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All Journal Jurnal Keperawatan COPING (Community of Publishing in Nursing) Jurnal Online Mahasiswa (JOM) Bidang Pertanian INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Well Being Journal of Scientific Research, Education, and Technology Indonesian Health Literacy Journal (IHLJ)
Rudi Hariyono, Rudi
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Agriculture, Biological Sciences & Forestry Computer Science & IT Economics, Econometrics & Finance Education Engineering Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Journal : Journal of Scientific Research, Education, and Technology

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The Prognostic Value of Early Warning Scores in Predicting Mortality among Stroke Patients: A Systematic Review Hariyono, Rudi; Rofi'ah, Ika Ainur
Journal of Scientific Research, Education, and Technology (JSRET) Vol. 4 No. 3 (2025): Vol. 4 No. 3 2025
Publisher : Kirana Publisher (KNPub)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58526/jsret.v4i3.833

Abstract

Stroke remains a leading global cause of mortality and disability, necessitating effective tools for early risk stratification. This systematic review evaluates the prognostic performance of Early Warning Scores (EWS)—MEWS, NEWS, and NEWS2—in predicting in-hospital mortality among stroke patients. Five studies published between 2021 and 2025 were included, encompassing diverse stroke subtypes and care settings. Across studies, higher EWS values were consistently associated with increased mortality risk, with odds ratios ranging from 2.44 to 3.21 and AUROC values between 0.69 and 0.79. NEWS2 generally outperformed MEWS and NEWS. Importantly, models incorporating neurological assessments, particularly the Glasgow Coma Scale (GCS), significantly improved predictive accuracy (AUROC 0.87). While EWS are valuable for early detection of deterioration, their performance in stroke is enhanced by integrating neurological parameters. These findings support the development of combined scoring systems and digital integration to optimize early intervention strategies in acute stroke care across varied healthcare settings.
Co-Authors , Deviona, , being, well Chaterina Janes Pratiwi Diana Pratiwi, Diana Elza Zuhry Hadi Sutomo Lutfi Wahyuni Makhfudli Makhfudli Pratiwi, chaterina Janes Pujiwati, Ely Redita, Myrsanila Winny Ririn Kusmiati rofiah, ika ainur Saadah, Hilwatus Soedarsono Soedarsono Vendi Eko Kurniawan Wijayanti, Nenes