Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Mortar Joint Deterioration in Masonry

Mortar Joint Deterioration in Masonry

Mortar joint deterioration is a significant concern in masonry structures, with water accumulation in the joints leading to damage from freeze-thaw cycles. The repeated expansion of water during freezing and its melting during thawing develop and propagate cracks in the masonry joints. Eventually, this leads to the spalling of mortar from the joints, loosening masonry units and weakening the structure. The deteriorated mortar joints are also vulnerable to moisture intrusion into the walls.
The...

Introduction to Vital Signs

Introduction to Vital Signs

Vital signs are physiological measurements that help key into the status of the body's essential functions. These include body temperature, pulse rate, respiratory rate, and blood pressure, commonly abbreviated as T, P, R, and BP. Some healthcare settings also consider oxygen saturation (SpO2) and, in specific contexts, pain and level of consciousness as additional vital signs.
Vital signs help healthcare professionals assess an individual's well-being and detect any functional changes...

Guidelines For Measuring Vital Signs

Guidelines For Measuring Vital Signs

Following these guidelines can help nurses accurately measure vital signs, assess changes in patient conditions, and provide timely treatment when necessary. Adhering closely to the guidelines ensures the accuracy and reliability of the results.
Before taking a patient's vital signs, a nurse would consider and assess the patient's comfort level and ensure appropriate equipment is available.

Wave Parameters

Wave Parameters

The simplest mechanical waves are associated with simple harmonic motion and repeat themselves for several cycles. These simple harmonic waves can be modeled using a combination of sine and cosine functions. Consider a simplified surface water wave that moves across the water's surface. Unlike complex ocean waves, in surface water waves, water moves vertically, oscillating up and down, whereas the disturbance of the wave moves horizontally through the medium. If a seagull is floating on the...

Distributions to Estimate Population Parameter

Distributions to Estimate Population Parameter

The accurate values of population parameters such as population proportion, population mean, and population standard deviation (or variance) are usually unknown. These are fixed values that can only be estimated from the data collected from the samples. The estimates of each of these parameters are sample proportion, the sample mean, and sample standard deviation (or variance). To obtain the values of these sample statistics, data are required that have particular distribution and central...

Noncompartmental Analysis: Miscellaneous Pharmacokinetic Parameters

Noncompartmental Analysis: Miscellaneous Pharmacokinetic Parameters

The noncompartmental approach is a widely used method in pharmacokinetics to assess drugs' behaviors in the body. It considers several factors, including clearance, bioavailability, and total volume of distribution.
One key aspect of the noncompartmental approach is determining a drug's total clearance. This can be done by dividing the drug dose by the area under the concentration-time curve from zero to infinity. The area under the concentration-time curve represents the drug's...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Stable Trends in Clinical Outcomes Before Introduction of Couplet Care in a Danish Neonatal Intensive Care Unit.

Acta paediatrica (Oslo, Norway : 1992)·2026

Same author

Through a Filter of Empathy and Understanding: Patients' Experiences of Missed Nursing Care.

Journal of clinical nursing·2026

Same author

Turbulence in Nursing-A Conceptual and Contextual Exploration.

Nursing reports (Pavia, Italy)·2026

Same author

Relatives' Involvement in the Care Pathway of Patients With Acquired Brain Injury or Malignant Brain Tumour: An Observational Study.

Nursing research and practice·2026

Same author

Changes in Health-Related Quality of Life After Metabolic and Bariatric Surgery: A Prospective Single-Center Cohort Study.

Obesity science & practice·2026

Same author

Recovery after delirium in patients with neurological diseases: a systematic review protocol.

JBI evidence synthesis·2026

Same journal

A DEMATEL-based model to analyze causal factors affecting patients' informed consent.

International journal of health care quality assurance·2026

Same journal

Examining the relationship between perceived behavioral control and purchasing intention toward health insurance with a moderating effect of demographics.

International journal of health care quality assurance·2026

Same journal

Health insurance, health care utilization and health outcomes in Nigeria: evidence from DHS data.

International journal of health care quality assurance·2026

Same journal

Leveraging the MBNQA framework to advance quality assurance in healthcare.

International journal of health care quality assurance·2026

Same journal

Hospital service quality and patient loyalty: a comparative analysis of government and private hospitals in Chhattisgarh.

International journal of health care quality assurance·2026

Same journal

Technology meets trust: a UTAUT-driven exploration of AI-based medical device implementation in healthcare.

International journal of health care quality assurance·2026

See all related articles

Search research articles

Related Experiment Video

Updated: Jan 27, 2026

Author Spotlight: Imaging Pericytes Post-Subarachnoid Hemorrhaging in Rodents

Author Spotlight: Imaging Pericytes Post-Subarachnoid Hemorrhaging in Rodents

Published on: August 18, 2023

Bedside vital parameters that indicate early deterioration.

Gitte Bunkenborg¹, Ingrid Poulsen², Karin Samuelson³

¹Department of Anaesthesiology, Copenhagen University Hospital , Copenhagen, Denmark.

International Journal of Health Care Quality Assurance

|March 13, 2019

Summary

This summary is machine-generated.

Elevated Modified Early Warning Score (MEWS) levels of 2 or 3, particularly those linked to breathing or heart rate, indicate a higher risk of clinical deterioration. Close monitoring, especially for elderly patients, is crucial for patient safety.

Keywords:

Association Clinical deterioration Early warning score General ward patients Vital parameters

More Related Videos

A Detailed Protocol for Physiological Parameters Acquisition and Analysis in Neurosurgical Critical Patients

A Detailed Protocol for Physiological Parameters Acquisition and Analysis in Neurosurgical Critical Patients

Published on: October 17, 2017

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

Published on: March 26, 2019

Related Experiment Videos

Last Updated: Jan 27, 2026

Author Spotlight: Imaging Pericytes Post-Subarachnoid Hemorrhaging in Rodents

Author Spotlight: Imaging Pericytes Post-Subarachnoid Hemorrhaging in Rodents

Published on: August 18, 2023

A Detailed Protocol for Physiological Parameters Acquisition and Analysis in Neurosurgical Critical Patients

A Detailed Protocol for Physiological Parameters Acquisition and Analysis in Neurosurgical Critical Patients

Published on: October 17, 2017

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

Published on: March 26, 2019

Area of Science:

Medical research
Clinical informatics
Patient safety

Background:

The Modified Early Warning Score (MEWS) is a widely used tool for assessing patient deterioration.
Identifying specific vital parameter deviations that predict further decline is essential for timely intervention.
Understanding the associations between initial MEWS scores and subsequent clinical events can improve patient outcomes.

Purpose of the Study:

To determine the association between initial bedside vital parameter deviations contributing to MEWS levels 2 or 3 and subsequent clinical deterioration (MEWS level=4).
To evaluate the time intervals associated with this deterioration.
To identify specific vital signs that are significant predictors of further decline.

Main Methods:

Prospective study involving 27,504 vital parameter sets from 1,315 adult medical and surgical patients.
Binary logistic and COX regression analyses were used to assess associations between initial MEWS levels (2 or 3) and deterioration to MEWS level 4.
Analysis included evaluation of time intervals to deterioration.

Main Results:

Respiratory rate, heart rate, and patient age were significantly associated with deterioration from MEWS level 2.
Heart rate was also significantly associated with deterioration from MEWS level 3.
Within 24 hours, 8% and 17% of patients with initial MEWS levels of 2 and 3, respectively, deteriorated to MEWS level 4.
Patients with an initial MEWS of 2 who later reached MEWS 4 had a 27% 30-day mortality rate, compared to 8.7% for those who did not deteriorate further.

Conclusions:

Initial MEWS levels of 2 or 3, especially when related to tachypnea or tachycardia, warrant close patient observation.
Elderly patients with these scores require particular attention.
These findings can inform clinical and organizational decisions regarding early warning scoring implementation and timing in general ward settings to enhance patient safety.