Document Detail


The value of the Modified Early Warning Score and biochemical parameters as predictors of patient outcome in acute medical admissions a prospective study.
MedLine Citation:
PMID:  21904705     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We evaluated the effectiveness of MEWS and biochemical parameters in predicting outcomes for acute medical admissions. Data from consecutive admissions to the Acute Medical Unit (AMU) of National Hospital of Sri Lanka were collected. C-reactive protein (CRP), albumin, whitecell count, platelet count and haemoglobin values were collected. Adverse endpoints were HDU/ICU admission,cardio-respiratory emergency/resuscitation and death.A MEWS score of >=5 together with increasing age,pulse rate, respiratory rate, AVPU score, CRP,CRP/Albumin ratio and reduced platelet and albumin levelall increased the odds of reaching "adverse endpoints".Adding a score for biochemical parameters increased the area under the ROC curve for reaching "adverse endpoints" Biochemical parameters better predicted length of hospitalstay and adverse outcomes. A combined scoring system improved the sensitivity of prediction.
Authors:
Yashasvi Sanja Perera; Priyanga Ranasinghe; Adikari Mudiyanselage Madura Chinthana Adikari; Welivitage Don Thilina Sampath Welivita; Wickramage Malith Eranda Perera; Wijesundara Mudiyanselage Dileepa Roshan Wijesundara; Sembukutti Arachchige Ajith Panduka Karunanayake; Godwin Roger Constantine
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acute medicine     Volume:  10     ISSN:  1747-4892     ISO Abbreviation:  Acute Med     Publication Date:  2011  
Date Detail:
Created Date:  2011-09-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101553725     Medline TA:  Acute Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  126-32     Citation Subset:  IM    
Affiliation:
Research Assistant, Department of Clinical Medicine, Faculty of Medicine, University of Colombo, Sri Lanka.
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