No.

Year

Author

Title

Journal

Page

1

1999

McGloin, H

Adam, S K

Singer, M

Unexpected deaths and referrals to intensive care of patients on general wards. Are some cases potentially avoidable?

ORIGINAL PAPERS

255

Conclusion

Palients with obvious clinical indicators of acule deterioration can be overlooked or poorly managed on the ward. This may lead to potentially avoidable unexpected deaths or to a poorer eventual outcome following ICU admission. Early recognition and correction of abnormalities may result in outcome benefit, but this requires further invesligation.

2

2005

Subbe, C P

Williams, E

Fligelstone, L

Gemmell, L

Does earlier detection of critically ill patients on surgical wards lead to better outcomes?

Ann R CollSurg Engl

226-232

Conclusion

There is evidence that simple algorithms based on bedside observations can identify a large proportion of sick patients on general wards. Non-randomised studies have shown mixed results on impact of these interventions on mortality, cardiopulmonary arrests and intensive care admissions. The majority of studies do not specifically address surgical patients. Award-based randomised trial from the UK seems to suggest improved mortality following the introduction of a Critical CareOutreach service with an Early Warning Score.

3

2011

Ying-xian Li

Hong-mei Ye

Min-li Tang

Study on the prognostic value of improved early warning score in patients with severe pancreatitis

Rational clinical medication

27-29

Conclusion

MEWS and APACHE scoring have the same predictive value for the prognosis of SAP patients, but the MEWS scoring system is simple in structure, convenient in data acquisition, time-saving and cost-saving, and can be used to predict the prognosis of SAP patients.

4

2012

Reini, Kirsi

Fredrikson, Mats

Oscarsson, Anna

The prognostic value of the Modified Early Warning Score in critically ill patients

European Journal of Anaesthesiology

152-157

Conclusion

This study shows that the Modified Early Warning

Score is a useful predictor of mortality in the ICU, 30-day mortality and length of stay in the ICU

5

2012

Smith, Tim

Hartog, Dennis

Moerman, Tineke

Accuracy of an expanded early warning score for patients in general and trauma surgery wards

ORIGINAL ARTICLE

192-197

Conclusion

An EWS of 3 or more is an independent predictor of major adverse events in patients admitted to a general and trauma surgery ward.

6

2012

Cooksley, T

Kitlowski, E

Haji-Michael, P

Effectiveness of Modified Early Warning Score in predicting outcomes in oncology patients

QJM

1083-1088

Conclusion

The currently used track and trigger systems have poor discriminatory value in identifying Oncological patients at risk of deterioration. An adapted score more focused upon the key predictive physiological parameters in this population needs to be developed to produce a more effective tool.

7

2014

Jung-Wan Yoo, JuRy Lee, Youn Kyung Jung

A combination of early warning score and lactate

to predict intensive care unit transfer of inpatients

with severe sepsis/septic shock

ORIGINAL ARTICLE

471-477

Conclusion

The combination of MEWS and BLA may enhance prediction of ICU transfer in patients with severe sepsis/septic shock.