Modified Early Warning Score (MEWS) as Predictor of Deterioration Risk on Patient with Stroke in Emergency Unit in Malang

Abstract

Stroke is a acute nerve function disorder due to disruption of blood circulation in the brain that occurs suddenly or quickly causes symptoms and signs that correspond to the affected focal area. Stroke is one of the diseases that cause death, disability, reduce a person’s productivity, and increase the economic burden. This is related to the deterioration condition of the patient while in the emergency unit. This research is an observational analytic study with a cohort design through a prospective approach. The population in this study was stroke patients who entered the emergency unit in Malang. The number of samples of this study was 109 patients obtained by purposive sampling technique. Data were collected using observation sheets and analyzed by univariate and bivariate analysis. The result of bivariate analysis used Mann-Whitney test shown that there was a significant correlation between MEWS and the risk of deterioration in emergency unit with a value of p=0.000. The ROC test results obtained AUC value 0.830, MEWS score was >4 and had sensitivity of 46.2% and specificity of 95.7%. Conclusion MEWS is a good predictor in detecting risk of deterioration, simple, easy and fast to do in the emergency unit