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Analysis of the Application Effect of the Modified Mews Score After Correction in Cardiovascular Medicine

Received: 26 April 2021     Accepted: 11 May 2021     Published: 15 May 2021
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Abstract

Objective: Compare the application effect of the modified MEWS score before and after correction in cardiovascular medicine. Methods: A retrospective collection of 322 patients who were hospitalized in the Cardiovascular Department of our hospital from June 2018 to June 2019 and met the inclusion and exclusion criteria were used as the control group; 347 patients who were hospitalized in the Department of Cardiovascular Medicine of our hospital from July 2019 to July 2020 and met the inclusion and exclusion criteria were collected as the experimental group. The experimental group used the modified MEWS score after adjustment, and the control group used the modified MEWS score. The clinical outcome and prediction accuracy of the two groups of patients were compared. Results: There was no difference in the clinical outcome of the two groups of patients (P>0.05). The composition of different clinical outcomes of the two groups was different, and the composition ratio between the two groups of the same grade was also different. The prediction accuracy of the experimental group was significantly higher than that of the control group (P<0.05). With death and ICU admission as the event endpoints, the correlation between the occurrence of the event and the MEWS score and the area under the ROC curve was statistically different between the two groups (P<0.05). Conclusion: The corrected modified MEWS score further improves the accuracy of early warning based on the general modified MEWS score. It can be used to identify potentially critically ill patients.

Published in European Journal of Preventive Medicine (Volume 9, Issue 3)
DOI 10.11648/j.ejpm.20210903.12
Page(s) 79-82
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Cardiovascular Disease, MEWS Score, Clinical Outcome and Prognosis, Preventive Intervention Nursing

References
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[3] Roney J K, Whitley B E, Maples J C, et al. Modified early warning scoring (MEWS): evaluating the evidence for tool inclusion of sepsis screening criteria and impact on mortality and failure to rescue [J]. Journal of clinical nursing, 2015, 24 (23-24): 3343-3354.
[4] Jiang X, Jiang P, Mao Y. Performance of Modified Early Warning Score (MEWS) and Circulation, Respiration, Abdomen, Motor, and Speech (CRAMS) score in trauma severity and in-hospital mortality prediction in multiple trauma patients: a comparison study [J]. PeerJ, 2019, 7: e7227.
[5] Mitsunaga T, Hasegawa I, Uzura M, et al. Comparison of the National Early Warning Score (NEWS) and the Modified Early Warning Score (MEWS) for predicting admission and in-hospital mortality in elderly patients in the pre-hospital setting and in the emergency department [J]. PeerJ, 2019, 7: e6947.
[6] Yu Z, Xu F, Chen D. Predictive value of Modified Early Warning Score (MEWS) and Revised Trauma Score (RTS) for the short-term prognosis of emergency trauma patients: a retrospective study [J]. BMJ Open, 2021, 11 (3): e41882.
[7] Young K W, Jung S Y, Mi L J, et al. Modified Early Warning Score Changes Prior to Cardiac Arrest in General Wards [J]. Plos One, 2015, 10 (6): e0130523.
[8] Devoe B, Roth A, Maurer G, et al. Correlation of the predictive ability of early warning metrics and mortality for cardiac arrest patients receiving in-hospital Advanced Cardiovascular Life Support [J]. Heart & Lung the Journal of Critical Care, 2016: 497-502.
[9] Yanmei W, Ping L, Min H, et al. Comparison of Modified Early Warning Score and Acute Physiology and Chronic Health Evaluation-II Score System in Evaluating the Ability of Patients in Emergency Internal Medicine [J]. Nurs J Chin PLA, 2017, 34 (22): 53-56.
[10] Lee Y J, Cho K J, Kwon O, et al. A multicentre validation study of the deep learning-based early warning score for predicting in-hospital cardiac arrest in patients admitted to general wards [J]. Resuscitation, 2021.
[11] Clemency B M, Murk W, Moore A, et al. The EMS Modified Early Warning Score (EMEWS): A Simple Count of Vital Signs as a Predictor of Out-of-Hospital Cardiac Arrests [J]. Prehosp Emerg Care, 2021: 1-22.
[12] Knoery C, Barlas R S, Vart P, et al. Modified early warning score and risk of mortality after acute stroke [J]. Clin Neurol Neurosurg, 2021, 202: 106547.
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[14] Tirotta D, Gambacorta M, La Regina M, et al. Evaluation of the threshold value for the modified early warning score (MEWS) in medical septic patients: a secondary analysis of an Italian multicentric prospective cohort (SNOOPII study) [J]. QJM, 2017, 110 (6): 369-373.
Cite This Article
  • APA Style

    Juxian Wu, Lin Li, Tong Zhong, Lingyi Liu, Xuelu Yang, et al. (2021). Analysis of the Application Effect of the Modified Mews Score After Correction in Cardiovascular Medicine. European Journal of Preventive Medicine, 9(3), 79-82. https://doi.org/10.11648/j.ejpm.20210903.12

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    ACS Style

    Juxian Wu; Lin Li; Tong Zhong; Lingyi Liu; Xuelu Yang, et al. Analysis of the Application Effect of the Modified Mews Score After Correction in Cardiovascular Medicine. Eur. J. Prev. Med. 2021, 9(3), 79-82. doi: 10.11648/j.ejpm.20210903.12

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    AMA Style

    Juxian Wu, Lin Li, Tong Zhong, Lingyi Liu, Xuelu Yang, et al. Analysis of the Application Effect of the Modified Mews Score After Correction in Cardiovascular Medicine. Eur J Prev Med. 2021;9(3):79-82. doi: 10.11648/j.ejpm.20210903.12

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  • @article{10.11648/j.ejpm.20210903.12,
      author = {Juxian Wu and Lin Li and Tong Zhong and Lingyi Liu and Xuelu Yang and Xia Wei},
      title = {Analysis of the Application Effect of the Modified Mews Score After Correction in Cardiovascular Medicine},
      journal = {European Journal of Preventive Medicine},
      volume = {9},
      number = {3},
      pages = {79-82},
      doi = {10.11648/j.ejpm.20210903.12},
      url = {https://doi.org/10.11648/j.ejpm.20210903.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20210903.12},
      abstract = {Objective: Compare the application effect of the modified MEWS score before and after correction in cardiovascular medicine. Methods: A retrospective collection of 322 patients who were hospitalized in the Cardiovascular Department of our hospital from June 2018 to June 2019 and met the inclusion and exclusion criteria were used as the control group; 347 patients who were hospitalized in the Department of Cardiovascular Medicine of our hospital from July 2019 to July 2020 and met the inclusion and exclusion criteria were collected as the experimental group. The experimental group used the modified MEWS score after adjustment, and the control group used the modified MEWS score. The clinical outcome and prediction accuracy of the two groups of patients were compared. Results: There was no difference in the clinical outcome of the two groups of patients (P>0.05). The composition of different clinical outcomes of the two groups was different, and the composition ratio between the two groups of the same grade was also different. The prediction accuracy of the experimental group was significantly higher than that of the control group (PP<0.05). Conclusion: The corrected modified MEWS score further improves the accuracy of early warning based on the general modified MEWS score. It can be used to identify potentially critically ill patients.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Analysis of the Application Effect of the Modified Mews Score After Correction in Cardiovascular Medicine
    AU  - Juxian Wu
    AU  - Lin Li
    AU  - Tong Zhong
    AU  - Lingyi Liu
    AU  - Xuelu Yang
    AU  - Xia Wei
    Y1  - 2021/05/15
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ejpm.20210903.12
    DO  - 10.11648/j.ejpm.20210903.12
    T2  - European Journal of Preventive Medicine
    JF  - European Journal of Preventive Medicine
    JO  - European Journal of Preventive Medicine
    SP  - 79
    EP  - 82
    PB  - Science Publishing Group
    SN  - 2330-8230
    UR  - https://doi.org/10.11648/j.ejpm.20210903.12
    AB  - Objective: Compare the application effect of the modified MEWS score before and after correction in cardiovascular medicine. Methods: A retrospective collection of 322 patients who were hospitalized in the Cardiovascular Department of our hospital from June 2018 to June 2019 and met the inclusion and exclusion criteria were used as the control group; 347 patients who were hospitalized in the Department of Cardiovascular Medicine of our hospital from July 2019 to July 2020 and met the inclusion and exclusion criteria were collected as the experimental group. The experimental group used the modified MEWS score after adjustment, and the control group used the modified MEWS score. The clinical outcome and prediction accuracy of the two groups of patients were compared. Results: There was no difference in the clinical outcome of the two groups of patients (P>0.05). The composition of different clinical outcomes of the two groups was different, and the composition ratio between the two groups of the same grade was also different. The prediction accuracy of the experimental group was significantly higher than that of the control group (PP<0.05). Conclusion: The corrected modified MEWS score further improves the accuracy of early warning based on the general modified MEWS score. It can be used to identify potentially critically ill patients.
    VL  - 9
    IS  - 3
    ER  - 

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Author Information
  • Department of Cardionlogy, The People’s Hospital of Zhuhai, Zhuhai, China

  • Department of Nursing, The People’s Hospital of Zhuhai, Zhuhai, China

  • Department of Nursing, The People’s Hospital of Zhuhai, Zhuhai, China

  • Department of Cardionlogy, The People’s Hospital of Zhuhai, Zhuhai, China

  • Department of Cardionlogy, The People’s Hospital of Zhuhai, Zhuhai, China

  • Department of Nursing, The People’s Hospital of Zhuhai, Zhuhai, China

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