Iranian Journal of Nursing and Midwifery Research最新文献

{"title":"Assessment and Analysis of the Data from the Program \"Basic Interventions of Non-Communicable Diseases in Iran's Primary Health Care System in Urmia City, Iran, 2023.","authors":"Behrouz Fathi, Sara Pourrazavi, Vahid Alinejad, Samira Firooziyan, Ehsan Rikhtegar, Zahra Moradi","doi":"10.4103/ijnmr.ijnmr_285_24","DOIUrl":"10.4103/ijnmr.ijnmr_285_24","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular diseases are among the leading causes of death and disability worldwide, including in Iran. Identifying their risk factors is essential for implementing cost-effective preventive interventions. This study aimed to determine the prevalence of behavioral risk factors for non-communicable diseases and their relationship with of cardiovascular diseases risk level in Urmia City, Iran.</p><p><strong>Materials and methods: </strong>This cross-sectional study involved 10,000 individuals aged 30 years and older who underwent risk assessment in 2023. Participants were selected through multi-stage cluster sampling. Data were collected using a researcher-designed checklist within the Integrated Health System and analyzed using, employing independent t-tests and Chi-square tests.</p><p><strong>Results: </strong>The prevalence of risk factors was: history of diabetes (12.22%), hypertension (17.24%), high cholesterol (14.93%), family history of diabetes (4.25%), pre-diabetes (7.19%), and pre-hypertension (29.33%). The distribution of risk levels was as follows: 91.15% of participants was classified as having a risk level below 10%, 8.24% between 10 and 20%, 0.33% between 20 and 30%, and 0.28% above 30%. There was a significant positive correlation between risk level and fasting blood sugar, cholesterol, systolic and diastolic blood pressure, age, body mass index (BMI), and waist circumference.</p><p><strong>Conclusions: </strong>The implementation of the risk assessment program and the identification of risk factors at early stages will help in the regular follow-up of high-risk individuals, provide them with necessary health care, and lead to the prevention or early diagnosis of disease.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 2","pages":"246-252"},"PeriodicalIF":1.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13241031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spiritual Well-Being, and Caring Burden of Informal Caregivers of Stroke Patients.","authors":"Mahmoud Shokouhi-Tabar, Zahra Saboohi, Mohadeseh Sadri, Aida Ebipoor, Hanieh Ghasemi, Mohammadamin Shabani, Zahra Taheri-Kharameh, Reza Mohammadi, Fatemeh Nojavan","doi":"10.4103/ijnmr.ijnmr_356_24","DOIUrl":"10.4103/ijnmr.ijnmr_356_24","url":null,"abstract":"<p><strong>Background: </strong>Caregivers of stroke patients face the significant burden. This study aimed to explore the relationship between caregiver burden and spiritual well-being among caregivers of stroke patients in Qom, Iran.</p><p><strong>Materials and methods: </strong>This cross-sectional study included 112 caregivers of stroke patients. Participants were selected using convenience sampling from three rehabilitation centers in Qom, Iran, between March and December 2022. Data was collected using the Caregiver Burden Inventory and the Ellison and Paloutzian Spiritual Well-being Questionnaire. The data were analyzed using descriptive and analytical statistical methods, including linear regression analysis, in SPSS 24 software.</p><p><strong>Results: </strong>The mean (SD) caregiver burden was 67.10 (6.76), with 87.10% of participants reporting a high caregiver burden. The mean (SD) religious well-being score was 50.25 (9.41), while the mean (SD) existential well-being score was 42.78 (11.28). The stepwise multiple linear regression analysis showed that, after adjusting for demographic characteristics, care dependency (β = 0.380, <i>p</i> = 0.001) and existential well-being (β = 0.277, <i>p</i> = 0.009) were significantly associated with caregiver burden. These variables explained 38.00% of the variance in caregiver burden.</p><p><strong>Conclusions: </strong>The study suggests that enhancing spiritual aspects, particularly existential well-being, could reduce the perceived burden of caregivers. This valuable insight can be utilized to create interventions aimed at alleviating the challenges experienced by caregivers of stroke patients, ultimately reducing the impact of these difficulties.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 2","pages":"263-268"},"PeriodicalIF":1.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13241025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uterine Cervical Cancer: Diagnostic Accuracy of Clinical Staging, Magnetic Resonance Imaging, and Histopathology Findings.","authors":"Fatemeh Zahrasadat Allameh, Fahimeh Sabet, Fariba Behnamfar, Leila Mousavi Seresht, Sara Amini","doi":"10.4103/ijnmr.ijnmr_160_24","DOIUrl":"10.4103/ijnmr.ijnmr_160_24","url":null,"abstract":"<p><strong>Background: </strong>Cervical cancer (CC) ranks as the fourth most commonly diagnosed cancer in women globally. Accurate staging is crucial for treatment planning. Although magnetic resonance imaging (MRI) has been validated as a reliable modality for CC staging, limited evidence exists on its accuracy compared to dual International Federation of Gynecology and Obstetrics (FIGO) classifications in an Iranian population. This study addresses this gap by evaluating the diagnostic accuracy of MRI against both clinical FIGO staging systems and the gold standard of histopathology in untreated CC patients.</p><p><strong>Materials and methods: </strong>A prospective study was conducted on 45 CC patients from January 2021 to December 2023, at tertiary-care centers in Isfahan, Iran. Clinical FIGO staging and pretreatment MRI were performed, followed by surgery and histopathological examination. MRI's diagnostic accuracy was compared with clinical FIGO staging and postoperative pathological findings.</p><p><strong>Results: </strong>The overall diagnostic accuracy of MRI for staging cervical carcinoma was 82.20%, with clinical FIGO staging achieving 57.80% accuracy. MRI demonstrated higher sensitivity (82.20%) and positive predictive value (PPV; 97.40%) compared to clinical FIGO. However, both methods showed equal and lower specificity (50%) compared with the postoperative pathological findings.</p><p><strong>Conclusions: </strong>MRI appears to be more effective than FIGO in terms of sensitivity and PPV for staging cervical carcinoma. The present study underlines the need for cautious interpretation of the results and further research due to significant uncertainty in specificity and negative predictive value. Combining FIGO staging and MRI provides a comprehensive assessment essential for effective treatment planning.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 2","pages":"233-237"},"PeriodicalIF":1.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13241040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Counseling Based on Motivational Interviewing on Childbearing Intention in Single-Child Women: A Randomized Clinical Trial.","authors":"Bahare Amiri TooranPoshti, Shahnaz Mojahed, Tayebeh S Ardakani, Sara Jambarsang, Fatemeh ZareMobini","doi":"10.4103/ijnmr.ijnmr_412_24","DOIUrl":"10.4103/ijnmr.ijnmr_412_24","url":null,"abstract":"<p><strong>Background: </strong>Childbearing is the key factor influencing the demographic pyramid of communities. Today, couples' reduced desire to have children or delay it has exerted many adverse effects on various social dimensions. Thus, this study determined the effect of counseling based on motivational interviewing on childbearing intention in single-child women.</p><p><strong>Materials and methods: </strong>This parallel randomized clinical trial was conducted between January 2023 and May 2024 at Rahmat Abad Comprehensive Health Center in Yazd, Iran. Ninety single-child women were randomized to intervention and control groups. The data collection tools included the Child-bearing Motivation Questionnaire and the Demographic Information Questionnaire, which were completed before, immediately after, and 2 months after the intervention. Data were analyzed using SPSS 16, independent t-tests, analysis of variance with repeated measures, and chi-square test.</p><p><strong>Results: </strong>There was a significant difference in the score of intention to childbearing between the intervention and control groups immediately (t ₈₈ = 11.435, <i>p</i> < 0.001) and 2 months after intervention (t ₈₈ = 13.591, <i>p</i> < 0.001), and the mean score of the intention to childbearing in each time was greater in intervention group compared to the control group. Furthermore, there was a significant difference in the dimensions of intention to childbearing (positive motivation for childbearing, fertility preferences, fertility concerns, and social beliefs) immediately (<i>p</i> < 0.001) and 2 months after the intervention (<i>p</i> < 0.001) between the intervention and control groups.</p><p><strong>Conclusions: </strong>Considering the effectiveness of counseling based on the motivational interview approach, it is suggested that this method be implemented in health centers for single-child mothers to help increase childbearing.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 2","pages":"290-297"},"PeriodicalIF":1.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13241029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Correlation of the Perfusion Index with Pain Scales in Infants Undergoing Surgery.","authors":"Razieh Sangsari, Maryam Saeedi, Kayvan Mirnia, Mohammad Aziz Anwary, Maryam Veysizadeh, Mehrdad Azad","doi":"10.4103/ijnmr.ijnmr_352_23","DOIUrl":"10.4103/ijnmr.ijnmr_352_23","url":null,"abstract":"<p><strong>Background: </strong>The Perfusion Index (PI) is considered an important tool for evaluating the condition of infants, but there are few studies on the correlation between PI and pain assessment in infants. Therefore, this study aimed to investigate the correlation between PI and pain scale in infants undergoing surgery.</p><p><strong>Materials and methods: </strong>This prospective, cross-sectional study was conducted in the Neonatal Intensive Care Unit (NICU) of the Children's Medical Center in Tehran, Iran, between April 2020 and April 2023. Using the Crying Requires, Oxygen, Increased vital signs, Expression, and Sleeplessness and right-hand mean PI, using a Masimo pulse oximeter, pain scales were recorded immediately after surgery in the NICU and every 4 h for a total of 24 h by a skilled nurse unaware of the study. The correlation between PI and factors such as age, weight, NICU admission length, and pain scale was analyzed.</p><p><strong>Results: </strong>Our study found an inverse correlation between the pain scale and PI (<i>p</i> < 0.05; <i>r</i>: -0.385). Additionally, age, gestational age, and PI had a positive correlation with weight (<i>p</i> < 0.05; <i>r</i>: 0.233, 0.132, and 0.044, respectively). The age of the infant was also correlated with PI (<i>p</i> < 0.05; <i>r</i>: 0.307). Moreover, NICU admission length was inversely related to the PI scale (<i>p</i> < 0.05; <i>r</i>: -0.119).m.</p><p><strong>Conclusions: </strong>The ease of use and objective measurement method of the PI makes it a valuable nursing tool for pain measurement in infants, in addition to other methods. However, further studies are needed to confirm the effectiveness of this correlation.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 2","pages":"214-218"},"PeriodicalIF":1.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13241021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health-Related Quality of Life among Employed and Unemployed Women: A Cross-sectional Study.","authors":"Vandna Pandey, Remiya Mohan, P Gangadevi, Nancy Kurien, Joyce Joseph","doi":"10.4103/ijnmr.ijnmr_65_23","DOIUrl":"10.4103/ijnmr.ijnmr_65_23","url":null,"abstract":"<p><strong>Background: </strong>The general belief is that working women have better quality of life (QOL), yet the dual responsibility of home and workplace may have physiological or psychological issues. The study compares the Health-Related Quality of Life (HRQOL) of employed and unemployed women.</p><p><strong>Material and methods: </strong>A descriptive study using convenience sampling technique was conducted, and the data were collected online using Google Forms. SF 36 questionnaire was used to assess the HRQOL of two groups aged 20 to 45 years age. The study participants were employed and unemployed women working or not working for 6 months or more.</p><p><strong>Results: </strong>The study results show that 72.80% of employed and 70% of unemployed women had good HRQOL.</p><p><strong>Conclusions: </strong>The study result reflects that both employed and unemployed women had good HRQOL. Our results reflect that the physical aspects of unemployed women were better than those of employed women, whereas employed women had better emotional wellbeing.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 2","pages":"348-354"},"PeriodicalIF":1.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13241030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Emotional Regulation During Controlling Neuroticism in Different Types of Premenstrual Syndrome in Students.","authors":"Amin Arabshahi, Abolfazl Mohammad-Beigi, Kimia Namazi, Zahra Hedari, Zabihollah Gharlipour","doi":"10.4103/ijnmr.ijnmr_228_23","DOIUrl":"10.4103/ijnmr.ijnmr_228_23","url":null,"abstract":"<p><strong>Background: </strong>Premenstrual Syndrome (PMS) involves cyclical mood and physical symptoms tied to the menstrual cycle. Neuroticism is a fundamental personality trait characterized by a tendency toward experiencing negative emotions like grief, anxiety, anger, and guilt. Emotion regulation enables individuals to manage their feelings during such situations. This study aimed to compare emotional regulation during controlling neuroticism in different types of premenstrual syndrome in students.</p><p><strong>Materials and methods: </strong>This descriptive cross-sectional study was conducted on 421 students from Qom University of Medical Sciences. The participants were selected dormitories, sports venues, health and treatment centers, and hospitals from April 2018 to the end of December 2019 using convenience sampling. Research instruments included three questionnaires to diagnose PMS: A Premenstrual Symptoms Screening Tool (PSST), an Emotion Regulation Questionnaire (ERQ), and NEO-Five Factor Inventory (NEO-FFI) questionnaire. The data were analyzed using analysis of variance (ANOVA (, Pearson, and multiple regression.</p><p><strong>Results: </strong>ANOVA analysis indicated a significant relationship between PMS, emotional regulation (F_3,25 = 2, <i>p</i> = 0.04), and neuroticism control (F_4,22 = 2, <i>p</i> = 0.01). The results of multiple regression showed that the neuroticism controlling score had a significant effect on the score of those who had moderate PMS symptoms, emotion regulation, while neuroticism control in those with mild PMS symptoms had a significant impact and increased mild PMS by 0.03 and 0.01, respectively.</p><p><strong>Conclusions: </strong>The study found a strong link between emotional regulation and PMS. Also, the impact of controlling Neuroticism in reducing Premenstrual Dysphoric Disorder (PMDD) symptoms and recommending interventions was highlighted based on emotion regulation and neuroticism control.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 2","pages":"195-200"},"PeriodicalIF":1.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13241037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Guided Imagery and Music with <i>Sasando</i> Music on Anxiety among Ischemic Stroke.","authors":"Elisabeth Mbau, Fitria Handayani, Novi Kusumaningrum","doi":"10.4103/ijnmr.ijnmr_23_23","DOIUrl":"10.4103/ijnmr.ijnmr_23_23","url":null,"abstract":"<p><strong>Background: </strong>Guided Imagery and Music (GIM) interventions reduced the anxiety in many clinical settings. Traditional music pictures the emotion of specific culture. No interventional study was found in reducing anxiety among ischemic stroke patients using GIM with traditional music. The aim of the study is to determine the effect of GIM with <i>sasando</i> music on anxiety among ischemic stroke survivors.</p><p><strong>Materials and methods: </strong>The method was a quasi-experimental design with a pretest-post-test with a control group. Respondents are 50 ischemic stroke survivors divided into two groups and selected by the consecutive sampling technique. The instrument is the HAM-A questionnaire. The intervention group listened to GIM with Sasando Music from the Nusa Tenggara Timur Province, Indonesia. The statistical test used was the Mann-Whitney test.</p><p><strong>Results: </strong>The anxiety score in the intervention group before and after the GIM intervention showed a statistically significant difference, <i>p</i> value = 0.001 (<i>p</i> < 0.05), while in the control group, there was no statistically significant difference, <i>p</i> value = 0.683 (<i>p</i> > 0.05). The test on the two groups showed that there was no significant difference of anxiety score before intervention, <i>p</i> value = 0.351 (<i>p</i> > 0.05). After intervention, there was a significant difference in anxiety score, <i>p</i> value = 0.001 (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>GIM intervention affects anxiety level on post-ischemic stroke patients. As a recommendation, GIM can be used as an intervention to reduce anxiety in post-ischemic stroke patients.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 2","pages":"190-194"},"PeriodicalIF":1.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13241041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Dual-System Endotracheal Suction on Cardiopulmonary Functions in Mechanically Ventilated Adult Patients at Ismailia City, Egypt: Nursing Practice.","authors":"Mohamed Goda Elbqry, Eman Ragab Elsayed, Fatma Mohamed Elmansy","doi":"10.4103/ijnmr.ijnmr_186_24","DOIUrl":"10.4103/ijnmr.ijnmr_186_24","url":null,"abstract":"<p><strong>Background: </strong>Tracheal suctioning is an essential procedure used to maintain airway patency by removing secretions. However, it is a critical nursing skill that carries potential risks. This study aims to evaluate the effects of the dual-system endotracheal suction on cardiopulmonary function in mechanically ventilated adult patients.</p><p><strong>Materials and methods: </strong>A quasi-experimental design was employed in this study. A purposive sample of 74 patients was recruited from the intensive care unit of a teaching hospital in the city of Ismailia, Egypt. The patients were assigned to two equal groups, with 37 patients in each group: Group I received closed-system suction, while Group II received open-system suction. Data were collected using a single structured tool consisting of three sections: demographic information, health history, and a hemodynamic parameters sheet used to assess cardiopulmonary function before and after suctioning.</p><p><strong>Results: </strong>The mean (SD) ages of the studied patients were 49 (6.70) years in Group I and 47.2 (7.10) years in Group II. There was a highly significant difference between the use of closed- and open-suction systems for cardiopulmonary function during (<i>t</i> = 4.23; <i>P</i> = 0.01) and directly postsuction (<i>t</i> = 4.23, <i>P</i> = 0.01). However, no statistically significant differences were observed between the study groups in the presuction phase.</p><p><strong>Conclusions: </strong>Patients managed with a closed-suction system demonstrated improved cardiopulmonary function compared to those who received open suction. Therefore, the use of a closed-suction system is an effective intervention for minimizing cardiopulmonary instability and supporting the overall well-being of mechanically ventilated adult patients.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 2","pages":"238-245"},"PeriodicalIF":1.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13241043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early Warning Scores for COVID-19 Outcomes: Modified Early Warning Score and Rapid Emergency Medicine Score Performance in Mortality and Hospital Readmission Risk Stratification.","authors":"Mohammad Sahebkar, Mahnaz Langari, Masoumeh Saadati, Abdolghader Assarroudi, Neda Mahdavifar, Hasan Khalili","doi":"10.4103/ijnmr.ijnmr_324_25","DOIUrl":"10.4103/ijnmr.ijnmr_324_25","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic highlighted the need for rapid and reliable triage tools to predict patient outcomes and support resource allocation. This study aimed to compare the predictive performance of Modified Early Warning Score (MEWS) and Rapid Emergency Medicine Score (REMS) for predicting mortality and hospitalization among COVID-19 patients.</p><p><strong>Materials and methods: </strong>This prospective cohort study included 900 outpatients and 280 inpatients with COVID-19 who presented to 22 Bahman Hospital in Neyshabur, Iran, between 2022 and 2024. Physiological parameters for both MEWS and REMS were recorded at admission and monitored for 30 days. The receiver operating characteristic curves were used to assess the prognostic accuracy of MEWS and REMS for mortality and hospitalization.</p><p><strong>Results: </strong>At 48 hours before death, MEWS showed slightly better discrimination than REMS (AUC = 74.00, 95% CI: 68.80, 79.20 vs. 73.20, 95% CI: 67.50, 78.90; both <i>p</i> < 0.001). REMS exhibited greater sensitivity (75.50 vs. 38.00), while MEWS showed higher specificity (84.60 vs. 75.80). At 24 hours before death, REMS marginally outperformed MEWS (AUC = 62.80, 95% CI: 55.50, 70.10 vs. 62.30, 95% CI: 54.90, 69.70; <i>p</i> < 0.001 and < 0.001 respectively), with higher sensitivity (48.90 vs. 42.80) and slightly lower specificity (75.00 vs. 83.60).</p><p><strong>Conclusions: </strong>REMS demonstrated better prognostic accuracy 24 hours before death, likely reflecting its inclusion of age and neurological status. MEWS showed stronger performance 48 hours before death and in predicting hospitalization.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 2","pages":"336-342"},"PeriodicalIF":1.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13241022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}