Modified early warning score and risk of mortality after acute stroke.

作者: Elizabeth A. Warburton , Phyo Kyaw Myint , John F. Potter , Allan B. Clark , Anthony K. Metcalf

DOI: 10.1016/J.CLINEURO.2021.106547

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摘要: Abstract Objective An accurate prediction tool may facilitate optimal management of patients with acute stroke from an early stage. We evaluated the association between admission modified warning score (MEWS) and mortality in stroke. Method Data Anglia Stroke Clinical Network Evaluation Study (ASCNES) were analysed. MEWS four outcomes; in-patient, 7-day, 30-day 1-year mortality. Logistic regression models used to calculate odds all timeframes, whereas Cox proportional hazards at 1 year. Five univariate multivariate constructed, adjusting for confounders. Patients a moderate (2−3) or high (≥4) scores compared low (0–1). Results The study population consisted 2006 patients. A total 1196 had MEWS, 666 144 MEWS. was associated increased as in-patient (OR 4.93, 95 % CI: 2.88–8.42), 7 days 7.53, 4.24–13.38), 30 5.74, 3.38–9.76) (HR 2.52, CI 1.88–3.39). At 1 year, model 5 1.02 OR (95 0.83–1.24) 2.52 1.88–3.39) Conclusion Elevated on is potential marker acute-stroke therefore be useful risk tool, able guide clinicians attempting prognosticate outcomes acute-stroke.

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