Clinic study of MEWS on emergency trauma patients

Aim To access the possibility and practicability of MEWS on trauma patients in emergency department.Methods The patients who were hospitalized to emergency department with trauma were enrolled in study in 4 months.All of the 213 patients were evaluated with MEWS instantly when they were sent to emergency department.The severity of trauma,shunt and prognosis within 1 month were followed-up and their relationship,correlation with MEWS were statistical analyzed after dividing into groups retrospectively.Results MEWS had positive correlation with the severity of trauma,ICU hospitalization and mortality.Its correlation coefficients were 0.635,0.732,and 0.337 respectively.The MEWS with AUROCC 0.932 and the best cutoff score 4 had accurate discrimination on ICU hospitalization of emergency adult trauma patients.The MEWS with AUROCC 0.852 and the best cutoff score 6 had moderate discrimination on mortality.Conclusion MEWS can be applied to evaluate quickly the emergency trauma patients,especially in distribution.