Predictive Value of National Early Warning Score and Modified Early Warning Score in Outcome of Patients With Poisoning
Background: Using different scores to predict the outcome of patients and determine the severity of their illness could be effective in making better clinical decisions and helping patients. The purpose of this study is to determine the predictive value of the National Early Warning Score (NEWS) and...
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| Format: | Article |
| Language: | English |
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Shaheed Beheshti University of Medical Sciences
2022-11-01
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| Series: | International Journal of Medical Toxicology and Forensic Medicine |
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| Online Access: | https://journals.sbmu.ac.ir/ijmtfm/article/view/38299 |
| _version_ | 1811190586471874560 |
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| author | Saeedehsadat Valiollahzadeh Ali Ostadi Farzad Rahmani |
| author_facet | Saeedehsadat Valiollahzadeh Ali Ostadi Farzad Rahmani |
| author_sort | Saeedehsadat Valiollahzadeh |
| collection | DOAJ |
| description | Background: Using different scores to predict the outcome of patients and determine the severity of their illness could be effective in making better clinical decisions and helping patients. The purpose of this study is to determine the predictive value of the National Early Warning Score (NEWS) and Modified Early Warning Score (MEWS) of in-hospital mortality in patients with a suicide attempt.
Methods: In a diagnostic study, we included 453 patients with suicide attempts in the poisoning unit and Intensive Care Unit (ICU) poisoning unit of Sina Hospital from December 2019 to September 2021. Patients’ vital signs and level of consciousness were recorded and then analyzed by statistical methods.
Results: The mean±SD of patients’ age was 31.82±12.28 and the mortality rate was 7.7%. The median (25%-75%) of NEWS and MEWS in all patients was 4(2-7) and 2(1-3), respectively. Based on the Receiver Operating Characteristic (ROC) curve of NEWS, the Area Under The Curve (AUC) (CI95%), standard error, and cut off point were 0.915(0.876-0.995), 0.020, and 7.5 respectively (85% sensitivity and 81% specificity) (P˂0.001). The results of MEWS based on Receiver Operating Characteristic (ROC) curve were 0.87 (0.805-0.932), 0.033, and 3.5 respectively (74% sensitivity and 84% specificity) (P˂0.001).
Conclusion: Based on our study results, we concluded that in hospitalized patients with suicide attempts, the accuracy of NEWS in predicting hospital mortality is higher than MEWS. |
| first_indexed | 2024-04-11T14:52:21Z |
| format | Article |
| id | doaj.art-fd5ec04101c240ec843dde29fe58e2ec |
| institution | Directory Open Access Journal |
| issn | 2251-8762 2251-8770 |
| language | English |
| last_indexed | 2024-04-11T14:52:21Z |
| publishDate | 2022-11-01 |
| publisher | Shaheed Beheshti University of Medical Sciences |
| record_format | Article |
| series | International Journal of Medical Toxicology and Forensic Medicine |
| spelling | doaj.art-fd5ec04101c240ec843dde29fe58e2ec2022-12-22T04:17:23ZengShaheed Beheshti University of Medical SciencesInternational Journal of Medical Toxicology and Forensic Medicine2251-87622251-87702022-11-01124382993829910.32598/ijmtfm.v12i4.3829938299Predictive Value of National Early Warning Score and Modified Early Warning Score in Outcome of Patients With PoisoningSaeedehsadat ValiollahzadehAli Ostadihttps://orcid.org/0000-0001-9868-0080Farzad Rahmanihttps://orcid.org/0000-0001-5582-9156Background: Using different scores to predict the outcome of patients and determine the severity of their illness could be effective in making better clinical decisions and helping patients. The purpose of this study is to determine the predictive value of the National Early Warning Score (NEWS) and Modified Early Warning Score (MEWS) of in-hospital mortality in patients with a suicide attempt. Methods: In a diagnostic study, we included 453 patients with suicide attempts in the poisoning unit and Intensive Care Unit (ICU) poisoning unit of Sina Hospital from December 2019 to September 2021. Patients’ vital signs and level of consciousness were recorded and then analyzed by statistical methods. Results: The mean±SD of patients’ age was 31.82±12.28 and the mortality rate was 7.7%. The median (25%-75%) of NEWS and MEWS in all patients was 4(2-7) and 2(1-3), respectively. Based on the Receiver Operating Characteristic (ROC) curve of NEWS, the Area Under The Curve (AUC) (CI95%), standard error, and cut off point were 0.915(0.876-0.995), 0.020, and 7.5 respectively (85% sensitivity and 81% specificity) (P˂0.001). The results of MEWS based on Receiver Operating Characteristic (ROC) curve were 0.87 (0.805-0.932), 0.033, and 3.5 respectively (74% sensitivity and 84% specificity) (P˂0.001). Conclusion: Based on our study results, we concluded that in hospitalized patients with suicide attempts, the accuracy of NEWS in predicting hospital mortality is higher than MEWS.https://journals.sbmu.ac.ir/ijmtfm/article/view/38299outcomemortalitypoisoningsuicideemergency ward |
| spellingShingle | Saeedehsadat Valiollahzadeh Ali Ostadi Farzad Rahmani Predictive Value of National Early Warning Score and Modified Early Warning Score in Outcome of Patients With Poisoning International Journal of Medical Toxicology and Forensic Medicine outcome mortality poisoning suicide emergency ward |
| title | Predictive Value of National Early Warning Score and Modified Early Warning Score in Outcome of Patients With Poisoning |
| title_full | Predictive Value of National Early Warning Score and Modified Early Warning Score in Outcome of Patients With Poisoning |
| title_fullStr | Predictive Value of National Early Warning Score and Modified Early Warning Score in Outcome of Patients With Poisoning |
| title_full_unstemmed | Predictive Value of National Early Warning Score and Modified Early Warning Score in Outcome of Patients With Poisoning |
| title_short | Predictive Value of National Early Warning Score and Modified Early Warning Score in Outcome of Patients With Poisoning |
| title_sort | predictive value of national early warning score and modified early warning score in outcome of patients with poisoning |
| topic | outcome mortality poisoning suicide emergency ward |
| url | https://journals.sbmu.ac.ir/ijmtfm/article/view/38299 |
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