Predictive Value of Modified Early Warning Scoring System for Identifying Critical Patients with Malignancy in Emergency Department

Aygün, Hüseyin; Eraybar, Suna; Özdemir, Fatma Nurhan; Armağan, Erol

doi:10.34172/aim.2020.56

Cited by 8 publications

(19 citation statements)

References 17 publications

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“…A summary of the 33 included studies is presented in Supplementary Table 1 . All studies were observational in nature, with 17 prospective studies [ 32 – 48 ] and 16 retrospective studies [ 19 , 20 , 49 – 62 ]. Thirty-two studies were single site studies [ 19 , 20 , 32 – 41 , 43 – 62 ].…”

Section: Resultsmentioning

confidence: 99%

“…Thirty-two studies were single site studies [ 19 , 20 , 32 – 41 , 43 – 62 ]. The countries of origin were Turkey ( n = 8) [ 33 , 34 , 37 – 39 , 42 , 45 , 48 ], United States ( n = 3) [ 41 , 43 , 49 ], United Kingdom ( n = 3) [ 44 , 50 , 51 ], Australia ( n = 3) [ 19 , 20 , 57 ], China ( n = 3) [ 35 , 60 , 62 ], Italy ( n = 2) [ 58 , 61 ], Indonesia ( n = 2) [ 46 , 47 ] and one study each from Finland [ 32 ], Demark [ 54 ], Norway [ 36 ], Netherlands [ 40 ]. Switzerland [ 55 ], Brazil [ 52 ], Singapore [ 53 ], Taiwan [ 59 ], and Korea [ 56 ].…”

Section: Resultsmentioning

confidence: 99%

“…All studies were observational in nature, with 17 prospective studies [32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48] and 16 retrospective studies [19,20,[49][50][51][52][53][54][55][56][57][58][59][60][61][62]. Thirty-two studies were single site studies [19,20,[32][33][34][35][36][37][38][39][40][41][43][44][45][46][47][48]…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The majority of studies of aggregate scoring systems showed that patients who died had higher scores than those who survived and this was the case for MEWS [34,35,37,39,42,45,48,53], NEWS [32,36,40,56,61], NEWS2 [61], NEWS-C [61], qSOFA [33,61], REMS [42,61], GAP [39], BEWS [54], RTS [60] and Novara-COVID scores [58]. One study showed that MEWS progression (increasing scores) was associated with significantly higher 7-and 30-day mortality [59].…”

Section: Track and Trigger Scoringmentioning

confidence: 99%

“…• 48 h (n = 3) [54,57,61] • 5 days (n = 3) [33,36,37], 7 days (n = 3) [57,59,61] • 14 days (n = 1) [33] • 28 days (n = 3) [33,39,57], 30 days (n = 7) [32,36,40,48,49,53,59] • 90 days (n = 1) [36] • Not reported (n = 1) [47] ICU admission (n = 14) Patients admitted to ICU had higher aggregate scores than those not admitted to ICU and this was the case for MEWS [34,35,37,42,45], NEWS [32,40], PEWS on ED arrival [43] and on ED discharge [41,43], BEWS [54] and REMS [42] on ED arrival; NEWS at 1-h of ED care [40] and NEWS at ED discharge [40]. The majority (52.5%) of patients admitted to ICU had MEWS = 2-3 and no patient with MEWS ≥7 was admitted to ICU [52].…”

Section: Track and Trigger Scoringmentioning

confidence: 99%

See 4 more Smart Citations

Systems for recognition and response to deteriorating emergency department patients: a scoping review

Considine

Fry

Curtis

et al. 2021

Scand J Trauma Resusc Emerg Med

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Background Assessing and managing the risk of clinical deterioration is a cornerstone of emergency care, commencing at triage and continuing throughout the emergency department (ED) care. The aim of this scoping review was to assess the extent, range and nature of published research related to formal systems for recognising and responding to clinical deterioration in emergency department (ED) patients. Materials and methods We conducted a scoping review according to PRISMA-ScR guidelines. MEDLINE complete, CINAHL and Embase were searched on 07 April 2021 from their dates of inception. Human studies evaluating formal systems for recognising and responding to clinical deterioration occurring after triage that were published in English were included. Formal systems for recognising and responding to clinical deterioration were defined as: i) predefined patient assessment criteria for clinical deterioration (single trigger or aggregate score), and, or ii) a predefined, expected response should a patient fulfil the criteria for clinical deterioration. Studies of short stay units and observation wards; deterioration during the triage process; system or score development or validation; and systems requiring pathology test results were excluded. The following characteristics of each study were extracted: author(s), year, design, country, aims, population, system tested, outcomes examined, and major findings. Results After removal of duplicates, there were 2696 publications. Of these 33 studies representing 109,066 patients were included: all were observational studies. Twenty-two aggregate scoring systems were evaluated in 29 studies and three single trigger systems were evaluated in four studies. There were three major findings: i) few studies reported the use of systems for recognising and responding to clinical deterioration to improve care of patients whilst in the ED; ii) the systems for recognising clinical deterioration in ED patients were highly variable and iii) few studies reported on the ED response to patients identified as deteriorating. Conclusion There is a need to re-focus the research related to use of systems for recognition and response to deteriorating patients from predicting various post-ED events to their real-time use to improve patient safety during ED care.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Track and Trigger Scoringmentioning

confidence: 99%

Section: Track and Trigger Scoringmentioning

confidence: 99%

See 3 more Smart Citations

Systems for recognition and response to deteriorating emergency department patients: a scoping review

Considine

Fry

Curtis

et al. 2021

Scand J Trauma Resusc Emerg Med

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The combination of scoring systems and lactate for predicting short-term mortality in geriatric patients with dyspnea

Köksal

Durak

Dilektaşlı

et al. 2023

Notfall Rettungsmed

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The role of emergency department triage early warning score (TREWS) and modified early warning score (MEWS) to predict in-hospital mortality in COVID-19 patients

Aygün

Eraybar

2021

Ir J Med Sci

Self Cite

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Background It is necessary to identify critical patients requiring hospitalization early due to the rapid increase in the number of COVID-19 cases. Aim This study aims to evaluate the effectiveness of scoring systems such as emergency department triage early warning score (TREWS) and modified early warning score (MEWS) in predicting mortality in COVID-19 patients. Methods In this retrospective cohort study, PCR positive patients evaluated for COVID-19 and decided to be hospitalized were evaluated. During the first evaluation, MEWS and TREWS scores of the patients were calculated. Intensive care needs as well as 24-h and 28-day mortality rates were evaluated. Results A total of 339 patients were included in the study. While 30 (8.8%) patients were hospitalized in the intensive care unit, 4 (1.2%) died in the emergency. The number of patients who died within 28 days was found to be 57 (16.8%). In 24-h mortality, the median MEWS value was found to be 7 (IQR 25–75) while the TREWS value was 11.5 (IQR 25–75). In the ROC analysis made for the diagnostic value of 28-day mortality of MEWS and TREWS scores, the area under the curve (AUC) for the MEWS score was found to be 0.833 (95% CI 0.777–0.888, p < 0.001) while it was identified as 0.823 (95% CI 0.764–0.882, p < 0.001) for the TREWS. Conclusion MEWS and TREWS calculated at emergency services are effective in predicting 28-day mortality in patients requiring hospitalization due to COVID-19.

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Predictive Value of Modified Early Warning Scoring System for Identifying Critical Patients with Malignancy in Emergency Department

Cited by 8 publications

References 17 publications

Systems for recognition and response to deteriorating emergency department patients: a scoping review

Systems for recognition and response to deteriorating emergency department patients: a scoping review

The combination of scoring systems and lactate for predicting short-term mortality in geriatric patients with dyspnea

The role of emergency department triage early warning score (TREWS) and modified early warning score (MEWS) to predict in-hospital mortality in COVID-19 patients

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