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2008•Lingnan Journal of Emergency MedicineRequires access

The Value of Modified Early Warning Score in Elderly Emergency Patients

Lu Zhang

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Abstract

Objective: To investigate the value of modified early warning score in elderly emergency patients. Method:216 consecutive elderly emergency patients in emergency ward and rescue room were scored with MEWS, 61 elderly patients scored with MEWS from emergency department to intensive care unit and were reviewed. Results:The study shows that increasing MEWS score was associated with worse outcome. The score of death group is significantly higher than survival group(P0.01). Not ICU admission is significantly lower than ICU admission(P0.05). Whereas There is no significantly difference in MEWS score between cardiac arrest in 6 hs and death after 6 hs(P0.05). Conclusion:The MEWS is a useful and appropriate risk-management tool. It can evaluate severity of elderly emergency patients and discriminate the emergency potential severity patients.

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What this paper is about

Objective: To investigate the value of modified early warning score in elderly emergency patients. Method:216 consecutive elderly emergency patients in emergency ward and rescue room were scored with MEWS, 61 elderly patients scored with MEWS from emergency department to intensive care unit and were reviewed. Results:The study shows that increasing MEWS score was associated with worse outcome. The score of death group is significantly higher than survival group(P0.01). Not ICU admission is significantly lower than ICU admission(P0.05). Whereas There is no significantly difference in MEWS score between cardiac arrest in 6 hs and death after 6 hs(P0.05). Conclusion:The MEWS is a useful and appropriate risk-management tool. It can evaluate severity of elderly emergency patients and discriminate the emergency potential severity patients.

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Available abstract

Objective: To investigate the value of modified early warning score in elderly emergency patients. Method:216 consecutive elderly emergency patients in emergency ward and rescue room were scored with MEWS, 61 elderly patients scored with MEWS from emergency department to intensive care unit and were reviewed. Results:The study shows that increasing MEWS score was associated with worse outcome. The score of death group is significantly higher than survival group(P0.01). Not ICU admission is significantly lower than ICU admission(P0.05). Whereas There is no significantly difference in MEWS score between cardiac arrest in 6 hs and death after 6 hs(P0.05). Conclusion:The MEWS is a useful and appropriate risk-management tool. It can evaluate severity of elderly emergency patients and discriminate the emergency potential severity patients.

Key concepts: Mews, Early warning score, Medicine, Emergency department, Intensive care unit, Emergency medicine, Intensive care medicine, Psychiatry

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