Physiological-Social Scores in Predicting Outcomes of Prehospital Internal Patients
The physiological-social modified early warning score system is a newly developed instrument for the identification of patients at risk. The aim of this study was to investigate the feasibility of using the physiological-social modified early warning score system for the identification of patients t...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2014/312189 |
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| author | Abbasali Ebrahimian Hesam Seyedin Roohangiz Jamshidi-Orak Gholamreza Masoumi |
| author_facet | Abbasali Ebrahimian Hesam Seyedin Roohangiz Jamshidi-Orak Gholamreza Masoumi |
| author_sort | Abbasali Ebrahimian |
| collection | DOAJ |
| description | The physiological-social modified early warning score system is a newly developed instrument for the identification of patients at risk. The aim of this study was to investigate the feasibility of using the physiological-social modified early warning score system for the identification of patients that needed prehospital emergency care. This prospective cohort study was conducted with 2157 patients. This instrument was used as a measure to detect critical illness in patients hospitalised in internal wards. Judgment by an emergency medicine specialist was used as a measure of standard. Data were analyzed by using receiver operating characteristics curves and the area under the curve with 95% confidence interval. The mean score of the physiological-social modified early warning score system was 2.71 ± 3.55. Moreover, 97.6% patients with the score ≥ 4 needed prehospital emergency services. The area under receiver operating characteristic curve was 0.738 (95% CI = 0.708–0.767). Emergency medical staffs can use PMEWS ≥ 4 to identify those patients hospitalised in the internal ward as at risk patients. The physiological-social modified early warning score system is suggested to be used for decision-making of emergency staff about internal patients’ wards in EMS situations. |
| format | Article |
| id | doaj-art-10842b5cdd204c6faade58903f8bbec6 |
| institution | Kabale University |
| issn | 2090-2840 2090-2859 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-10842b5cdd204c6faade58903f8bbec62025-02-03T05:50:54ZengWileyEmergency Medicine International2090-28402090-28592014-01-01201410.1155/2014/312189312189Physiological-Social Scores in Predicting Outcomes of Prehospital Internal PatientsAbbasali Ebrahimian0Hesam Seyedin1Roohangiz Jamshidi-Orak2Gholamreza Masoumi3School of Nursing and Allied Medical Sciences, Semnan University of Medical Sciences, Semnan, IranDepartment of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IranSchool of Health Management and Information Sciences, Iran University of Medical Sciences, No. 6, Rashid Yasemi Street, Vali-e-asr Avenue, Tehran 1995614111, IranEmergency Department, 7th Tir Hospital, Iran University of Medical Sciences, Tehran, IranThe physiological-social modified early warning score system is a newly developed instrument for the identification of patients at risk. The aim of this study was to investigate the feasibility of using the physiological-social modified early warning score system for the identification of patients that needed prehospital emergency care. This prospective cohort study was conducted with 2157 patients. This instrument was used as a measure to detect critical illness in patients hospitalised in internal wards. Judgment by an emergency medicine specialist was used as a measure of standard. Data were analyzed by using receiver operating characteristics curves and the area under the curve with 95% confidence interval. The mean score of the physiological-social modified early warning score system was 2.71 ± 3.55. Moreover, 97.6% patients with the score ≥ 4 needed prehospital emergency services. The area under receiver operating characteristic curve was 0.738 (95% CI = 0.708–0.767). Emergency medical staffs can use PMEWS ≥ 4 to identify those patients hospitalised in the internal ward as at risk patients. The physiological-social modified early warning score system is suggested to be used for decision-making of emergency staff about internal patients’ wards in EMS situations.http://dx.doi.org/10.1155/2014/312189 |
| spellingShingle | Abbasali Ebrahimian Hesam Seyedin Roohangiz Jamshidi-Orak Gholamreza Masoumi Physiological-Social Scores in Predicting Outcomes of Prehospital Internal Patients Emergency Medicine International |
| title | Physiological-Social Scores in Predicting Outcomes of Prehospital Internal Patients |
| title_full | Physiological-Social Scores in Predicting Outcomes of Prehospital Internal Patients |
| title_fullStr | Physiological-Social Scores in Predicting Outcomes of Prehospital Internal Patients |
| title_full_unstemmed | Physiological-Social Scores in Predicting Outcomes of Prehospital Internal Patients |
| title_short | Physiological-Social Scores in Predicting Outcomes of Prehospital Internal Patients |
| title_sort | physiological social scores in predicting outcomes of prehospital internal patients |
| url | http://dx.doi.org/10.1155/2014/312189 |
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