Scholarlink

Background <p>Amid the overcrowding of healthcare services in Brazil, the early identification of critically ill COVID-19 patients becomes essential.</p> Aims <p>This study aims to evaluate the ability of the Modified Early Warning Score (MEWS) and Triage Early Warning Score (TREWS) to predict severity and mortality in hospitalized COVID-19 patients.</p> Methods <p>In this retrospective cohort study, patients hospitalized with COVID-19 at the Instituto de Infectologia Emílio Ribas (IIER) were included. MEWS and TREWS scores were calculated based on patients’ vital signs at the time of admission to IIER.</p> Results <p>The study included 579 patients, predominantly male (60.45%), with a mean age of 52.54 years. Comorbidities such as diabetes mellitus (23.32%) and systemic arterial hypertension (41.28%) were common. Most patients were not fully vaccinated against COVID-19 (65.46%). The estimated 14-day survival was 75.10% for patients with MEWS ≤ 3.5 at admission and 56.50% for those with MEWS &gt; 3.5 at admission (<i>p</i> &lt; 0.001). The 14-day survival for patients with a TREWS ≤ 7.5 was 78.00%, compared to 52.80% for those with a TREWS &gt; 7.5 (<i>p</i> &lt; 0.001). Each additional point in MEWS was associated with a 1.33-fold increase in the odds of ICU admission (<i>p</i> &lt; 0.001) and 1.51-fold increase in the odds of death (<i>p</i> &lt; 0.001). Each additional point in TREWS was associated with a 1.36-fold increase in ICU admission (<i>p</i> &lt; 0.001) and 1.49-fold increase in death (<i>p</i> &lt; 0.001).</p> Conclusions <p>Both scores demonstrated the ability to identify critically ill patients at the time of admission.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Evaluation of the modified early warning score (MEWS) and triage early warning score (TREWS) for prognostic assessment of hospitalized COVID-19 patients in a tertiary care hospital

  • 期刊论文

  • 发表日期：

    2025年11月11日

查看全文
  • Luis Vinicius Torres Cardoso Lopes,
  • Tatiana Maria Brasil Muzaiel,
  • João Pedro Ruas Floriano de Toledo,
  • Giulia Fernandes Manhães Rodrigues Lopes,
  • Tais Soares Chaves,
  • Barbara Luiza Soares Andrade,
  • Gabriella Omizzolo Pereira Vieira,
  • Nina Petroni Haiat,
  • Gabriela Pereira Rodrigues,
  • Gabriela Gomes de Medeiros,
  • Ana Paula Rocha Veiga

摘要

Background

Amid the overcrowding of healthcare services in Brazil, the early identification of critically ill COVID-19 patients becomes essential.

Aims

This study aims to evaluate the ability of the Modified Early Warning Score (MEWS) and Triage Early Warning Score (TREWS) to predict severity and mortality in hospitalized COVID-19 patients.

Methods

In this retrospective cohort study, patients hospitalized with COVID-19 at the Instituto de Infectologia Emílio Ribas (IIER) were included. MEWS and TREWS scores were calculated based on patients’ vital signs at the time of admission to IIER.

Results

The study included 579 patients, predominantly male (60.45%), with a mean age of 52.54 years. Comorbidities such as diabetes mellitus (23.32%) and systemic arterial hypertension (41.28%) were common. Most patients were not fully vaccinated against COVID-19 (65.46%). The estimated 14-day survival was 75.10% for patients with MEWS ≤ 3.5 at admission and 56.50% for those with MEWS > 3.5 at admission (p < 0.001). The 14-day survival for patients with a TREWS ≤ 7.5 was 78.00%, compared to 52.80% for those with a TREWS > 7.5 (p < 0.001). Each additional point in MEWS was associated with a 1.33-fold increase in the odds of ICU admission (p < 0.001) and 1.51-fold increase in the odds of death (p < 0.001). Each additional point in TREWS was associated with a 1.36-fold increase in ICU admission (p < 0.001) and 1.49-fold increase in death (p < 0.001).

Conclusions

Both scores demonstrated the ability to identify critically ill patients at the time of admission.