Showing papers on "Early warning score published in 2003"
TL;DR: It is convinced that the Modified Early Warning score is a suitable scoring tool to identify patients at risk, but outcomes in medical emergency admissions are influenced by a multitude of factors and so it may be difficult to demonstrate the score's benefit without further standardizing the response to abnormal values.
Abstract: The effects of introducing Modified Early Warning scores to identify medical patients at risk of catastrophic deterioration have not been examined. We prospectively studied 1695 acute medical admissions. All patients were scored in the admissions unit. Patients with a Modified Early Warning score > 4 were referred for urgent medical and critical care outreach team review. Data was compared with an observational study performed in the same unit during the proceeding year. There was no change in mortality of patients with low, intermediate or high Modified Early Warning scores. Rates of cardio-pulmonary arrest, intensive care unit or high dependency unit admission were similar. Data analysis confirmed respiratory rate as the best discriminator in identifying high-risk patient groups. The therapeutic interventions performed in response to abnormal scores were not assessed. We are convinced that the Modified Early Warning score is a suitable scoring tool to identify patients at risk. However, outcomes in medical emergency admissions are influenced by a multitude of factors and so it may be difficult to demonstrate the score's benefit without further standardizing the response to abnormal values.
450 citations
TL;DR: The outreach service was introduced in three surgical wards and the surgical high dependency unit in a large teaching hospital and had a significant impact on critical care utilisation and the emergency admission rate to intensive care fell.
Abstract: An outreach service was introduced in three surgical wards and the surgical high dependency unit in a large teaching hospital. A modified early warning score and callout algorithm were used to facilitate referrals to the team. Changes in unplanned admission rate to intensive care, length of stay, mortality rate and number of re-admissions following the introduction of outreach were sought. Following the introduction of the outreach service the emergency admission rate to intensive care fell from 58% to 43% (p = 0.05). These emergency patients had shorter lengths of stay (4.8 days vs. 7.4 days) and had a lower mortality (28.6% vs. 23.5%, p = 0.05). The re-admission rate also fell from 5.1% to 3.3% (p = 0.05). The outreach service had a significant impact on critical care utilisation.
135 citations
Journal Article•
TL;DR: A MEWS score of 5 had a median length stay of eight days, compared with a score of 0-2 (low risk) of three days; however, there were variations according to age groups and gender.
Abstract: The modified early warning score can be used to help predict how long a patient will stay in hospital. MEWS is a validated tool and can be calculated relatively easily from routine data. A MEWS score of 5 (high risk) had a median length stay of eight days, compared with a score of 0-2 (low risk) of three days; however, there were variations according to age groups and gender.
8 citations
3 citations
TL;DR: The aim of the study was to look at the efficacy of nursing interventions in medical and surgical patient groups.
Abstract: The Early Warning Score (EWS) [1] has been delivered within the trust for 2 years. In our institution, the EWS protocol has been modified to allow a nurse intervention when EWS = 3 (Appendix 1). The aim of the study was to look at the efficacy of nursing interventions in medical and surgical patient groups.
1 citations