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Using modified early warning score to predict need of lifesaving intervention in adult non-trauma patients in a tertiary state hospital

Background: Modified early warning score has been validated in many uses in the emergency department. We propose that the modified early warning score performs well in predicting the need of lifesaving interventions in the emergency department, as a predictor of patients who are critically ill. Obje...

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Main Authors: Peng, Leong Shian, Hassan, Azhana, Bustam, Aida, Azhar, Muhaimin Noor, Ahmad, Rashidi
Format: Article
Published: SAGE Publications 2018
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R Medicine
Online Access:http://eprints.um.edu.my/21032/
https://doi.org/10.1177/1024907917751980
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spelling my.um.eprints.210322019-04-19T02:34:23Z http://eprints.um.edu.my/21032/ Using modified early warning score to predict need of lifesaving intervention in adult non-trauma patients in a tertiary state hospital Peng, Leong Shian Hassan, Azhana Bustam, Aida Azhar, Muhaimin Noor Ahmad, Rashidi R Medicine Background: Modified early warning score has been validated in many uses in the emergency department. We propose that the modified early warning score performs well in predicting the need of lifesaving interventions in the emergency department, as a predictor of patients who are critically ill. Objective: The study aims to evaluate the use of modified early warning score in sorting out critically ill patients in the emergency department. Methods: The patients’ demographic data and first vital signs (blood pressure, heart rate, temperature, respiratory rate, and level of consciousness) were collected prospectively. Individual modified early warning score was calculated. The outcome was a patient received one or more lifesaving interventions toward the end of stay in emergency department. Multivariate logistic regression analysis was utilized to assess the association between modified early warning score and other potential predictors with outcome. Results: There are a total of 259 patients enrolled into the study. The optimal modified early warning score in predicting lifesaving intervention was ≥4 with a sensitivity of 95% and specificity of 81%. Modified early warning score ≥4 (odds ratio = 96.97, 95% confidence interval = 11.82-795.23, p < 0.001) was found to significantly increase the risk of receiving lifesaving intervention in the emergency department. Conclusion: Modified early warning score is found to be a good predictor for patients in need of lifesaving intervention in the emergency department. SAGE Publications 2018 Article PeerReviewed Peng, Leong Shian and Hassan, Azhana and Bustam, Aida and Azhar, Muhaimin Noor and Ahmad, Rashidi (2018) Using modified early warning score to predict need of lifesaving intervention in adult non-trauma patients in a tertiary state hospital. Hong Kong Journal of Emergency Medicine, 25 (3). pp. 146-151. ISSN 1024-9079 https://doi.org/10.1177/1024907917751980 doi:10.1177/1024907917751980
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic R Medicine
spellingShingle R Medicine
Peng, Leong Shian
Hassan, Azhana
Bustam, Aida
Azhar, Muhaimin Noor
Ahmad, Rashidi
Using modified early warning score to predict need of lifesaving intervention in adult non-trauma patients in a tertiary state hospital
description Background: Modified early warning score has been validated in many uses in the emergency department. We propose that the modified early warning score performs well in predicting the need of lifesaving interventions in the emergency department, as a predictor of patients who are critically ill. Objective: The study aims to evaluate the use of modified early warning score in sorting out critically ill patients in the emergency department. Methods: The patients’ demographic data and first vital signs (blood pressure, heart rate, temperature, respiratory rate, and level of consciousness) were collected prospectively. Individual modified early warning score was calculated. The outcome was a patient received one or more lifesaving interventions toward the end of stay in emergency department. Multivariate logistic regression analysis was utilized to assess the association between modified early warning score and other potential predictors with outcome. Results: There are a total of 259 patients enrolled into the study. The optimal modified early warning score in predicting lifesaving intervention was ≥4 with a sensitivity of 95% and specificity of 81%. Modified early warning score ≥4 (odds ratio = 96.97, 95% confidence interval = 11.82-795.23, p < 0.001) was found to significantly increase the risk of receiving lifesaving intervention in the emergency department. Conclusion: Modified early warning score is found to be a good predictor for patients in need of lifesaving intervention in the emergency department.
format Article
author Peng, Leong Shian
Hassan, Azhana
Bustam, Aida
Azhar, Muhaimin Noor
Ahmad, Rashidi
author_facet Peng, Leong Shian
Hassan, Azhana
Bustam, Aida
Azhar, Muhaimin Noor
Ahmad, Rashidi
author_sort Peng, Leong Shian
title Using modified early warning score to predict need of lifesaving intervention in adult non-trauma patients in a tertiary state hospital
title_short Using modified early warning score to predict need of lifesaving intervention in adult non-trauma patients in a tertiary state hospital
title_full Using modified early warning score to predict need of lifesaving intervention in adult non-trauma patients in a tertiary state hospital
title_fullStr Using modified early warning score to predict need of lifesaving intervention in adult non-trauma patients in a tertiary state hospital
title_full_unstemmed Using modified early warning score to predict need of lifesaving intervention in adult non-trauma patients in a tertiary state hospital
title_sort using modified early warning score to predict need of lifesaving intervention in adult non-trauma patients in a tertiary state hospital
publisher SAGE Publications
publishDate 2018
url http://eprints.um.edu.my/21032/
https://doi.org/10.1177/1024907917751980
_version_ 1643691446797074432
score 13.211869

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