The 4th International Conference on Nursing

Author :

Srikandi Puspa Amandaty

Affiliation :

Master of Nursing, Universitas Brawijaya, Malang, Indonesia

Abstract :

Introduction The difference between the MEWS and NEWS is the number of supervised physiological parameters and the type of physiological parameters used. The aim of the study was to determine the effectiveness of MEWS and the NEWS in predicting cardiac arrest in hospitals. Methods The study collected articles from 2008-2018 using the Proquest, ScienceDirect, Google Scholar and Pubmed databases, using the keyword "Modified Early Warning Score", "National Early Warning Score", and "in hospital cardiac arrest". Result The final selection obtained 6 articles finally included in a systematic review, with the number of samples ± 64,588 people. Predictor of cardiac arrest MEWS in the two results (OR: 0.77, 95% CI: 0.60 - 0.97) and (OR: 1.39, 95% CI: 1.04 - 1.85). MEWS predicted patients to survive in hospital (p <.002), young age (p <.005), ventricular fibrillation (p <.0001), and ventricular tachycardia (p <.0001). In the NEWS predictor, the results of AUROC (95% CI) heart attack were 0.747 (0.685-0.759) and predicted cardiac arrest (OR 4.43, 95% CI 1.81-10.83). While NEWS combination with blood gas examination showed results (OR 1.18, p = 0.01 and OR 1.13, p = 0.03) compared to NEWS only (OR 1.46, p <0.01). Conclusion MEWS and NEWS are effective measuring tools for predicting cardiac arrest in hospitals.

Keywords :

MEWS; NEWS; Predictor; Cardiac Arrest