Modified Early Warning Score:Clinical Application in Emergency Rescue Rooms of Internal Medical Departments

Objective To investigate the evaluation of modified early warning score( MEWS) on the condition and prognosis of patients in rescue rooms of departments of internal medicine.Methods A total of 268 medical patients admitted to this hospital from March to April 2013 were divided,according to MEWS,into groups A( with scores≥5,n = 97),B( with scores of 0-4,n = 171).The rates of ICU admission,mortality were compared between 2 groups; the whereabouts and 30 d outcomes of patients with different MEWS total scores were recorded,and the correlation between MEWS total score and ICU ad-mission rate analyzed.Results In group B,3 patients were admitted to ICU,1 died; in group A,61,9,respectively; the rates of ICU admission,mortality were higher in group A than in group B( P 0.05).Ninety-eight patients had MEWS total scores of 0-2( 1 admitted to ICU),73 had 3-4( 2 to ICU),72 had 5-6( 39 to ICU),13 had 7-8( 13 to ICU),12 had≥9( 9 to ICU).By linear correlation analysis,MEWS total score was positively correlated with ICU admission( r = 0.951,P = 0.013).Conclusion MEWS,having some abilities to predict patients' condition and prognosis,is worth widely applying.