Modified Early Warning Score (MEWS) as a predictor of intensive care unit admission in cancer patient on chemotherapy with positive blood culture: A retrospective cohort study

Although the usefulness of the Modified Early Warning Score (MEWS) in predicting clinical deterioration or the need for intensive care unit (ICU) admission has been evaluated in several studies, only few reports have considered the immune status of the patient. Patients receiving chemotherapy for ca...

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Bibliographic Details
Published in:Journal of infection and public health 2023-06, Vol.16 (6), p.865-869
Main Authors: Allarakia, Jawad, Felemban, Taher, Alghamdi, Amer, Ashi, Abdullah, Al Talhi, Yousef M., Alsahafi, Ashraf, Alamri, Abdulfatah, Aldabbagh, Mona
Format: Article
Language:English
Subjects:
Blood Culture
Cancer
Chemotherapy
Clinical Deterioration
Early Warning Score
Humans
Intensive care unit
Intensive Care Units
Modified early warning score
Neoplasms - drug therapy
Oncology
Retrospective Studies
Sepsis
Vital signs
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Summary:Although the usefulness of the Modified Early Warning Score (MEWS) in predicting clinical deterioration or the need for intensive care unit (ICU) admission has been evaluated in several studies, only few reports have considered the immune status of the patient. Patients receiving chemotherapy for cancer are at risk of sepsis. This study aimed to assess the validity of MEWS in predicting clinical deterioration, ICU admission, and mortality among immunocompromised cancer patients on chemotherapy (CPOC). This retrospective cohort study was conducted at a tertiary care center in Jeddah, Saudi Arabia. Subjects aged>14 years with positive blood cultures, who were hospitalized between June 2016 and June 2017, were included. MEWS was calculated at different time intervals: before, after, and at the time (0-time) of positive blood culture. Overall, 192 patients were enrolled, including 89 CPOC and 103 immunocompetent individuals (controls). ICU admission rate was significantly lower in the CPOC group than in the control group (21 % vs. 50 %, P 
ISSN:1876-0341
1876-035X
DOI:10.1016/j.jiph.2023.03.012