Detection of deteriorating patients after Whipple surgery by a modified early warning score (MEWS)

It is challenging to identify ward patients who are in danger of deterioration. In the earlier literature, through the observation of cases, Goldhill emphasized the importance of physiological abnormality as a marker for a person whose condition dramatically worsens (1). Thus, the early warning system was conceived, and, depending on the actual situation in different countries and departments, the modified early warning scores (MEWS) was created. Moreover, the MEWS is intended to improve communication between nursing staff and junior doctors and to respond to patients who need to be given immediate priority. Louise indicated that adherence to the MEWS protocol is essential (2). Some studies have illustrated that the risk of death increased with an increasing MEWS score (3-5). However, Vorwerk voiced concerns about the tendency of low MEWS stratification to create type II errors (6)