Feasibility Investigation of Developing a Revised MEWS Score for Cardiovascular Specialty

Yanling Zhang; Haiyan Zhuo; Huaili Bi; Juxian Wu

doi:doi:10.11648/j.ajns.20211003.16

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Feasibility Investigation of Developing a Revised MEWS Score for Cardiovascular Specialty

Yanling Zhang, Haiyan Zhuo, Huaili Bi, Juxian Wu

Published in American Journal of Nursing Science (Volume 10, Issue 3)

Received: 17 May 2021 Accepted: 26 May 2021 Published: 10 June 2021

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Abstract

Objective: Cardiovascular disease is a series of diseases with high morbidity, high fatality rate, rapid changes in condition, and it is highly prone to emergencies and severe illnesses, and it is the primary disease that leads to death of patients. The modified early warning score (MEWS) is lacks specialized indicators and can’t personalize risk prediction for cardiovascular patients. Explore the establishment of a scoring system suitable for evaluating the condition of inpatients in the Department of Cardiovascular Medicine to provide a reference basis for accurate assessment and adequate early warning of the patient's disease, and for targeted nursing plans. Methods: The questionnaire was designed through literature analysis, brainstorming, and expert interviews, and a questionnaire survey was conducted for nursing staff in the Department of Cardiology. Analyze the survey results through SSPS software. Results: According to the survey analysis, 73.9% of the experts surveyed considered it necessary or very necessary to establish a modified early warning score in cardiovascular medicine (MEWS); Approx. Chi-square value of the Bartlett sphericity test was 3760.769 (with 28 degrees of freedom), which reached a significant level (P< 0.000), indicating that the reliability and validity of the scale were high. The corrected MEWS score scale was composed of 8 observation indexes, including systolic blood pressure, diastolic blood pressure, respiration, heart rate, oxygen saturation, arrhythmia, consciousness, and chest pain. Conclusion: Cardiovascular medical nursing staff had a high degree of approval for establishing the corrected MEWS score; The constructed MEWS score for cardiovascular internal disease correction is feasible, objective and practical to a certain extent, and can provide a basis for further exploration of practical application.

Published in	American Journal of Nursing Science (Volume 10, Issue 3)
DOI	10.11648/j.ajns.20211003.16
Page(s)	169-173
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Cardiovascular Disease, Corrected Early Warning Score, Feasibility Investigation, Questionnaire, Revised Score

References

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[3]	Shaikh M A, Punshi A, Talreja M L, et al. Comparison of within 7 Day All-Cause Mortality among HDU Patients with Modified Early Warning Score of ≥5 with those with Score of < 5 [J]. Pakistan journal of medical sciences, 2021, 37 (2): 515-519.
[4]	Jiang X, Jiang P, Mao Y. Performance of Modified Early Warning Score (MEWS) and Circulation, Respiration, Abdomen, Motor, and Speech (CRAMS) score in trauma severity and in-hospital mortality prediction in multiple trauma patients: a comparison study [J]. PeerJ, 2019, 7: e7227.
[5]	Mitsunaga T, Hasegawa I, Uzura M, et al. Comparison of the National Early Warning Score (NEWS) and the Modified Early Warning Score (MEWS) for predicting admission and in-hospital mortality in elderly patients in the pre-hospital setting and in the emergency department [J]. PeerJ, 2019, 7: e6947.
[6]	Yu Z, Xu F, Chen D. Predictive value of Modified Early Warning Score (MEWS) and Revised Trauma Score (RTS) for the short-term prognosis of emergency trauma patients: a retrospective study [J]. BMJ Open, 2021, 11 (3): e41882.
[7]	Devoe B, Roth A, Maurer G, et al. Correlation of the predictive ability of early warning metrics and mortality for cardiac arrest patients receiving in-hospital Advanced Cardiovascular Life Support [J]. Heart & Lung the Journal of Critical Care, 2016: 497-502.
[8]	Young K W, Jung S Y, Mi L J, et al. Modified Early Warning Score Changes Prior to Cardiac Arrest in General Wards [J]. Plos One, 2015, 10 (6): e0130523.
[9]	Qingwei Z, Qiaofang Y, Man Y. Clinical application and thinking of risk assessment and early warning tools in cardiovascular diseases [J]. Journal of Nursing, 2019, 26 (16): 34-37.
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[11]	Yonghong W. The application of early warning scoring system in emergency PCI treatment of acute myocardial infarction and the influence of patients' heart function [J]. International Journal of Nursing, 2021, 40 (05): 930-933.
[12]	Zhihua H. The effect of the improved early warning scoring system on the pre-examination and triage of patients with emergency chest pain [J]. Electronic Journal of Integrated Traditional Chinese and Western Medicine Cardiovascular Diseases, 2019, 7 (011): 182.
[13]	Hong L, Tingting M, Yan M. Study on the trend of early warning scores in patients with acute coronary syndromes 24 hours before cardiac arrest [J]. Chinese Journal of Nursing, 2019, 54 (01): 14-18.
[14]	Liling H. The impact of early warning risk management on the occurrence of adverse cardiovascular events in patients with coronary heart disease [J]. Tibet Medicine, 2020, 41 (01): 102-104.
[15]	Bo Y, Fangyan L, Xiao L, et al. A comparative study of NT-proBNP and risk score for early warning of major adverse cardiovascular events in the hospital for emergency ACS patients [J]. Chinese Journal of Emergency Medicine, 2017, 26 (09): 1071-1075.

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APA Style

Yanling Zhang, Haiyan Zhuo, Huaili Bi, Juxian Wu. (2021). Feasibility Investigation of Developing a Revised MEWS Score for Cardiovascular Specialty. American Journal of Nursing Science, 10(3), 169-173. https://doi.org/10.11648/j.ajns.20211003.16

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ACS Style

Yanling Zhang; Haiyan Zhuo; Huaili Bi; Juxian Wu. Feasibility Investigation of Developing a Revised MEWS Score for Cardiovascular Specialty. Am. J. Nurs. Sci. 2021, 10(3), 169-173. doi: 10.11648/j.ajns.20211003.16

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AMA Style

Yanling Zhang, Haiyan Zhuo, Huaili Bi, Juxian Wu. Feasibility Investigation of Developing a Revised MEWS Score for Cardiovascular Specialty. Am J Nurs Sci. 2021;10(3):169-173. doi: 10.11648/j.ajns.20211003.16

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@article{10.11648/j.ajns.20211003.16,
  author = {Yanling Zhang and Haiyan Zhuo and Huaili Bi and Juxian Wu},
  title = {Feasibility Investigation of Developing a Revised MEWS Score for Cardiovascular Specialty},
  journal = {American Journal of Nursing Science},
  volume = {10},
  number = {3},
  pages = {169-173},
  doi = {10.11648/j.ajns.20211003.16},
  url = {https://doi.org/10.11648/j.ajns.20211003.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20211003.16},
  abstract = {Objective: Cardiovascular disease is a series of diseases with high morbidity, high fatality rate, rapid changes in condition, and it is highly prone to emergencies and severe illnesses, and it is the primary disease that leads to death of patients. The modified early warning score (MEWS) is lacks specialized indicators and can’t personalize risk prediction for cardiovascular patients. Explore the establishment of a scoring system suitable for evaluating the condition of inpatients in the Department of Cardiovascular Medicine to provide a reference basis for accurate assessment and adequate early warning of the patient's disease, and for targeted nursing plans. Methods: The questionnaire was designed through literature analysis, brainstorming, and expert interviews, and a questionnaire survey was conducted for nursing staff in the Department of Cardiology. Analyze the survey results through SSPS software. Results: According to the survey analysis, 73.9% of the experts surveyed considered it necessary or very necessary to establish a modified early warning score in cardiovascular medicine (MEWS); Approx. Chi-square value of the Bartlett sphericity test was 3760.769 (with 28 degrees of freedom), which reached a significant level (P< 0.000), indicating that the reliability and validity of the scale were high. The corrected MEWS score scale was composed of 8 observation indexes, including systolic blood pressure, diastolic blood pressure, respiration, heart rate, oxygen saturation, arrhythmia, consciousness, and chest pain. Conclusion: Cardiovascular medical nursing staff had a high degree of approval for establishing the corrected MEWS score; The constructed MEWS score for cardiovascular internal disease correction is feasible, objective and practical to a certain extent, and can provide a basis for further exploration of practical application.},
 year = {2021}
}

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TY  - JOUR
T1  - Feasibility Investigation of Developing a Revised MEWS Score for Cardiovascular Specialty
AU  - Yanling Zhang
AU  - Haiyan Zhuo
AU  - Huaili Bi
AU  - Juxian Wu
Y1  - 2021/06/10
PY  - 2021
N1  - https://doi.org/10.11648/j.ajns.20211003.16
DO  - 10.11648/j.ajns.20211003.16
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 169
EP  - 173
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20211003.16
AB  - Objective: Cardiovascular disease is a series of diseases with high morbidity, high fatality rate, rapid changes in condition, and it is highly prone to emergencies and severe illnesses, and it is the primary disease that leads to death of patients. The modified early warning score (MEWS) is lacks specialized indicators and can’t personalize risk prediction for cardiovascular patients. Explore the establishment of a scoring system suitable for evaluating the condition of inpatients in the Department of Cardiovascular Medicine to provide a reference basis for accurate assessment and adequate early warning of the patient's disease, and for targeted nursing plans. Methods: The questionnaire was designed through literature analysis, brainstorming, and expert interviews, and a questionnaire survey was conducted for nursing staff in the Department of Cardiology. Analyze the survey results through SSPS software. Results: According to the survey analysis, 73.9% of the experts surveyed considered it necessary or very necessary to establish a modified early warning score in cardiovascular medicine (MEWS); Approx. Chi-square value of the Bartlett sphericity test was 3760.769 (with 28 degrees of freedom), which reached a significant level (P< 0.000), indicating that the reliability and validity of the scale were high. The corrected MEWS score scale was composed of 8 observation indexes, including systolic blood pressure, diastolic blood pressure, respiration, heart rate, oxygen saturation, arrhythmia, consciousness, and chest pain. Conclusion: Cardiovascular medical nursing staff had a high degree of approval for establishing the corrected MEWS score; The constructed MEWS score for cardiovascular internal disease correction is feasible, objective and practical to a certain extent, and can provide a basis for further exploration of practical application.
VL  - 10
IS  - 3
ER  -

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Author Information

Yanling Zhang

Department of Cardionlogy, The People’s Hospital of Zhuhai, Zhuhai, China
Haiyan Zhuo

Department of Cardionlogy, The People’s Hospital of Zhuhai, Zhuhai, China
Huaili Bi

Department of Cardionlogy, The People’s Hospital of Zhuhai, Zhuhai, China
Juxian Wu

Department of Cardionlogy, The People’s Hospital of Zhuhai, Zhuhai, China

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APA Style

Yanling Zhang, Haiyan Zhuo, Huaili Bi, Juxian Wu. (2021). Feasibility Investigation of Developing a Revised MEWS Score for Cardiovascular Specialty. American Journal of Nursing Science, 10(3), 169-173. https://doi.org/10.11648/j.ajns.20211003.16

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ACS Style

Yanling Zhang; Haiyan Zhuo; Huaili Bi; Juxian Wu. Feasibility Investigation of Developing a Revised MEWS Score for Cardiovascular Specialty. Am. J. Nurs. Sci. 2021, 10(3), 169-173. doi: 10.11648/j.ajns.20211003.16

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AMA Style

Yanling Zhang, Haiyan Zhuo, Huaili Bi, Juxian Wu. Feasibility Investigation of Developing a Revised MEWS Score for Cardiovascular Specialty. Am J Nurs Sci. 2021;10(3):169-173. doi: 10.11648/j.ajns.20211003.16

Copy | Download

@article{10.11648/j.ajns.20211003.16,
  author = {Yanling Zhang and Haiyan Zhuo and Huaili Bi and Juxian Wu},
  title = {Feasibility Investigation of Developing a Revised MEWS Score for Cardiovascular Specialty},
  journal = {American Journal of Nursing Science},
  volume = {10},
  number = {3},
  pages = {169-173},
  doi = {10.11648/j.ajns.20211003.16},
  url = {https://doi.org/10.11648/j.ajns.20211003.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20211003.16},
  abstract = {Objective: Cardiovascular disease is a series of diseases with high morbidity, high fatality rate, rapid changes in condition, and it is highly prone to emergencies and severe illnesses, and it is the primary disease that leads to death of patients. The modified early warning score (MEWS) is lacks specialized indicators and can’t personalize risk prediction for cardiovascular patients. Explore the establishment of a scoring system suitable for evaluating the condition of inpatients in the Department of Cardiovascular Medicine to provide a reference basis for accurate assessment and adequate early warning of the patient's disease, and for targeted nursing plans. Methods: The questionnaire was designed through literature analysis, brainstorming, and expert interviews, and a questionnaire survey was conducted for nursing staff in the Department of Cardiology. Analyze the survey results through SSPS software. Results: According to the survey analysis, 73.9% of the experts surveyed considered it necessary or very necessary to establish a modified early warning score in cardiovascular medicine (MEWS); Approx. Chi-square value of the Bartlett sphericity test was 3760.769 (with 28 degrees of freedom), which reached a significant level (P< 0.000), indicating that the reliability and validity of the scale were high. The corrected MEWS score scale was composed of 8 observation indexes, including systolic blood pressure, diastolic blood pressure, respiration, heart rate, oxygen saturation, arrhythmia, consciousness, and chest pain. Conclusion: Cardiovascular medical nursing staff had a high degree of approval for establishing the corrected MEWS score; The constructed MEWS score for cardiovascular internal disease correction is feasible, objective and practical to a certain extent, and can provide a basis for further exploration of practical application.},
 year = {2021}
}

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TY  - JOUR
T1  - Feasibility Investigation of Developing a Revised MEWS Score for Cardiovascular Specialty
AU  - Yanling Zhang
AU  - Haiyan Zhuo
AU  - Huaili Bi
AU  - Juxian Wu
Y1  - 2021/06/10
PY  - 2021
N1  - https://doi.org/10.11648/j.ajns.20211003.16
DO  - 10.11648/j.ajns.20211003.16
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 169
EP  - 173
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20211003.16
AB  - Objective: Cardiovascular disease is a series of diseases with high morbidity, high fatality rate, rapid changes in condition, and it is highly prone to emergencies and severe illnesses, and it is the primary disease that leads to death of patients. The modified early warning score (MEWS) is lacks specialized indicators and can’t personalize risk prediction for cardiovascular patients. Explore the establishment of a scoring system suitable for evaluating the condition of inpatients in the Department of Cardiovascular Medicine to provide a reference basis for accurate assessment and adequate early warning of the patient's disease, and for targeted nursing plans. Methods: The questionnaire was designed through literature analysis, brainstorming, and expert interviews, and a questionnaire survey was conducted for nursing staff in the Department of Cardiology. Analyze the survey results through SSPS software. Results: According to the survey analysis, 73.9% of the experts surveyed considered it necessary or very necessary to establish a modified early warning score in cardiovascular medicine (MEWS); Approx. Chi-square value of the Bartlett sphericity test was 3760.769 (with 28 degrees of freedom), which reached a significant level (P< 0.000), indicating that the reliability and validity of the scale were high. The corrected MEWS score scale was composed of 8 observation indexes, including systolic blood pressure, diastolic blood pressure, respiration, heart rate, oxygen saturation, arrhythmia, consciousness, and chest pain. Conclusion: Cardiovascular medical nursing staff had a high degree of approval for establishing the corrected MEWS score; The constructed MEWS score for cardiovascular internal disease correction is feasible, objective and practical to a certain extent, and can provide a basis for further exploration of practical application.
VL  - 10
IS  - 3
ER  -

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