Comparative Analysis of the Significance of Bisap and Mews Score for an Early Assessment of Illness Severity and Treatment Outcome of Acute Pancreatitis

Marinkovic

Trpković²,

Sekulic

et al. 2021

Serbian Journal of Experimental and Clinical Research

View full text Add to dashboard Cite

The aim of this study was to determine the significance of the use of the BISAP score, which is specific for patients with AP, in relation to the application of the MEWS score that is important for assessing the condition of critically ill patients in intensive care units, but is not specific for patients with AP. The research was conducted as a cohort prospective study and included patients of both sexes, older than 18 and diagnosed with AP. BISAP and MEWS score were monitored at least at four time points: on admission to the hospital (zero), 48 hours, 72 hours and 7 days after admission to the hospital. High levels of discrimination between patients with fatal outcome and cured patients are determined in both cases, with discrimination at MEWS being somewhat higher than BISAP score. The BISAP0 had the best discrimination for BISAP score, AUROC (0.807) and also MEWS0 for MEWS score, AUROC (0.899). In our research, the highest sensitivity was shown by BISAP7d (92.1%) and MEWS48 (88.1%), and a high specificity of 87.5% had BISAP score, 48h, 72h and MEWS score at all four points of measurement. BISAP score has a better prognostic value in relation to the form of pancreatitis, the development of complications and the outcome. However, the calculation of the MEWS score is based on monitoring the basic vital parameters so that its application is much simpler and does not require additional costs.

show abstract

“…The authors concluded that the MEWS system "may help in reducing ICU admissions after emergency surgery." Suppiah et al [11] studied the use of MEWS as a physiological prognostic indicator in patients with acute pancreatitis. A special feature of this study is that sensitivity, specificity, Negative Predictive Value (NPV), and Positive Predictive Values (PPV) as well as Receiver Operator Curves were calculated based on a cohort of 142 patients.…”

Section: Modified Early Warning Systemmentioning

confidence: 99%

Clinical Early Warning Scores: New Clinical Tools in Evolution

Doyle¹

2018

Open Anesthesia J.

View full text Add to dashboard Cite

Clinical Early Warning Scores are tools intended to alert clinical staff to possible future clinical deterioration, often related to the onset of sepsis. Since their introduction, they have increased greatly in popularity. Their operation is conceptually simple: an elevated early warning score triggers a formal assessment by the responsible clinician. While the best-known system is the Royal College of Physicians National Early Warning Score (NEWS), a number of other scores are in use, such as an adaptation known as the Modified Early Warning System (MEWS) or warning systems for pediatric patients (PEWS). However, while promising, such instruments need to be studied in more detail to better characterize their eventual role in monitoring hospital patients. In particular, a central question concerns the identification of the best system (NEWS, MEWS, PEWS etc.) for a given clinical population (pediatric, trauma, prehospital etc.).

show abstract

Modified early warning score (MEWS): A user friendly and sensitive predictor of poor outcome in acute pancreatitis

Cited by 7 publications

References 0 publications

Detection of deteriorating patients after Whipple surgery by a modified early warning score (MEWS)

Detection of deteriorating patients after Whipple surgery by a modified early warning score (MEWS)

Oxid Comparative Analysis of the Significance of Bisap and Mews Score for an Early Assessment of Illness Severity and Treatment Outcome of Acute Pancreatitis

Clinical Early Warning Scores: New Clinical Tools in Evolution

Contact Info

Product

Resources

About