PMID- 37129854
OWN - NLM
STAT- Publisher
LR  - 20230502
IS  - 1680-0745 (Electronic)
IS  - 1015-9657 (Linking)
VI  - 34
DP  - 2023 Apr 28
TI  - Assessment value of the modified early warning score for long-term prognosis of 
      older patients with chronic heart failure.
PG  - 1-4
LID - 10.5830/CVJA-2023-003 [doi]
AB  - AIM: The aim of the study was to explore the assessment value of the modified 
      early warning score (MEWS) for the long-term prognosis of older patients with 
      chronic heart failure (CHF). METHODS: A total of 180 CHF patients, treated from 
      January 2016 to January 2018, were divided into a grade I group (n = 28), a grade 
      II group (n = 37), a grade III group (n = 68) and a grade IV group (n = 47) 
      according to the New York Heart Association (NYHA) functional classification. The 
      MEWS was compared on admission and discharge. Based on the clinical outcomes 
      during follow up, the patients were divided into a non-survival group (n = 48) 
      and a survival group (n = 132). Their general clinical data and the MEWS were 
      compared. The predictive values of the MEWS, troponin I (cTnI) and B-type 
      natriuretic (BNP) peptide for long-term prognosis were assessed using receiver 
      operator characteristic (ROC) curves. RESULTS: The MEWS on patient discharge was 
      significantly lower than that on admission, and it increased with increasing NYHA 
      grade (p < 0.05). The MEWS in the non-survival group was significantly higher 
      than that in the survival group. Different clinical outcomes were positively 
      correlated with NYHA grade, MEWS, six-minute walking distance and left 
      ventricular ejection fraction (r = 0.368, r = 0.471, r = 0.387, r = 0.423, p < 
      0.05), and negatively correlated with cTnI and BNP (r = -0.411, r = -0.425). The 
      area under the ROC curve of the MEWS was 0.852, indicating higher accuracy. The 
      optimal cut-off value, sensitivity and specificity of the MEWS for determining 
      prognosis were 5.6, 0.854 and 0.797 points, respectively. CONCLUSION: The MEWS 
      rose with increasing NYHA grade and reflected the severity of CHF in older 
      patients, which has higher predictive value for long-term prognosis.
FAU - Yin, Yin
AU  - Yin Y
AD  - Department of Cardiology, The First Affiliated Hospital of Shihezi University, 
      Shihezi, Xinjiang Uygur Autonomous Region, China. Email: czk71094@163.com.
FAU - Chen, Jie
AU  - Chen J
AD  - Department of Cardiology, The First Affiliated Hospital of Shihezi University, 
      Shihezi, Xinjiang Uygur Autonomous Region, China.
FAU - Jiang, Shijiu
AU  - Jiang S
AD  - Department of Cardiology, The First Affiliated Hospital of Shihezi University, 
      Shihezi, Xinjiang Uygur Autonomous Region, China.
LA  - eng
PT  - Journal Article
DEP - 20230428
PL  - South Africa
TA  - Cardiovasc J Afr
JT  - Cardiovascular journal of Africa
JID - 101313864
SB  - IM
OTO - NOTNLM
OT  - NYHA functional classification
OT  - chronic heart failure
OT  - long-term prognosis
OT  - modified early warning score
OT  - older patient
EDAT- 2023/05/02 12:43
MHDA- 2023/05/02 12:43
CRDT- 2023/05/02 11:13
PHST- 2022/11/22 00:00 [received]
PHST- 2023/01/18 00:00 [accepted]
PHST- 2023/05/02 12:43 [medline]
PHST- 2023/05/02 12:43 [pubmed]
PHST- 2023/05/02 11:13 [entrez]
AID - 10.5830/CVJA-2023-003 [doi]
PST - aheadofprint
SO  - Cardiovasc J Afr. 2023 Apr 28;34:1-4. doi: 10.5830/CVJA-2023-003.