2022-03-242022-03-242008-12Armağan, E. vd. (2008). ''Predictive value of the modified early warning score in a Turkish emergency department''. European Journal of Emergency Medicine, 15(6), 338-340.0969-95461473-5695https://doi.org/10.1097/MEJ.0b013e3283034222https://journals.lww.com/euro-emergencymed/Fulltext/2008/12000/Predictive_value_of_the_modified_Early_Warning.7.aspxhttp://hdl.handle.net/11452/25313Objective The modified Early Warning Score (mEWS) is a triage instrument that promises to predict patient disposition and clinical outcome in emergency departments (EDs). We investigated whether mEWS can predict death, hospital admission, intensive care unit (ICU) admission, and in-hospital deaths in a Turkish setting. Methods We conducted an ED-based prospective study of 309 patients who presented to an academic medical center. The mEWS was recorded in all patients on ED admission. A mEWS >4 was used to define patients at high-risk for the study outcomes. Results Patients categorized as being at high-risk either were admitted to ICU (n = 23) or to hospital (n = 37) 56.6% of the time, or died in ED (n = 16) or in hospital (n = 29) 42.4% of the time. Patients categorized as being at low-risk either were admitted to ICU (n = 25) or to hospital (n = 52) 37.4% of the time, or died in ED (n = 1) or in hospital (n = 4) 2.5% of the time. In multivariate regression analysis, patients with a mEWS of 5 or more were 1.95 times more likely to be admitted to ICU than those with a score less than 5. Patients with high-risk mEWS were 35 times more likely to die in ED and 14 times more likely to die in hospital than those presenting with a low-risk score. Conclusion We conclude that scores on the mEWS predict ICU admission as well as ICU and in-hospital deaths.eninfo:eu-repo/semantics/closedAccessEmergencyNursingRisk screeningTriageValidationEmergency medicineAcademic medical centersEmergency nursingFemaleHospital mortalityHospitalizationHumansIntensive careIntensive care unitsMaleMiddle agedMultivariate analysisPredictive value of testsProspective studiesRegression analysisRisk assessmentSeverity of illness indexTrauma centersTriageTurkeyArticle0002613986000072-s2.0-6484909516433834015619078837Emergency medicineClinical Deterioration; Heart Arrest; Early WarningAdultArticleControlled studyEarly warning scoreEmergency wardFemaleHigh risk patientHospital admissionHumanIntensive care unitMajor clinical studyMaleMedical documentationMortalityOutcome assessmentPredictionPriority journalScoring systemTurkey (republic)University hospitalEmergency health serviceEmergency nursingHospitalizationIntensive careMiddle agedMultivariate analysisPrediction and forecastingProspective studyRegression analysisRisk assessmentStatisticsUniversity hospital