Comparison of within 7 Day All-Cause Mortality among HDU Patients with Modified Early Warning Score of ≥5 with those with Score of <5

  • Majid Ahmed Sahikh Dow University of Health Sciences
  • Avinash Punshi Dow University of Health Sciences
  • Mohan Lal Talreja Dow University of Health Sciences
  • Tazeen Rasheed Dow University of Health Sciences
  • Nimrah Bader Oklahoma State University Medical Center, Oklahoma City, OK, USA
  • Bader Faiyaz Zuberi Dow University of Health Sciences https://orcid.org/0000-0001-7695-3922
Keywords: MEWS Score, ROC, Mortality

Abstract

Objective: To compare 7-Day All-Cause Mortality among HDU Patients with Modified Early Warning Score of ≥5 with Those with Score of <5.

Methods: All patients of age more than 18 years, of either gender admitted in HDU of Medical Unit-II, CHK between September 2019 to February 2020 were included. MEWS was calculated for each patient at time of admission. Patients with MEWS score of ≥5 were allocated to Group-A and those with score of <5 were allocated to Group-B. Patients were followed for seven days and outcome status of alive, expired or discharged was noted.

Results: Total of 336 patients were selected out of which 168 patients was inducted in Group-A and 168 patients in Group-B. MEWS Score in patients who expired was significantly higher (Mdn=11) than in those who survived (Mdn=4), p <.001. 7-day mortality in Group-A was 62 (39.9%) while in Group-B was 40 (23.8%). ROC was plotted of MEWS Score for mortality, it showed significant area under curve of 68.4% (p <0.001, 95% CI = 0.62 to 0.75). MEWS Score of 3.5 showed sensitivity of 89.2% and specificity of 65%.

Conclusion: Our results show that MEWS has a positive trend to predict mortality. MEWS score of 3.5 is suggested cut off based on ROC in our study.

doi: https://doi.org/10.12669/pjms.37.2.2832

How to cite this:
Shaikh MA, Punshi A, Talreja ML, Rasheed T, Bader N, Zuberi BF. Comparison of within 7 Day All-Cause Mortality among HDU Patients with Modified Early Warning Score of ≥5 with those with Score of <5. Pak J Med Sci. 2021;37(2):515-519.  doi: https://doi.org/10.12669/pjms.37.2.2832

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author Biographies

Majid Ahmed Sahikh, Dow University of Health Sciences

Assistant Professor

Avinash Punshi, Dow University of Health Sciences

Consultant

Mohan Lal Talreja, Dow University of Health Sciences

Consultant

Tazeen Rasheed, Dow University of Health Sciences

Assistant Professor

Nimrah Bader, Oklahoma State University Medical Center, Oklahoma City, OK, USA

PG Trainee

Bader Faiyaz Zuberi, Dow University of Health Sciences

Gastroenterologist and Hepatologist
Professor of Medicine
Chairman Department of Medicine
Director Institute of Clinical Sciences
Director Clinical Trials Unit
Dow Medical College
Karachi, Pakistan

Published
2021-02-04
How to Cite
Sahikh, M., Punshi, A., Talreja, M., Rasheed, T., Bader, N., & Zuberi, B. (2021). Comparison of within 7 Day All-Cause Mortality among HDU Patients with Modified Early Warning Score of ≥5 with those with Score of &lt;5. Pakistan Journal of Medical Sciences, 37(2). https://doi.org/10.12669/pjms.37.2.2832
Section
Original Articles

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