ArticleBMJ open2021
Predictive value of Modified Early Warning Score (MEWS) and Revised Trauma Score (RTS) for the short-term prognosis of emergency trauma patients: a retrospective study.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 38 citations in OpenAlex.
- Mortality prediction in older adults with earthquake-related trauma: a model combining MEWS and laboratory biomarkers.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Observational
- Evaluating Modified Early Warning Score Compliance to Minimize Unnecessary Intensive Care Unit Admissions: A Descriptive Cross-Sectional Needs Assessment at a University Teaching Tertiary Care Centre to Inform Quality Improvement Implementation.Journal of evaluation in clinical practice · 2026Article
- Early risk stratification in traumatic brain injury: An analysis of MEWS and rSIG scores in patients with isolated head trauma.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Observational
- Construction of a predictive early warning model based on machine learning neural network for prognosis of patients with traumatic brain injury.Frontiers in surgery · 2026Article
- Glasgow Coma Scale, Revised Trauma Score, quick Sequential Organ Failure Assessment Score and the Modified Early Warning Score to predict the 7-day in-hospital mortality in patients with traumatic brain injury: a retrospective cohort study.BMC emergency medicine · 2025Article
- A nomogram and risk stratification for predicting subsyndromal delirium in elderly patients in a post-anaesthesia care unit: A prospective cohort study.International journal of nursing studies advances · 2025Article
- Patient Triage and Guidance in Emergency Departments Using Large Language Models: Multimetric Study.Journal of medical Internet research · 2025Article
- Comparison of End-Tidal Carbon Dioxide Values in ICU Patients with and Without In-Hospital Cardiac Arrest.Biomedicines · 2025Article
- Association of the Revised Trauma Score with Mortality and Prehospital LSI Among Trauma and Non-Trauma Patients.Prehospital emergency care · 2025Observational
- Article
- Application of Modified Early Warning Score System (MEWS) in the Assessment of Disease Condition and Prognosis of Patients After Neurosurgical Procedure or Intervention.Risk management and healthcare policy · 2025Article
- Article
- Modified Early Warning Score: Clinical Deterioration of Mexican Patients Hospitalized with COVID-19 and Chronic Disease.Healthcare (Basel, Switzerland) · 2023Article
- Revised Trauma Score and CRAMS better predicted mortality in high-energy-trauma patients than Early-Warning Score.Irish journal of medical science · 2023Article
- Article
- External validation of a triage tool for predicting cardiac arrest in the emergency department.Scientific reports · 2022Article
- Comparison of Five Triage Tools for Identifying Mortality Risk and Injury Severity of Multiple Trauma Patients Admitted to the Emergency Department in the Daytime and Nighttime: A Retrospective Study.Applied bionics and biomechanics · 2022Article
- The application value of the Modified Early Warning Score combined with age and injury site scores in the evaluation of injuries in emergency trauma patients.Frontiers in public health · 2022Article
- Systems for recognition and response to deteriorating emergency department patients: a scoping review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study aimed to assess the predictive value of the Modified Early Warning Score (MEWS) and Revised Trauma Score (RTS) for emergency trauma patients who died within 24 hours.
designA retrospective, single-centred study.
settingThis study was conducted at a tertiary hospital in Southern China.
participantsA total of 1739 patients with acute trauma, aged 16 years or older who presented to the emergency department from 1 November 2016 to 30 November 2019, were included. INTERVENTIONS NONE: None. OUTCOME: 24-hour mortality was the primary outcome of trauma.
results1739 patients were divided into the survival group (1709 patients,98.27%), and the non-survival group (30 patients,1.73%). Crude OR and adjusted OR of MEWS were 1.99, 95% CI (1.73 to 2.29), and 2.00, 95% CI (1.74 to 2.31), p<0.001, respectively. Crude OR and adjusted OR of RTS were 0.62, 95% CI (0.55 to 0.69) and 0.61, 95% CI (0.55 to 0.68), p<0.001, respectively. The area under the curve of MEWS was significantly higher than that of RTS (p=0.005): 0.927, 95% CI (0.914 to 0.939) vs 0.799, 95% CI (0.779 to 0.817).
conclusionsBoth MEWS and RTS were independent predictors of the short-term prognosis in emergency trauma patients, MEWS had better predictive efficacy.
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