Volume 10, Issue 1 (9-2024)                   SJNMP 2024, 10(1): 53-66 | Back to browse issues page

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azouji R, rezaei J, jalili M, esmaeili M. Triage early warning score as the best predictor of in-hospital mortality: a systematic review study. SJNMP 2024; 10 (1) :53-66
URL: http://sjnmp.muk.ac.ir/article-1-619-en.html
1- School of Nursing and Midwifery, Tehran University of Medical Sciences
2- School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
3- Department of Emergency Medicine, School of Medicine, Health Professions Education Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
4- Department of Critical care nursing Nursing, School of Nursing & Midwifery, Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran , mesmaeilie77@gmail.com
Abstract:   (366 Views)
Background & Aim: Many patients may experience unexpected clinical deterioration during hospitalization, and the severity of this clinical deterioration is associated with in-hospital mortality. Therefore, an effective triage tool for quick identification of risk factors and in-hospital mortality is essential. Currently, several scoring systems are used to predict clinical deterioration and in-hospital mortality. This study was conducted with the aim of investigating the accuracy of early warning score tools in predicting in-hospital mortality.
Materials & Methods:  In this review study, the  related  articles searched by using the keywords Early warning score, Triage early warning score, and Inhospital mortality and their persian equivalents in Jahad Daneshgahi Database, Iran Scientific Research Institute, Database of Iranian Journals, Springer, Medline, PubMed, and Google Scholar.
Results: Based on the prisma diagram, 95 articles were found. And according to the aim of the study, 32 related articles were selected. The results showed that the triage early warning score tool is more accurate in predicting in-hospital mortality.
Conclusion: Early warning score systems are useful tools in patient risk management. Meanwhile, triage early warning score has more power in predicting clinical deterioration and in-hospital mortality, considering that age is one of its parameters.
Full-Text [PDF 683 kb]   (137 Downloads)    
Type of Study: Review | Subject: General
Received: 2024/06/25 | Revised: 2024/10/5 | Accepted: 2024/09/21 | Published: 2024/09/21 | ePublished: 2024/09/21

References
1. Makkink AW, Stein COA, Bruijns SR. The process of handover in the busy emergency centre: A pre-hospital perspective from Johannesburg, South Africa. Australasian Journal of Paramedicine. 2021;18:1-7. [DOI:10.33151/ajp.18.913]
2. Ashour OM, Kremer GEO. A simulation analysis of the impact of FAHP-MAUT triage algorithm on the Emergency Department performance measures. Expert Systems with Applications. 2013;40(1):177-87. [DOI:10.1016/j.eswa.2012.07.024]
3. Schull MJ, Guttmann A, Leaver CA, Vermeulen M, Hatcher CM, Rowe BH, et al. Prioritizing performance measurement for emergency department care: consensus on evidencebased quality of care indicators. Canadian Journal of Emergency Medicine. 2011;13(5):300-9. [DOI:10.2310/8000.2011.110334]
4. Finnell JT, Overhage JM, Grannis S. All health care is not local: an evaluation of the distribution of Emergency Department care delivered in Indiana. InAMIA Annual Symposium Proceedings 2011 (Vol. 2011, p. 409). American Medical Informatics Association.
5. Hinson JS, Martinez DA, Cabral S, George K, Whalen M, Hansoti B, et al. Triage performance in emergency medicine: a systematic review. Annals of emergency medicine. 2019;74(1):140-52. [DOI:10.1016/j.annemergmed.2018.09.022]
6. AlMarzooq AM. Emergency department nurses' knowledge regarding triage. International Journal of Nursing. 2020;7(2):29-44. [DOI:10.15640/ijn.v7n2a5]
7. Sahar S, SafaaS EF, Samya M. Effect of triage education on nurses' performance in diverse emergency departments. Evidence-Based Nursing Research. 2019;2(1):53-63. [DOI:10.47104/ebnrojs3.v1i2.45]
8. Le Guen M, Tobin A. Epidemiology of in‐hospital mortality in acute patients admitted to a tertiary‐level hospital. Internal Medicine Journal. 2016;46(4):457-64. [DOI:10.1111/imj.13019]
9. Mishal T, Deepak T, Ramesh AC, Vikas K, Mahadevaiah T. Evaluation of the overall accuracy of the combined early warning scoring systems in the prediction of in-hospital mortality. Cureus. 2022;14(4): e24486.
10. Tsai W, Chang K-S, Chen C, Jo S-Y, Hsiao C-H, Chien D-K, et al. Ability of Early Warning Scores to Predict In-Hospital Mortality among Elderly Patients with COVID-19: A Medical Center Study in Taiwan. International Journal of Gerontology. 2024;18(1):9-13.
11. Lee YS, Choi JW, Park YH, Chung C, Park DI, Lee JE, et al. Evaluation of the efficacy of the National Early Warning Score in predicting in-hospital mortality via the risk stratification. Journal of critical care. 2018;47:222-6. [DOI:10.1016/j.jcrc.2018.07.011]
12. Ying Y, Huang B, Zhu Y, Jiang X, Dong J, Ding Y, Wang L, Yuan H, Jiang P. [Retracted] Comparison of Five Triage Tools for Identifying Mortality Risk and Injury Severity of Multiple Trauma Patients Admitted to the Emergency Department in the Daytime and Nighttime: A Retrospective Study. Applied Bionics and Biomechanics. 2022;2022(1):9368920. [DOI:10.1155/2022/9368920]
13. Rahmatinejad Z, Hoseini B, Reihani H, Hanna AA, Pourmand A, Tabatabaei SM, et al. Comparison of six scoring systems for predicting in-hospital mortality among patients with SARS-COV2 presenting to the emergency department. Indian Journal of Critical Care Medicine: Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine. 2023;27(6):416. [DOI:10.5005/jp-journals-10071-24463]
14. Holland M, Kellett J. A systematic review of the discrimination and absolute mortality predicted by the National Early Warning Scores according to different cut-off values and prediction windows. European Journal of Internal Medicine. 2022;98:15-26. [DOI:10.1016/j.ejim.2021.12.024]
15. Jayasundera R, Neilly M, Smith TO, Myint PK. Are early warning scores useful predictors for mortality and morbidity in hospitalised acutely unwell older patients? A systematic review. Journal of clinical medicine. 2018;7(10):309. [DOI:10.3390/jcm7100309]
16. RCoP L. National Early Warning Score (NEWS): standardising the assessment of acute-illness severity in the NHS. Report of working party London: Royal College of Physicians. 2012.
17. Doyle DJ. Clinical early warning scores: new clinical tools in evolution. The Open Anesthesia Journal. 2018;12(1). [DOI:10.2174/2589645801812010026]
18. Petersen JA. Early warning score. Dan Med J. 2018;65(2).
19. Smith MB, Chiovaro JC, O'Neil M, Kansagara D, Quiñones AR, Freeman M, et al. Early warning system scores for clinical deterioration in hospitalized patients: a systematic review. Annals of the American Thoracic Society. 2014;11(9):1454-65. [DOI:10.1513/AnnalsATS.201403-102OC]
20. Johnson S, Shenoy A. Modified Early Warning Score: Does It Warn Enough. J Clin Med Ther. 2017;2(2):14.
21. Lee SB, Kim DH, Kim T, Kang C, Lee SH, Jeong JH, et al. Emergency Department Triage Early Warning Score (TREWS) predicts in-hospital mortality in the emergency department. The American journal of emergency medicine. 2020;38(2):203-10. [DOI:10.1016/j.ajem.2019.02.004]
22. Aygun H, Eraybar S. The role of emergency department triage early warning score (TREWS) and modified early warning score (MEWS) to predict in-hospital mortality in COVID-19 patients. Irish Journal of Medical Science (1971-). 2022;191(3):997-1003. [DOI:10.1007/s11845-021-02696-y]
23. Dynesen J, Skov MJ, Mackenhauer J, Jessen MK, Liesanth JY, Ebdrup L, et al. The 7-day mortality associated with an early warning score varies between age groups in a cohort of adult Danish emergency department patients. European Journal of Emergency Medicine. 2019;26(6):453-7. [DOI:10.1097/MEJ.0000000000000623]
24. Candel BGJ, Nissen SK, Nickel CH, Raven W, Thijssen W, Gaakeer MI, et al. Development and External Validation of the International Early Warning Score for Improved Age-and Sex-Adjusted In-Hospital Mortality Prediction in the Emergency Department. Critical Care Medicine. 2023;51(7):881-91. [DOI:10.1097/CCM.0000000000005842]
25. Shamout F, Zhu T, Clifton L, Briggs J, Prytherch D, Meredith P, et al. Early warning score adjusted for age to predict the composite outcome of mortality, cardiac arrest or unplanned intensive care unit admission using observational vital-sign data: a multicentre development and validation. BMJ open. 2019;9(11):e033301. [DOI:10.1136/bmjopen-2019-033301]
26. Dundar ZD, Ergin M, Karamercan MA, Ayranci K, Colak T, Tuncar A, et al. Modified Early Warning Score and VitalPac Early Warning Score in geriatric patients admitted to emergency department. European Journal of Emergency Medicine. 2016;23(6):406-12. [DOI:10.1097/MEJ.0000000000000274]
27. Verma A, Farooq A, Jaiswal S, Haldar M, Sheikh WR, Khanna P, et al. National Early Warning Score 2 is superior to quick Sequential Organ Failure Assessment in predicting mortality in sepsis patients presenting to the emergency department in India: A prospective observational study. International Journal of Critical Illness and Injury Science. 2023;13(1):26-31. [DOI:10.4103/ijciis.ijciis_41_22]
28. Wu K-H, Cheng F-J, Tai H-L, Wang J-C, Huang Y-T, Su C-M, et al. Predicting in-hospital mortality in adult non-traumatic emergency department patients: a retrospective comparison of the Modified Early Warning Score (MEWS) and machine learning approach. PeerJ. 2021;9:e11988. [DOI:10.7717/peerj.11988]
29. Kim DK, Lee DH, Lee BK. Role of the National Early Warning score and Modified Early Warning score for predicting mortality in geriatric patients with non-traumatic coma. Heliyon. 2024;10(6). [DOI:10.1016/j.heliyon.2024.e28338]
30. Abbott TE, Cron N, Vaid N, Ip D, Torrance HD, Emmanuel J. Pre-hospital National Early Warning Score (NEWS) is associated with in-hospital mortality and critical care unit admission: A cohort study. Annals of Medicine and Surgery. 2018;27:17-21. [DOI:10.1016/j.amsu.2018.01.006]
31. Covino M, Sandroni C, Della Polla D, De Matteis G, Piccioni A, De Vita A, et al. Predicting ICU admission and death in the Emergency Department: A comparison of six early warning scores. Resuscitation. 2023;190:109876. [DOI:10.1016/j.resuscitation.2023.109876]
32. Covino M, Sandroni C, Santoro M, Sabia L, Simeoni B, Bocci MG, et al. Predicting intensive care unit admission and death for COVID-19 patients in the emergency department using early warning scores. Resuscitation. 2020;156:84-91. [DOI:10.1016/j.resuscitation.2020.08.124]
33. Rzońca P, Butkiewicz S, Dobosz P, Zaczyński A, Podgórski M, Gałązkowski R, Wierzba W, Życińska K. Predicting Mortality for COVID-19 Patients Admitted to an Emergency Department Using Early Warning Scores in Poland. InHealthcare. 2024;12(6): 687. [DOI:10.3390/healthcare12060687]
34. Brink A, Alsma J, Verdonschot RJCG, Rood PPM, Zietse R, Lingsma HF, et al. Predicting mortality in patients with suspected sepsis at the Emergency Department; A retrospective cohort study comparing qSOFA, SIRS and National Early Warning Score. PloS one. 2019;14(1):e0211133. [DOI:10.1371/journal.pone.0211133]
35. Jo S, Yoon J, Lee JB, Jin Y, Jeong T, Park B. Predictive value of the National Early Warning Score-Lactate for mortality and the need for critical care among general emergency department patients. Journal of critical care. 2016;36:60-8. [DOI:10.1016/j.jcrc.2016.06.016]
36. Pirneskoski J, Kuisma M, Olkkola KT, Nurmi J. Prehospital national early warning score predicts early mortality. Acta Anaesthesiologica Scandinavica. 2019;63(5):676-83. [DOI:10.1111/aas.13310]
37. Ruangsomboon O, Phanprasert N, Jirathanavichai S, Puchongmart C, Boonmee P, Thirawattanasoot N, et al. The utility of the Rapid Emergency Medicine Score (REMS) compared with three other early warning scores in predicting in-hospital mortality among COVID-19 patients in the emergency department: A multicenter validation study. BMC Emergency Medicine. 2023;23(1):45. [DOI:10.1186/s12873-023-00814-w]
38. Jouffroy R, Négrello F, Limery J, Gilbert B, Travers S, Bloch-Laine E, et al. The prehospital NEW score to assess septic shock in-hospital, 30-day and 90-day mortality. BMC Infectious Diseases. 2024;24(1):213. [DOI:10.1186/s12879-024-09104-7]
39. Bilben B, Grandal L, Søvik S. National Early Warning Score (NEWS) as an emergency department predictor of disease severity and 90-day survival in the acutely dyspneic patient-a prospective observational study. Scandinavian journal of trauma, resuscitation and emergency medicine. 2016;24:1-8. [DOI:10.1186/s13049-016-0273-9]
40. Myrstad M, Ihle-Hansen H, Tveita AA, Andersen EL, Nygård S, Tveit A, et al. National Early Warning Score 2 (NEWS2) on admission predicts severe disease and in-hospital mortality from Covid-19-a prospective cohort study. Scandinavian journal of trauma, resuscitation and emergency medicine. 2020;28:1-8. [DOI:10.1186/s13049-020-00764-3]
41. Candel BG, de Groot B, Nissen SK, Thijssen WA, Lameijer H, Kellett J. The prediction of 24-h mortality by the respiratory rate and oxygenation index compared with National Early Warning Score in emergency department patients: an observational study. European Journal of Emergency Medicine. 2023;30(2):110-6. [DOI:10.1097/MEJ.0000000000000989]
42. Ye C, Wang O, Liu M, Zheng L, Xia M, Hao S, et al. A real-time early warning system for monitoring inpatient mortality risk: prospective study using electronic medical record data. Journal of medical Internet research. 2019;21(7):e13719. [DOI:10.2196/13719]
43. Kaeley N, Mahala P, Kabi A, Choudhary S, Hazra AG, Vempalli S. Utility of early warning scores to predict mortality in COVID-19 patients: A retrospective observational study. International Journal of Critical Illness and Injury Science. 2021;11(3):161-6. [DOI:10.4103/ijciis.ijciis_64_21]
44. Sardidi H, Bawazeer D, Alhafi M, Alomran S, Sayed G, Alhafi MM, et al. The Use of the Initial National Early Warning Score 2 at the Emergency Department as a Predictive Tool of In-Hospital Mortality in Hemodialysis Patients. Cureus. 2023;15(5). [DOI:10.7759/cureus.39678]
45. Kim I, Song H, Kim HJ, Park KN, Kim SH, Oh SH, et al. Use of the National Early Warning Score for predicting in-hospital mortality in older adults admitted to the emergency department. Clinical and experimental emergency medicine. 2020;7(1):61. [DOI:10.15441/ceem.19.036]
46. Hoikka M, Silfvast T, Ala-Kokko TI. Does the prehospital National Early Warning Score predict the short-term mortality of unselected emergency patients? Scandinavian journal of trauma, resuscitation and emergency medicine. 2018;26:1-7. [DOI:10.1186/s13049-018-0514-1]
47. Mahmoodpoor A, Sanaie S, Saghaleini SH, Ostadi Z, Hosseini M-S, Sheshgelani N, et al. Prognostic value of National Early Warning Score and Modified Early Warning Score on intensive care unit readmission and mortality: A prospective observational study. Frontiers in Medicine. 2022;9:938005. [DOI:10.3389/fmed.2022.938005]
48. Liu VX, Lu Y, Carey KA, Gilbert ER, Afshar M, Akel M, et al. Comparison of early warning scoring systems for hospitalized patients with and without infection at risk for in-hospital mortality and transfer to the intensive care unit. JAMA network open. 2020;3(5):e205191-e. [DOI:10.1001/jamanetworkopen.2020.5191]

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