{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:50:10Z","timestamp":1791499810700,"version":"4.3.4"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T00:00:00Z","timestamp":1519862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J of Nursing Practice"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To determine the value of the Modified Early Warning Score (MEWS) for general ward patients and its potential use as an alarm tool for ward nurses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A combined prospective\u2010retrospective observational study was conducted with 153 patients in a university hospital (2013\u20102014). All patients were admitted to the intensive care unit (ICU) from general wards. Parameters retrospectively studied were 5 MEWS values at 4 hourly intervals, up to 20\u00a0hours before ICU admission. Parameters prospectively studied were ICU length of stay, ICU mortality, and mortality after ICU discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most frequent severe adverse events were acute respiratory failure (39.9%) and septic shock (20.3%). Modified Early Warning Score increased gradually during the last 20\u00a0hours, and most patients remained in the wards, above a cut\u2010off point \u22657 recorded at 4\u00a0hours before admission. Significant associations between latest MEWS score and ICU mortality and ICU length of stay were found. MEWS score\u2265\u00a07\u00a0hours before admission was highly associated with increased ICU and hospital mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patient deterioration in general wards can result in severe adverse events. Modified Early Warning Score is a strong predictor of outcome and may be used as a monitoring tool for potentially avoidable deaths and unplanned admissions to ICU.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijn.12632","type":"journal-article","created":{"date-parts":[[2018,3,2]],"date-time":"2018-03-02T03:32:44Z","timestamp":1519961564000},"source":"Crossref","is-referenced-by-count":21,"title":["The value of the <scp>M<\/scp>odified <scp>E<\/scp>arly <scp>W<\/scp>arning <scp>S<\/scp>core for unplanned Intensive Care Unit admissions of patients treated in hospital general wards"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5376-9580","authenticated-orcid":false,"given":"Michail","family":"Zografakis\u2010Sfakianakis","sequence":"first","affiliation":[{"name":"Faculty of Medicine University of Crete  Heraklion Greece"},{"name":"University Hospital of Heraklion  Heraklion Greece"},{"name":"Nursing Department Technological Educational Institute of Crete  Heraklion Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eelco","family":"De Bree","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Crete  Heraklion Greece"},{"name":"University Hospital of Heraklion  Heraklion Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manolis","family":"Linardakis","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Crete  Heraklion Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Argyri","family":"Messaritaki","sequence":"additional","affiliation":[{"name":"University Hospital of Heraklion  Heraklion Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Askitopoulou","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Crete  Heraklion Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Papaioannou","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Crete  Heraklion Greece"},{"name":"University Hospital of Heraklion  Heraklion Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panagiotis","family":"Aggouridakis","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Crete  Heraklion Greece"},{"name":"University Hospital of Heraklion  Heraklion Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,3]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e1717"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2004.03.005"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2007.057661"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc9975"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2016.02.005"},{"key":"e_1_2_8_7_1","unstructured":"Clinical Excellence Commission. 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