https://doi.org/10.4081/scenario.2021.485
Translation and adaptation into Italian of the "Modified Early Warning Score" (MEWS) index for early recognition of clinical instability
Submitted: 6 November 2021
Accepted: 6 November 2021
Published: 6 November 2021
Accepted: 6 November 2021
Abstract Views: 1243
PDF (Italiano): 250
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Hospitalized patients are at risk for serious adverse events, but early recognition of clinical instability can be difficult. Nurses are among the professionals with the best skills to detect signs of clinical instability early, and the Modified Early Warning Score (MEWS) is a useful tool to support professionals at this stage. There is currently no Italian version of the MEWS. The purpose of the study is to translate and adapt for the Italian context the MEWS through the process of forward and backward translation, verification of face and content validity, and through the development of a single-center study.
Jackson S, Penprase B, Grobbel C. Factors Influencing Registered Nurses - Decision to Activate an Adult Rapid Response Team in a Community Hospital. Dimens Crit Care Nurs. aprile 2016;35(2):99–107. DOI: 10.1097/DCC.0000000000000162
Ludikhuize J, Smorenburg SM, de Rooij SE, de Jonge E. Identification of deteriorating patients on general wards; measurement of vital parameters and potential effectiveness of the Modified Early Warning Score. J Crit Care. 2012;27(4):424.e7-424.e13. DOI: 10.1016/j.jcrc.2012.01.003
Mapp ID, Davis LL, Krowchuk H. Prevention of Unplanned Intensive Care Unit Admissions and Hospital Mortality by Early Warning Systems. Dimens Crit Care Nurs. 2013;32(6):300–309. DOI: 10.1097/DCC.0000000000000004
Gardner-Thorpe J, Love N, Wrightson J, Walsh S, Keeling N. The Value of Modified Early Warning Score (MEWS) in Surgical In-Patients: A Prospective Observational Study. Ann R Coll Surg Engl. 2006;88(6):57-5. DOI: 10.1308/003588406X130615
Dalton M, Harrison J, Malin A, Leavey C. Factors that influence nurses: assessment of patient acuity and response to acute deterioration. Br J Nurs. 2018;27(4):212-8. DOI: 10.12968/bjon.2018.27.4.212
Liaw SY, Scherpbier A, Klainin Yobas P, Rethans J-J. A review of educational strategies to improve nurses' roles in recognizing and responding to deteriorating patients. Int Nurs Rev. 2011;58(3):296-303. DOI: 10.1111/j.1466-7657.2011.00915.x
Morgan R, Williams F, Wright M. An early warning scoring system for detecting developing critical illness. Clin Intensive Care. 1997;8(2):100.
Stenhouse C, Coates S, Tivey M, Allsop P, Parker T. Prospective evaluation of a modified Early Warning Score to aid earlier detection of patients developing critical illness on a general surgical ward. Br J Anaesth. 2000;84(5):663P. DOI: 10.1093/bja/84.5.663
Subbe CP, Kruger M, Rutherford P, Gemmel L. Validation of a modified Early Warning Score in medical admissions. QJM Mon J Assoc Physicians. 2001;94(10):521-6. DOI: 10.1093/qjmed/94.10.521
Smith GB, Prytherch DR, Meredith P, Schmidt PE, Featherstone PI. The ability of the National Early Warning Score (NEWS) to discriminate patients at risk of early cardiac arrest, unanticipated intensive care unit admission, and death. Resuscitation. 2013;84(4):465-70. DOI: 10.1016/j.resuscitation.2012.12.016
Dundar ZD, Ergin M, Karamercan MA, Ayranci K, Colak T, Tuncar A, et al. Modified Early Warning Score and VitalPac Early Warning Score in geriatric patients admitted to emergency department. Eur J Emerg Med. 2016;23(6):406-12. DOI: 10.1097/MEJ.0000000000000274
Maftoohian M, Assarroudi A, Stewart JJ, Dastani M, Rakhshani MH, Sahebkar M. Evaluating the Use of a Modified Early Warning Score in Predicting Serious Adverse Events in Iranian Hospitalized Patients: A Prognostic Study. J Emerg Nurs. 2020;46(1):72–82. DOI: 10.1016/j.jen.2019.10.015
Stafseth SK, Grønbeck S, Lien T, Randen I, Lerdal A. The experiences of nurses implementing the Modified Early Warning Score and a 24-hour on-call Mobile Intensive Care Nurse: An exploratory study. Intensive Crit Care Nurs. 2016;34:33-41. DOI: 10.1016/j.iccn.2015.07.008
Burch VC, Tarr G, Morroni C. Modified early warning score predicts the need for hospital admission and inhospital mortality. Emerg Med J. 2008;25(10):674-8. DOI: 10.1136/emj.2007.057661
Aygun H, Eraybar S, Ozdemir F, Armagan E. Predictive Value of Modified Early Warning Scoring System for Identifying Critical Patients with Malignancy in Emergency Department. Arch Iran Med. 2020;23(8):536-41. DOI: 10.34172/aim.2020.56
Tirotta D, Gambacorta M, La Regina M, Attardo T, Lo Gullo A, Panzone F, et al. Evaluation of the threshold value for the modified early warning score (MEWS) in medical septic patients: a secondary analysis of an Italian multicentric prospective cohort (SNOOPII study). QJM Int J Med. 2017;110(6):369–73. DOI: 10.1093/qjmed/hcw229
Milani L, Mannone C, Guerra C, Caruso R. La scala Modified Early Warning Score (MEWS) applicata al triage può predire la necessità di ricovero? Studio pilota. Scenario. 2020;36(4):11-5.
Salottolo K, Carrick M, Johnson J, Gamber M, Bar-Or D. A retrospective cohort study of the utility of the modified early warning score for interfacility transfer of patients with traumatic injury. BMJ Open. 2017;7(5):e016143. DOI: 10.1136/bmjopen-2017-016143
da Rocha TF, Neves JG, Viegas K. Modified early warning score: evaluation of trauma patients. Rev Bras Enferm. 2016;69(5):850-5. DOI: 10.1590/0034-7167-2015-0145
Nishijima I, Oyadomari S, Maedomari S, Toma R, Igei C, Kobata S, et al. Use of a modified early warning score system to reduce the rate of in-hospital cardiac arrest. J Intensive Care. 2016;4(1):12. DOI: 10.1186/s40560-016-0134-7
Peris A, Zagli G, Maccarrone N, Batacchi S, Cammelli R, Cecchi A, et al. The use of Modified Early Warning Score may help anesthesists in postoperative level of care selection in emergency abdominal surgery. Minerva Anestesiol. 2012;78(9):1034.
Kim WY, Shin YJ, Lee JM, Huh JW, Koh Y, Lim C-M, et al. Modified early warning score changes prior to cardiac arrest in general wards. PloS One. 2015;10(6):e0130523. DOI: 10.1371/journal.pone.0130523
Subbe CP, Davies RG, Williams E, Rutherford P, Gemmell L. Effect of introducing the Modified Early Warning score on clinical outcomes, cardio-pulmonary arrests and intensive care utilisation in acute medical admissions. Anaesthesia. 2003;58(8):797–802. DOI: 10.1046/j.1365-2044.2003.03258.x
Monzon L da R, Boniatti MM, Monzon L da R, Boniatti MM. Utilizao do Modified Early Warning Score na transferencia intra-hospitalar de pacientes. Rev Bras Ter Intensiva. 2020;32(3):439-43. DOI: 10.5935/0103-507x.20200074
Montenegro SMSL, Miranda CH, Montenegro SMSL, Miranda CH. Evaluation of the performance of the modified early warning score in a Brazilian public hospital. Rev Bras Enferm. 2019;72(6):1428-34. DOI: 10.1590/0034-7167-2017-0537
Lam T, Mak P, Siu W, Lam M, Cheung T, Rainer T. Validation of a Modified Early Warning Score (Mews) in Emergency Department Observation Ward Patients. Hong Kong J Emerg Med. 2006;13(1):24-30. DOI: 10.1177/102490790601300102
Sousa VD, Rojjanasrirat W. Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: a clear and user-friendly guideline. J Eval Clin Pract. 2011;17(2):268-74. DOI: 10.1111/j.1365-2753.2010.01434.x
Falbo L, Terzoni S, Destrebecq A, Bonetti L. Traduzione e validazione in italiano della Behavioral Pain Scale (BPS) per la valutazione del dolore in pazienti incoscienti e sedati. Scenario. 2013;30(4):18.
Lynn MR. Determination and quantification of content validity. Nurs Res. 1986;35(6):382-5. DOI: 10.1097/00006199-198611000-00017
Heller AR, Mees ST, Lauterwald B, Reeps C, Koch T, Weitz J. Detection of Deteriorating Patients on Surgical Wards Outside the ICU by an Automated MEWS-Based Early Warning System With Paging Functionality. Ann Surg. 2020;271(1):100-5. DOI: 10.1097/SLA.0000000000002830
Odell M, Foster A, Rudman K, Bass F. The critical care outreach service and the early warning system on surgical wards. Nurs Crit Care. 2002;7(3):132-5.
Yu M, Huang B, Liu P, Wang A, Ding W, Zhai Y, et al. Detection of deteriorating patients after Whipple surgery by a modified early warning score (MEWS). Ann Transl Med. 2019;7(20). DOI: 10.21037/atm.2019.09.24
American College of Surgeons Committee on Trauma Subcommittee on Advanced Trauma Life Support. Advanced trauma life support course for physicians. The Committee; 1989.
Polit DF, Beck CT. The content validity index: Are you sure you know what's being reported? Critique and recommendations. Res Nurs Health. 2006;29(5):489-97. DOI: 10.1002/nur.20147
Wynd CA, Schmidt B, Schaefer MA. Two Quantitative Approaches for Estimating Content Validity. West J Nurs Res. 2003;25(5):508-18. DOI: 10.1177/0193945903252998
Mizrahi J, Kott J, Taub E, Goolsarran N. Low daily MEWS scores as predictors of low-risk hospitalized patients. QJM Int J Med. 2020;113(1):20-4. DOI: 10.1093/qjmed/hcz213
Keene CM, Kong VY, Clarke DL, Brysiewicz P. The effect of the quality of vital sign recording on clinical decision making in a regional acute care trauma ward. Chin J Traumatol Zhonghua Chuang Shang Za Zhi. 2017;20(5):283-7. DOI: 10.1016/j.cjtee.2016.11.008
Supporting Agencies
How to Cite
Beretta, M., Popolla, A., Subbe, C. P., Cornelli, S., Bolzoni, M., Grossi, C. F., Capelli, P., Lucenti, E., Guasconi, M., & Granata, C. (2021). Translation and adaptation into Italian of the "Modified Early Warning Score" (MEWS) index for early recognition of clinical instability. Scenario® - Il Nursing Nella Sopravvivenza, 38(3), 5–9. https://doi.org/10.4081/scenario.2021.485
Copyright (c) 2021 Scenario
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Aniarti has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.