Early warning score
View article: Critical deterioration in children admitted to hospital, requiring emergency transfer to the Paediatric Intensive Care Unit
Critical deterioration in children admitted to hospital, requiring emergency transfer to the Paediatric Intensive Care Unit Open
Introduction. Critical deterioration in children admitted to hospital, which results in emergency transfer to the Paediatric Intensive Care Unit (PICU), is associated with increased morbidity and mortality. To date, the interventions aimed…
View article: Comparing the predictive power of the National Early Warning Score (NEWS) and Modified Early Warning Score (MEWS) for ICU admission in respiratory patients during the COVID-19 pandemic: A multicenter cross-sectional study
Comparing the predictive power of the National Early Warning Score (NEWS) and Modified Early Warning Score (MEWS) for ICU admission in respiratory patients during the COVID-19 pandemic: A multicenter cross-sectional study Open
View article: Development and validation of a nomogram-based prediction model for hospital-acquired carbapenem-resistant Acinetobacter baumannii in critically ill patients: a multicenter retrospective cohort study
Development and validation of a nomogram-based prediction model for hospital-acquired carbapenem-resistant Acinetobacter baumannii in critically ill patients: a multicenter retrospective cohort study Open
Background Carbapenem-resistant Acinetobacter baumannii (CRAB) remains a major challenge in intensive care units (ICUs), posing substantial risks for colonization, infection, and transmission. Timely identification of patients at risk for …
View article: Setting the Next Vital Sign Observation Interval as a Learning Objective in Simulation-Based Nursing Education: A Prospective Exploratory Observational Study
Setting the Next Vital Sign Observation Interval as a Learning Objective in Simulation-Based Nursing Education: A Prospective Exploratory Observational Study Open
Background/Objectives: Abnormal vital signs often precede in-hospital clinical deterioration, but little is known about how nurses decide when to recheck vital signs. We examined how nurse characteristics relate to the next vital sign obse…
View article: A Counterfactual LLM Framework for Detecting Human Biases: A Case Study of Sex/Gender in Emergency Triage
A Counterfactual LLM Framework for Detecting Human Biases: A Case Study of Sex/Gender in Emergency Triage Open
We present a novel, domain-agnostic counterfactual approach that uses Large Language Models (LLMs) to quantify gender disparities in human clinical decision-making. The method trains an LLM to emulate observed decisions, then evaluates cou…
View article: A Counterfactual LLM Framework for Detecting Human Biases: A Case Study of Sex/Gender in Emergency Triage
A Counterfactual LLM Framework for Detecting Human Biases: A Case Study of Sex/Gender in Emergency Triage Open
We present a novel, domain-agnostic counterfactual approach that uses Large Language Models (LLMs) to quantify gender disparities in human clinical decision-making. The method trains an LLM to emulate observed decisions, then evaluates cou…
View article: Improving Compliance with the National Early Warning Score 2 (NEWS2) in an Egyptian Central Hospital Emergency Department: A Two-Cycle Clinical Audit
Improving Compliance with the National Early Warning Score 2 (NEWS2) in an Egyptian Central Hospital Emergency Department: A Two-Cycle Clinical Audit Open
Background: NEWS2 is a standardized assessment tool used to determine illness severity and identify patients at risk of deterioration. However, its effectiveness is limited by systemic barriers. This audit primarily aims to evaluate NEWS2 …
View article: Safety and accuracy of AI in triaging patients in the emergency department
Safety and accuracy of AI in triaging patients in the emergency department Open
Background Artificial Intelligence (AI) has been increasingly explored in healthcare, particularly in emergency department (ED) triage. This study aimed to evaluate the effectiveness of the AI chatbot ChatGPT in triaging patients, focusing…
View article: Feasibility of point-of-care ultrasound during the emergency department triage: a prospective cohort study
Feasibility of point-of-care ultrasound during the emergency department triage: a prospective cohort study Open
Background The primary aim of this study was to evaluate the feasibility of adding point-of-care ultrasound (POCUS) during the Emergency Department (ED) triage process. This prospective study enrolled two cohorts of adult patients presenti…
View article: Pediatric Early Warning System (PEWS) Association with ICU Mortality in Children with Acute Lymphoblastic Leukemia: A Cohort Study from Kazakhstan
Pediatric Early Warning System (PEWS) Association with ICU Mortality in Children with Acute Lymphoblastic Leukemia: A Cohort Study from Kazakhstan Open
Background and Objectives: Childhood acute lymphoblastic leukemia (ALL) carries substantial morbidity, mortality, and economic burden, particularly in middle-income countries. The Pediatric Early Warning System (PEWS) is designed to trigge…
View article: Exploratory Evaluation of Potential CRP and Ferritin Thresholds and Survival in Critically Ill Patients: A Pilot Prospective ICU Study
Exploratory Evaluation of Potential CRP and Ferritin Thresholds and Survival in Critically Ill Patients: A Pilot Prospective ICU Study Open
Background/Objectives: Iron deficiency is a common condition in the general population, with a higher incidence in critically ill patients. Anemia associated with these alterations is linked to increased morbidity and mortality in ICU pati…
View article: How to best evaluate and communicate the value of severe weather warnings?
How to best evaluate and communicate the value of severe weather warnings? Open
The value of a weather forecast and a warning is the benefit realized by decision makers through the use of the product. It is important to know what determines how valuable a warning is from a user's point of view. Further, it is unclear …
View article: How effective is the Early Warning Score in predicting early deterioration and the need for ICU transfer in hospitalized patients?
How effective is the Early Warning Score in predicting early deterioration and the need for ICU transfer in hospitalized patients? Open
Early Warning Scores such as NEWS and NEWS2 offer moderate accuracy in predicting hospital patient deterioration and potential need for ICU transfer, but should be used in conjunction with clinical judgment due to variability in performanc…
View article: How effective is the Early Warning Score in predicting early deterioration and the need for ICU transfer in hospitalized patients?
How effective is the Early Warning Score in predicting early deterioration and the need for ICU transfer in hospitalized patients? Open
Early Warning Scores such as NEWS and NEWS2 offer moderate accuracy in predicting hospital patient deterioration and potential need for ICU transfer, but should be used in conjunction with clinical judgment due to variability in performanc…
View article: Pengetahuna Perawat dalam Pembagian Triase Diunit Gawat Darurat RSUP Prof Dr. R.D Kandou Manado
Pengetahuna Perawat dalam Pembagian Triase Diunit Gawat Darurat RSUP Prof Dr. R.D Kandou Manado Open
The implementation of triage in the Emergency Unit (ER) has an important role in determining the priority of patient handling quickly and appropriately. Errors in the division of triage such as under triage and over triage can have a serio…
View article: Reverse shock index multiplied by Glasgow Coma Scale score as a predictor of urgent trauma care and mortality in isolated severe traumatic brain injury: a 10-year nationwide validation study
Reverse shock index multiplied by Glasgow Coma Scale score as a predictor of urgent trauma care and mortality in isolated severe traumatic brain injury: a 10-year nationwide validation study Open
The rSIG may serve as a simple and practical indicator for predicting urgent interventions, critical care, and mortality in patients with isolated severe TBIs. Its simplicity and rapid calculability support its potential use as a triage to…
View article: Development and validation of the STeP score for predicting tracheostomy in patients with sepsis using a nationwide ICU database: a retrospective observational study
Development and validation of the STeP score for predicting tracheostomy in patients with sepsis using a nationwide ICU database: a retrospective observational study Open
Background Among patients with sepsis admitted to the intensive care unit (ICU), a substantial proportion require mechanical ventilation, and a subset eventually undergo tracheostomy. Early identification of patients at high risk for trach…
View article: A02 Clinical Audit: Adherence to Trauma Team Activation Policy in Emergency and Trauma Department, Hospital Sultanah Nur Zahirah
A02 Clinical Audit: Adherence to Trauma Team Activation Policy in Emergency and Trauma Department, Hospital Sultanah Nur Zahirah Open
INTRODUCTION Timely, coordinated trauma care during the ‘golden hour’ is vital to reduce morbidity and mortality. In 2022, Hospital Sultanah Nur Zahirah introduced a Trauma Team Activation (TTA) policy to standardize early management. An i…
View article: Does Lactate Dehydrogenase Act as an Early Warning System Predicting Mortality in Trauma Patients?
Does Lactate Dehydrogenase Act as an Early Warning System Predicting Mortality in Trauma Patients? Open
View article: Impact of an Artificial Intelligence-Guided Pulmonary Embolism Response Team (AIPERT) on Patient Transfers, Diagnosis, and Management: A Healthcare System Experience
Impact of an Artificial Intelligence-Guided Pulmonary Embolism Response Team (AIPERT) on Patient Transfers, Diagnosis, and Management: A Healthcare System Experience Open
Background: Pulmonary embolism (PE) is a time-sensitive condition with variable clinical presentations and outcomes. Rapid risk stratification and appropriate triage are essential for optimizing treatment and patient outcomes. Artificial i…
View article: Pulse Oximetry (SpO₂) Monitoring as a Prognostic Indicator in Emergency Department Patients: A Prospective Observational Study
Pulse Oximetry (SpO₂) Monitoring as a Prognostic Indicator in Emergency Department Patients: A Prospective Observational Study Open
Background: Pulse oximetry (SpO₂) is routinely used in emergency departments (EDs), but its role as an independent prognostic marker across diverse emergency patients is not well established. Objective: …
View article: Pulse Oximetry (SpO₂) Monitoring as a Prognostic Indicator in Emergency Department Patients: A Prospective Observational Study
Pulse Oximetry (SpO₂) Monitoring as a Prognostic Indicator in Emergency Department Patients: A Prospective Observational Study Open
Background: Pulse oximetry (SpO₂) is routinely used in emergency departments (EDs), but its role as an independent prognostic marker across diverse emergency patients is not well established. Objective: This study evaluates admission SpO₂ …
View article: Clinicians’ perspectives on the design of early warning systems presenting AI-based multiple outputs for clinical deterioration: A qualitative analysis
Clinicians’ perspectives on the design of early warning systems presenting AI-based multiple outputs for clinical deterioration: A qualitative analysis Open
Background AI-enabled clinical decision support systems (CDSS) can help detect patient deterioration, but their value depends on outputs that fit workflows, support reasoning, and avoid alert fatigue. Objective. Little is known about clini…
View article: External validation of CT-based severity scoring systems to determine prognosis of pneumonia caused by COVID-19 virus: a multicentric cohort study
External validation of CT-based severity scoring systems to determine prognosis of pneumonia caused by COVID-19 virus: a multicentric cohort study Open
Background Prompt identification of COVID-19 patients through an advanced and dependable prognostic model can alleviate pressure on healthcare facilities by enabling safe home recovery for individuals who do not require hospitalization. In…
View article: Analysis of the Application Value of the MEWS in Neurological Patients and Its Prognostic Influencing Factors
Analysis of the Application Value of the MEWS in Neurological Patients and Its Prognostic Influencing Factors Open
Objective: To evaluate the predictive value of Modified Early Warning Score (MEWS) for neurological disease prognosis and identify prognostic factors. Methods: This retrospective study analyzed 768 neurological patients with MEWS ≥ 4 (June…
View article: Diagnostic Accuracy of Soluble CD14 (Presepsin) in Identifying Gram- Positive versus Gram-Negative Infections in Preterm Neonates with Early-Onset Sepsis
Diagnostic Accuracy of Soluble CD14 (Presepsin) in Identifying Gram- Positive versus Gram-Negative Infections in Preterm Neonates with Early-Onset Sepsis Open
Background Identifying the type of bacterial infection in a timely manner is crucial for the successful treatment of newborns with sepsis. Because blood culture results are often delayed, early biomarkers are needed to promptly signal infe…
View article: Effectiveness of the Early Warning Score in Enhancing Nurses’ Responsiveness to Critical Patients: A Quasi-Experimental Study in the Emergency Department
Effectiveness of the Early Warning Score in Enhancing Nurses’ Responsiveness to Critical Patients: A Quasi-Experimental Study in the Emergency Department Open
Background: Emergency care services in Indonesia continue to face challenges in quickly identifying patients who are critically ill, which contributes to the high mortality rates in Emergency Departments (ED). While the Early Warning Score…
View article: Multimodal GPT-5 for Predicting Poor Functional Outcomes After Intracerebral Hemorrhage in the Emergency Department: Validation Study (Preprint)
Multimodal GPT-5 for Predicting Poor Functional Outcomes After Intracerebral Hemorrhage in the Emergency Department: Validation Study (Preprint) Open
BACKGROUND In the emergency department (ED), rapid prognostic assessment of patients with intracerebral hemorrhage (ICH) is essential for guiding treatment, even when stroke specialists are unavailable. Recent advances in large language m…
View article: InTriage: Intelligent Telephone Triage in Pre-Hospital Emergency Care
InTriage: Intelligent Telephone Triage in Pre-Hospital Emergency Care Open
Pre-hospital Emergency Care (PEC) systems are critical for managing life-threatening emergencies where rapid intervention can significantly impact patient outcomes. The rising global demand for PEC services, coupled with increased emergenc…
View article: Comparison of the Reverse Shock Index Multiplied by Glasgow Coma Scale Score, MEWS, and qSOFA as Sepsis Screening Tools for Predicting Short-Term Outcomes
Comparison of the Reverse Shock Index Multiplied by Glasgow Coma Scale Score, MEWS, and qSOFA as Sepsis Screening Tools for Predicting Short-Term Outcomes Open
Although there are limitations in the data, rSIG predicted short-term outcomes in patients with suspected infections as well as or better than MEWS and qSOFA.