Resuscitation
Volume 81, Issue 8 , Pages 932-937 , August 2010

ViEWS—Towards a national early warning score for detecting adult inpatient deterioration

  • David R. Prytherch

      Affiliations

    • Portsmouth Hospitals NHS Trust, United Kingdom
    • ,
  • Gary B. Smith

      Affiliations

    • Portsmouth Hospitals NHS Trust, United Kingdom
    • University of Bournemouth, United Kingdom
    • Corresponding Author InformationCorresponding author at: Department of Critical Care, Queen Alexandra Hospital, Portsmouth PO6 3LY, United Kingdom. Tel.: +44 23 92286306; fax: +44 23 92286326.
    • ,
  • Paul E. Schmidt

      Affiliations

    • Portsmouth Hospitals NHS Trust, United Kingdom
    • University of Portsmouth, United Kingdom
    • ,
  • Peter I. Featherstone

      Affiliations

    • Portsmouth Hospitals NHS Trust, United Kingdom
    • University of Portsmouth, United Kingdom

Received 25 January 2010 ,Revised 12 April 2010 ,Accepted 15 April 2010.

References 

  1. National Institute for Health and Clinical Excellence: Acutely ill patients in hospital: recognition of and response to acute illness in adults in hospital. NICE clinical guideline No. 50. London; 2007.
  2. Morgan R, Williams F, Wright M. An early warning scoring system for detecting developing critical illness. Clin Intensive Care. 1997;8:100
  3. Smith GB, Prytherch DR, Schmidt PE, Featherstone PI. A review, and performance evaluation, of aggregate weighted “track and trigger” systems. Resuscitation. 2008;77:170–179
  4. Acute Medical Care . The right person, in the right setting – first time. Report of the Acute Medicine Task Force. London: Royal College of Physicians; 2007;
  5. Smith GB, Prytherch DR, Schmidt PE, Featherstone PI, Higgins B. A review, and performance evaluation, of single-parameter “track and trigger” systems. Resuscitation. 2008;79:11–21
  6. Smith GB, Prytherch DR, Schmidt PE, et al. Should age be included as a component of track and trigger systems used to identify sick adult patients?. Resuscitation. 2008;78:109–115
  7. Smith GB, Prytherch DR, Schmidt P, et al. Hospital-wide physiological surveillance – a new approach to the early identification and management of the sick patient. Resuscitation. 2006;71:19–29
  8. Hanley JA, McNeil BJ. The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology. 1982;143:29–36
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  10. Allen K. Recognising managing adult patients who are critically sick. Nurs Times. 2004;100:34–37
  11. Subbe CP, Kruger M, Rutherford P, Gemmel L. Validation of a modified early warning score in medical admissions. QJM. 2001;94:521–526
  12. Paterson R, MacLeod DC, Thetford D, et al. Prediction of inhospital mortality and length of stay using an early warning scoring system: clinical audit. Clin Med. 2006;6:281–284
  13. Duckitt RW, Buxton-Thomas R, Walker J, et al. Worthing physiological scoring system: derivation and validation of a physiological early-warning system for medical admissions. An observational, population-based single-centre study. Br J Anaesth. 2007;98:769–774
  14. Gao H, McDonnell A, Harrison DA, et al. Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk patients on the ward. Intensive Care Med. 2007;33:667–679
  15. Subbe CP, Slater A, Menon D, Gemmell L. Validation of physiological scoring systems in the accident and emergency department. Emerg Med J. 2006;23:841–845
  16. Peberdy MA, Kaye W, Ornato JP, et al. Cardiopulmonary resuscitation of adults in the hospital: a report of 14720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation. Resuscitation. 2003;58:297–308

☆ A Spanish translated version of the abstract of this article appears as Appendix in the online version at doi:10.1016/j.resuscitation.2010.04.014.

PII: S0300-9572(10)00242-X

doi: 10.1016/j.resuscitation.2010.04.014

Resuscitation
Volume 81, Issue 8 , Pages 932-937 , August 2010

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