Metformin Use Reduction in Mild to Moderate Renal Impairment

assignments, as those close together were still poorly correlated. More likely, physicians were taking into account variables not contained in the MEWS, in assigning a PAR score. We conclude that the combined use of PAR and MEWS is more accurate than MEWS alone. A generalizable way to incorporate clinical judgment into aggregated weighted scoring systems on the wards may improve detection of clinical deterioration and assist with timely mobilization of resources to address the etiology of clinical deterioration.