Is Modified Early Warning Score associated with clinical outcomes of patients admitted to a university internal medicine ward?

Objective To assess the MEWS association with the clinical outcomes (CO) of patients admitted to an internal medicine ward (IMW) at a Brazilian university hospital (UH). Introduction It is important to quickly identify patients with clinical deterioration, especially in wards. The health team must r...

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Bibliographic Details
Published in:Journal of clinical nursing 2023-04, Vol.32 (7-8), p.1065-1075
Main Authors: Saba, Amanda, Nunes, Maria do Patrocínio Tenório
Format: Article
Language:English
Subjects:
Brazil
clinical deterioration
Clinical outcomes
Discharge
Early Warning Score
Emergency medical care
Hospitalization
Hospitals, University
Humans
Intensive care
Internal Medicine
internal medicine ward
MEWS
nursing role
outcomes
patient safety
Vital signs
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Summary:Objective To assess the MEWS association with the clinical outcomes (CO) of patients admitted to an internal medicine ward (IMW) at a Brazilian university hospital (UH). Introduction It is important to quickly identify patients with clinical deterioration, especially in wards. The health team must recognize and act before the situation becomes an adverse event. In Brazil, nurses’ work to overcome performance myths and the application of standardized predictive scales for patients in wards is still limited. Design An observational cohort study designed and developed by a registered nurse that followed the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist. Methods Data were collected from the IMW of a UH located in the city of São Paulo, Brazil (2017). An ROC curve was calculated to strengthen the use of a MEWS of < or ≥ 4 as a cutoff. CO of the two subgroups were compared. Results Three hundred patients completed the study; their vital signs were recorded consecutively throughout hospitalization in the IMW. The highest MEWS value each day was considered for analysis. Scores 
ISSN:0962-1067
1365-2702
DOI:10.1111/jocn.16327