Failure of vital sign normalization is more strongly associated than single measures with mortality and outcomes.

ABSTRACT:

Background

Modified Early Warning Systems (MEWS) scores offer proxies for morbidity and mortality that are easily acquired, but there are limited data on what changing MEWS scores within the ED indicate. We examined the correlation of changing MEWS scores during resuscitation in the ED and in-hospital morbidity and mortality.

Methods

We conducted a retrospective analysis on medical ED patients with simplified MEWS scores (without urine output or mental status) admitted to a single academic tertiary care center over one year. Triage-to-Last delta MEWS score and Triage-to-Max delta MEWS scores were calculated and correlated to in-hospital mortality, ICU admission, length of stay (LOS) and diagnosis of sepsis.

Results

Our analysis included 8322 ED patients with an ICU ad

SUBMITTER: Levin N 

PROVIDER: S-EPMC6938586 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature