The Role of Early Warning System in Predicting Severe Maternal MorbidityTaking Intensive Care Unit Admission as the Reference Standard
Objective: To determine the diagnostic accuracy of a modified early warning system (MEOWS) for predicting severe maternal morbidity, taking intensive care unit admission as the reference standard. Study Design: Cross-sectional study. Setting and Duration of Study: Combined Military Hospital, Ab...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Army Medical College Rawalpindi
2023-10-01
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| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://www.pafmj.org/PAFMJ/article/view/7385 |
| _version_ | 1797341043944849408 |
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| author | Sidra Mahmood Malik Shahida Sheraz Hidayat Ullah Rabea Al Hassan Andaleeb Ara |
| author_facet | Sidra Mahmood Malik Shahida Sheraz Hidayat Ullah Rabea Al Hassan Andaleeb Ara |
| author_sort | Sidra Mahmood Malik |
| collection | DOAJ |
| description |
Objective: To determine the diagnostic accuracy of a modified early warning system (MEOWS) for predicting severe maternal morbidity, taking intensive care unit admission as the reference standard.
Study Design: Cross-sectional study.
Setting and Duration of Study: Combined Military Hospital, Abbottabad Pakistan, from Nov 2019 to Apr 2020.
Methodology: After getting approval from the Institutional Ethical Committee, pregnant women fulfilling the inclusion
criteria were included from the Labour Room of Department of Obstetrics & Gynecology. A modified early obstetric warning system chart was used to assess all women, labelling them positive or negative as per the criteria. In case of a fatal outcome or development of severe morbidity warranting intensive care unit admission, the patient was labelled as positive. Women who developed severe morbidity were managed as per standard protocols.
Results: The early warning chart showed sensitivity, specificity, positive predictive value, negative predictive value and
diagnostic accuracy as 69.44%, 90.97%, 64.10%, 92.76% and 86.91%, respectively, for predicting severe obstetric morbidity
considering intensive care unit admission as gold standard.
Conclusion: Modified early obstetric warning system chart effectively predicts severe obstetric morbidity. It could lead to
better patient care, thus preventing severe obstetric morbidity in our local population if implemented as part of routine clinical evaluation.
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| first_indexed | 2024-03-08T10:12:11Z |
| format | Article |
| id | doaj.art-e7fde761909c48138d6c0b994a81ffb8 |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-03-08T10:12:11Z |
| publishDate | 2023-10-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-e7fde761909c48138d6c0b994a81ffb82024-01-29T08:27:17ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-10-0173510.51253/pafmj.v73i5.7385The Role of Early Warning System in Predicting Severe Maternal MorbidityTaking Intensive Care Unit Admission as the Reference StandardSidra Mahmood Malik0Shahida Sheraz1Hidayat Ullah2Rabea Al Hassan3Andaleeb Ara4Department of Obs & Gynae, Combined Military Hospital Abbottabad/National University of Medical Sciences (NUMS) PakistanDepartment of Obs & Gynae, Abbottabad International Medical College, Abbottabad PakistanDepartment of Radiology, Frontier Medical & Dental College, Abbottabad PakistanDepartment of Obs & Gynae, Combined Military Hospital Abbottabad/National University of Medical Sciences (NUMS) PakistanDepartment of Paediatrics, Armed Forces Institute of Cardiology/ National Institute of Heart Disease/National University of Medical Sciences (NUMS) Rawalpindi Pakistan Objective: To determine the diagnostic accuracy of a modified early warning system (MEOWS) for predicting severe maternal morbidity, taking intensive care unit admission as the reference standard. Study Design: Cross-sectional study. Setting and Duration of Study: Combined Military Hospital, Abbottabad Pakistan, from Nov 2019 to Apr 2020. Methodology: After getting approval from the Institutional Ethical Committee, pregnant women fulfilling the inclusion criteria were included from the Labour Room of Department of Obstetrics & Gynecology. A modified early obstetric warning system chart was used to assess all women, labelling them positive or negative as per the criteria. In case of a fatal outcome or development of severe morbidity warranting intensive care unit admission, the patient was labelled as positive. Women who developed severe morbidity were managed as per standard protocols. Results: The early warning chart showed sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy as 69.44%, 90.97%, 64.10%, 92.76% and 86.91%, respectively, for predicting severe obstetric morbidity considering intensive care unit admission as gold standard. Conclusion: Modified early obstetric warning system chart effectively predicts severe obstetric morbidity. It could lead to better patient care, thus preventing severe obstetric morbidity in our local population if implemented as part of routine clinical evaluation. https://www.pafmj.org/PAFMJ/article/view/7385Early warning scoreIntensive care unitModified early warning system (MEOWS)Obstetrics and gynaecology |
| spellingShingle | Sidra Mahmood Malik Shahida Sheraz Hidayat Ullah Rabea Al Hassan Andaleeb Ara The Role of Early Warning System in Predicting Severe Maternal MorbidityTaking Intensive Care Unit Admission as the Reference Standard Pakistan Armed Forces Medical Journal Early warning score Intensive care unit Modified early warning system (MEOWS) Obstetrics and gynaecology |
| title | The Role of Early Warning System in Predicting Severe Maternal MorbidityTaking Intensive Care Unit Admission as the Reference Standard |
| title_full | The Role of Early Warning System in Predicting Severe Maternal MorbidityTaking Intensive Care Unit Admission as the Reference Standard |
| title_fullStr | The Role of Early Warning System in Predicting Severe Maternal MorbidityTaking Intensive Care Unit Admission as the Reference Standard |
| title_full_unstemmed | The Role of Early Warning System in Predicting Severe Maternal MorbidityTaking Intensive Care Unit Admission as the Reference Standard |
| title_short | The Role of Early Warning System in Predicting Severe Maternal MorbidityTaking Intensive Care Unit Admission as the Reference Standard |
| title_sort | role of early warning system in predicting severe maternal morbiditytaking intensive care unit admission as the reference standard |
| topic | Early warning score Intensive care unit Modified early warning system (MEOWS) Obstetrics and gynaecology |
| url | https://www.pafmj.org/PAFMJ/article/view/7385 |
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