ArticleFrontiers in medicine2022
Prognostic value of National Early Warning Score and Modified Early Warning Score on intensive care unit readmission and mortality: A prospective observational study.
Article in Frontiers in medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 33 citations in OpenAlex.
- Determining a Clinically Applicable Cutoff in AI Algorithms for Predicting Clinical Deterioration: A Workload-Constrained, Alarm-Based Approach.Journal of clinical medicine · 2026Article
- 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
- Enhancing prediction of inpatient deterioration by combining clinical and nurse concern features, with or without temporal clustering.JAMIA open · 2026Article
- Investigating the Predictive Power of the National Early Warning Score in Predicting Outcomes Among Intensive Care Unit Patients.Critical care research and practice · 2026Article
- Dynamic Modified Early Warning Score for predicting postoperative mortality in acute type A aortic dissection: a retrospective study.Journal of thoracic disease · 2025Article
- Comparing the predictive power of the National Early Warning Score (NEWS) and Modified Early Warning Score (MEWS) for ICU admission in respiratory patients during the COVID-19 pandemic: A multicenter cross-sectional study.International journal of emergency medicine · 2025Article
- Predictive Value of Early Nursing Scores on 90-Day Outcomes in Intracerebral Hemorrhage Patients.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Observational
- A comparison of different scores for mortality prediction of acutely poisoned patients: a systematic review and meta-analysis.Toxicology research · 2025Article
- Intensive Care Unit Readmissions in a Level I Trauma Center.The Journal of surgical research · 2025Article
- Article
- Association of the Revised Trauma Score with Mortality and Prehospital LSI Among Trauma and Non-Trauma Patients.Prehospital emergency care · 2025Observational
- Modelling in-hospital length of stay: A comparison of linear and ensemble models for competing risk analysis.PloS one · 2025Article
- Article
- Prospective and External Validation of Machine Learning Models for Short- and Long-Term Mortality in Acutely Admitted Patients Using Blood Tests.Journal of clinical medicine · 2024Article
- Mortality rate analysis of patients on invasive mechanical ventilation in the intensive care unit on day 28.Biomedical reports · 2024Article
- Probable Non-Ventilator-Associated Hospital-Acquired Pneumonia: A Case Report.Critical care nurse · 2024Article
- Effectiveness of Implementing Modified Early Warning System and Rapid Response Team for General Ward Inpatients.Journal of medical systems · 2024Article
- Predicting Mortality for COVID-19 Patients Admitted to an Emergency Department Using Early Warning Scores in Poland.Healthcare (Basel, Switzerland) · 2024Article
- Development and validation of prognostic machine learning models for short- and long-term mortality among acutely admitted patients based on blood tests.Scientific reports · 2024Article
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Modified Early Warning Score (MEWS) and National Early Warning Score (NEWS) are widely used in predicting the mortality and intensive care unit (ICU) admission of critically ill patients. This study was conducted to evaluate and compare the prognostic value of NEWS and MEWS for predicting ICU readmission, mortality, and related outcomes in critically ill patients at the time of ICU discharge. Methods: This multicenter, prospective, observational study was conducted over a year, from April 2019 to March 2020, in the general ICUs of two university-affiliated hospitals in Northwest Iran. MEWS and NEWS were compared based on the patients' outcomes (including mortality, ICU readmission, time to readmission, discharge type, mechanical ventilation (MV), MV duration, and multiple organ failure after readmission) using the univariable and multivariable binary logistic regression. The receiver operating characteristic (ROC) curve was used to determine the outcome predictability of MEWS and NEWS. Results: A total of 410 ICU patients were enrolled in this study. According to multivariable logistic regression analysis, both MEWS and NEWS were predictors of ICU readmission, time to readmission, MV status after readmission, MV duration, and multiple organ failure after readmission. The area under the ROC curve (AUC) for predicting mortality was 0.91 (95% CI = 0.88-0.94, Conclusion: National Early Warning Score and MEWS values of >4 demonstrated high sensitivity and specificity in identifying the risk of mortality for the patients' discharge from ICU. However, we found that the MEWS showed superiority over the NEWS score in predicting other outcomes. Eventually, MEWS could be considered an efficient prediction score for morbidity and mortality of critically ill patients.
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