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Indian Journal of Emergency Medicine

Volume  5, Issue 4, October-December 2019, Pages 221-224


Original Article

The Value of Modified Early Warning Score, to Predict Outcome in Patients of Emergency Medicine Department
Vijay Kumar SS1, Shabbir Shekhli2, Brinda B3, Anila Jose4
1,4Junior Resident, 3Professor and HOD, Department of Emergency Medicine, Kempegowda Institute of Medical Sciences, Vishweshwarapura, Basavanagudi, Bengaluru, Karnataka 560004, India. 2Assistant Professor, Department of Emergency Medicine, SDM College of Medical Sciences and Hospital, Sattur, Dharwad, Karnataka 580009, India.
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Aims: To assess the physiological efficiency using Modified Early warning Score (MEWS) in determining the prognosis and need for type of care required to patients presenting to Emergency department (ED). Setting and Design: This prospective study was conducted in Emergency department of tertiary care hospital during a period of one month. Methods and Material: Patients presenting to ED were evaluated with history and physical examination. The data of the patients fulfilling the study inclusion criteria were recorded: pulse rate; systolic blood pressure, respiratory rate; level of consciousness and temperature. Statistical analysis used: Data were analyzed by the use of descriptive and analytical census (Pearson correlation coefficient) and by Statistical Package for Social Sciences [SPSS] for Windows, Version 22.0. Released in 2013. Armonk, NY: IBM Corp., was used to perform statistical analyses. Results: One hundred patients were included in the study, of which 21 died and 79 recovered. The mean score in mortality group was 5.819 (p = 0.001) and in partial recovery 4.31 (p = 0.001) and complete recovery groups 4.20 (p = 0.88) respectively. The level of significance (p-value) was set at p < 0.05. Conclusion: In our study, we found Modified early warning score of five or more were associated with increased risk of death or in hospital mortality.

Keywords: MEWS-Modified early warning score; ED-Emergency department.

Corresponding Author : Shabbir Shekhli