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Titolo:
Validation of a modified Early Warning Score in medical admissions
Autore:
Subbe, CP; Kruger, M; Rutherford, P; Gemmel, L;
Titolo Testata:
QJM-MONTHLY JOURNAL OF THE ASSOCIATION OF PHYSICIANS
fascicolo: 10, volume: 94, anno: 2001,
pagine: 521 - 526
SICI:
1460-2725(200110)94:10<521:VOAMEW>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE-PHYSIOLOGY-SCORE; ACUTE MYOCARDIAL-INFARCTION; SAPS-II; INTENSIVE-CARE; APACHE-II; SEVERITY; PROGNOSIS; SYSTEMS; ARREST; RISK;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Subbe, CP 77 Brook Lane, Chester CH2 2EE, Cheshire, England 77 Brook LaneChester Cheshire England CH2 2EE heshire, England
Citazione:
C.P. Subbe et al., "Validation of a modified Early Warning Score in medical admissions", QJM-MON J A, 94(10), 2001, pp. 521-526

Abstract

The Early Warning Score (EWS) is a simple physiological scoring system suitable for bedside application. The ability of a modified Early Warning Score (MEWS) to identify medical patients at risk of catastrophic deteriorationin a busy clinical area was investigated. In a prospective cohort study, we applied MEWS to patients admitted to the 56-bed acute Medical Admissions Unit (MAU) of a District General Hospital (DGH). Data on 709 medical emergency admissions were collected during March 2000. Main outcome measures weredeath, intensive care unit (ICU) admission, high dependency unit (HDU) admission, cardiac arrest, survival and hospital discharge at 60 days. Scores of 5 or more were associated with increased risk of death (OR 5.4, 95%Cl 2.8-10.7), ICU admission (OR 10.9, 95%Cl 2.2-55.6) and HDU admission (OR 3.3,95%Cl 1.2-9.2). MEWS can be applied easily in a DGH medical admission unit, and identifies patients at risk of deterioration who require increased levels of care in the HDU or ICU. A clinical pathway could be created, using nurse practitioners and/or critical care physicians, to respond to high scores and intervene with appropriate changes in clinical management.

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Documento generato il 23/10/20 alle ore 11:30:34