title: Physiological-social scores in predicting outcomes of prehospital internal patients.
abstract: The physiological-social modified early warning score system is a newly developed instrument for the identification of patients at risk. The aim of this study was to investigate the feasibility of using the physiological-social modified early warning score system for the identification of patients that needed prehospital emergency care. This prospective cohort study was conducted with 2157 patients. This instrument was used as a measure to detect critical illness in patients hospitalised in internal wards. Judgment by an emergency medicine specialist was used as a measure of standard. Data were analyzed by using receiver operating characteristics curves and the area under the curve with 95% confidence interval. The mean score of the physiological-social modified early warning score system was 2.71 ± 3.55. Moreover, 97.6% patients with the score ≥ 4 needed prehospital emergency services. The area under receiver operating characteristic curve was 0.738 (95% CI = 0.708-0.767). Emergency medical staffs can use PMEWS ≥ 4 to identify those patients hospitalised in the internal ward as at risk patients. The physiological-social modified early warning score system is suggested to be used for decision-making of emergency staff about internal patients' wards in EMS situations.
authors.affiliation: School of Nursing and Allied Medical Sciences, Semnan University of Medical Sciences, Semnan, Iran ; Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Abbasali
authors.identifier: 0000-0003-2665-0514
authors.initials: A
authors.lastname: Ebrahimian
authors.affiliation: Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Hesam
authors.identifier: 0000-0001-5614-4052
authors.initials: H
authors.lastname: Seyedin
authors.affiliation: School of Health Management and Information Sciences, Iran University of Medical Sciences, No. 6, Rashid Yasemi Street, Vali-e-asr Avenue, Tehran 1995614111, Iran.
authors.forename: Roohangiz
authors.initials: R
authors.lastname: Jamshidi-Orak
authors.affiliation: Emergency Department, 7th Tir Hospital, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Gholamreza
authors.identifier: 0000-0002-8047-098X
authors.initials: G
authors.lastname: Masoumi