ArticleBMC health services research2007
Physiological-social score (PMEWS) vs. CURB-65 to triage pandemic influenza: a comparative validation study using community-acquired pneumonia as a proxy.
Article in BMC health services research, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Early warning score validation methodologies and performance metrics: a systematic review.BMC medical informatics and decision making · 2020Pooled it
- A systematic review of clinical decision rules for the diagnosis of influenza.Annals of family medicinePooled it
- Severe H7N9 infection is associated with decreased antigen-presenting capacity of CD14+ cells.PloS one · 2014Trial
- Clinical presentation of Enterovirus D68 in adults with acute respiratory infections consulting in emergency departments in Quebec, Canada.IJID regions · 2025Article
- Prognostic accuracy of eight triage scores in suspected COVID-19 in an Emergency Department low-income setting: An observational cohort study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- A systematic review of tools for predicting complications in patients with influenza-like illness.Heliyon · 2024Review
- Predicting severe disease in patients diagnosed with seasonal influenza in the emergency department.Journal of the American College of Emergency Physicians open · 2023Article
- External validation of triage tools for adults with suspected COVID-19 in a middle-income setting: an observational cohort study.Emergency medicine journal : EMJ · 2023Observational
- Prognostic accuracy of triage tools for adults with suspected COVID-19 in a prehospital setting: an observational cohort study.Emergency medicine journal : EMJ · 2022Observational
- Prognostic accuracy of emergency department triage tools for adults with suspected COVID-19: the PRIEST observational cohort study.Emergency medicine journal : EMJ · 2021Observational
- A Value-Based Comparison of the Management of Ambulatory Respiratory Diseases in Walk-in Clinics, Primary Care Practices, and Emergency Departments: Protocol for a Multicenter Prospective Cohort Study.JMIR research protocols · 2021Article
- Observational
- Allocation of intensive care resources during an infectious disease outbreak: a rapid review to inform practice.BMC medicine · 2020Review
- Severe acute respiratory infection risk following glucocorticosteroid treatment in uncomplicated influenza-like illness resulting from pH1N1 influenza infection: a case control study.BMC infectious diseases · 2019Article
- Viral prevalence, clinical profiles and comparison of severity scores for predicting the mortality of adults with severe acute respiratory infectionsTurkish journal of medical sciences · 2019Observational
- Physiological-social scores in predicting outcomes of prehospital internal patients.Emergency medicine international · 2014Article
- Article
- Article
- Severe pandemic H1N1 2009 infection is associated with transient NK and T deficiency and aberrant CD8 responses.PloS one · 2012Article
- Predicting need for hospitalization of patients with pandemic (H1N1) 2009, Chicago, Illinois, USA.Emerging infectious diseases · 2010Article
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundAn influenza pandemic may increase Emergency Department attendance 7-fold. In the absence of a validated "flu score" to assess severity and assist triage decisions from primary into secondary care, current UK draft management recommendations have suggested the use of CURB-65 and chest X-ray as a proxy. We developed the Pandemic Medical Early Warning Score (PMEWS) to track and triage flu patients, taking into account physiological and social factors and without requiring laboratory or radiology services.
methodsValidation of the PMEWS score against an unselected group of patients presenting and admitted to an urban UK teaching hospital with community acquired pneumonia. Comparison of PMEWS performance against CURB-65 for three outcome measures: need for admission, admission to high dependency or intensive care, and inpatient mortality using area under ROC curve (AUROC) and the Hanley-McNeil method of comparison.
resultsPMEWS was a better predictor of need for admission (AUROC 0.944) and need of higher level of care (AUROC 0.83) compared with CURB-65 (AUROCs 0.881 and 0.640 respectively) but was not as good a predictor of subsequent inpatient mortality (AUROC 0.663).
conclusionAlthough further validation against other disease datasets as a proxy for pandemic flu is required, we show that PMEWS is rapidly applicable for triage of large numbers of flu patients to self-care, hospital admission or HDU/ICU care. It is scalable to reflect changing admission thresholds that will occur during a pandemic.
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