Modified Early Warning Score and VitalPac Early Warning Score in geriatric patients admitted to emergency department

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dc.contributor.authorDundar, Zerrin Defne
dc.contributor.authorErgin, Mehmet
dc.contributor.authorKaramercan, Mehmet A.
dc.contributor.authorAyranci, Kursat
dc.contributor.authorColak, Tamer
dc.contributor.authorTuncar, Alpay
dc.contributor.authorCander, Basar
dc.date.accessioned2024-02-23T14:21:14Z
dc.date.available2024-02-23T14:21:14Z
dc.date.issued2016
dc.departmentNEÜen_US
dc.description.abstractObjectiveThe aim of this study was to evaluate the value of the Modified Early Warning Score (MEWS) and the VitalPac Early Warning Score (VIEWS) in predicting hospitalization and in-hospital mortality in geriatric emergency department (ED) patients.Patients and methodsThis prospective, single-centered observational study was carried out over 1 month at the ED of a university hospital in patients 65 years of age and older presenting to the ED. The vital parameters of the patients measured on admission to ED were recorded. The MEWS and VIEWS were calculated using the recorded physiological parameters of the patients. Hospitalization and in-hospital mortality were used as the primary outcomes.ResultsA total of 671 patients included in the study. The median age of the patients was 75 (11) years, and 375 (55.9%) were men. The MEWS is effective for discriminating patient groups that have been discharged from ED, admitted to a ward and admitted to ICU [1 (2) vs. 1 (1) vs. 3 (3), respectively, P<0.001]. The VIEWS is also effective for discriminating patient groups that have been discharged from ED, admitted to a ward, and admitted to ICU [2 (3) vs. 5 (5) vs. 8 (8), respectively, P<0.001]. The AUCs of the MEWS and VIEWS were 0.727 [95% confidence interval (CI) 0.689-0.765] and 0.756 (95% CI 0.720-0.792) in predicting hospitalization, respectively. The AUCs of the MEWS and VIEWS were 0.891 (95% CI 0.844-0.937) and 0.900 (95% CI 0.860-0.941) in predicting in-hospital mortality, respectively.ConclusionThe MEWS and VIEWS are powerful scoring systems that are easy-to-use for predicting the hospitalization and in-hospital mortality of geriatric ED patients.en_US
dc.identifier.doi10.1097/MEJ.0000000000000274
dc.identifier.endpage412en_US
dc.identifier.issn0969-9546
dc.identifier.issn1473-5695
dc.identifier.issue6en_US
dc.identifier.pmid25919485en_US
dc.identifier.scopus2-s2.0-84994291734en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage406en_US
dc.identifier.urihttps://doi.org/10.1097/MEJ.0000000000000274
dc.identifier.urihttps://hdl.handle.net/20.500.12452/13510
dc.identifier.volume23en_US
dc.identifier.wosWOS:000387814500002en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofEuropean Journal Of Emergency Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectGeriatricsen_US
dc.subjectModified Early Warning Scoreen_US
dc.subjectMortalityen_US
dc.subjectRisk-Scoring Systemsen_US
dc.subjectVitalpac Early Warning Scoreen_US
dc.titleModified Early Warning Score and VitalPac Early Warning Score in geriatric patients admitted to emergency departmenten_US
dc.typeArticleen_US

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