Predictive Value of Combined MEWS and NIPDS Scores for 24-Hour Clinical Deterioration in Emergency Observation Patients: A Prospective Cohort Study.

J Multidiscip Healthc · 2026 · PMC13283387 · PMID 42333126

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0.1030

closest p · 2.1× alpha

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did not reach statistical significanceP =0.103not close (p > 0.1)

The combined score showed significantly better predictive performance than MEWS alone (AUC=0.859 vs 0.688, P <0.001) and improved overall risk reclassification (NRI=0.309, 95% CI: 0.245–0.373), although event-specific reclassification was modest and did not reach statistical significance (NRI=0.056, 95% CI: −0.011 to 0.123; P =0.103).

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