Literature DB >> 31704729

Do different patient populations need different early warning scores? The performance of nine different early warning scores used on acutely ill patients admitted to a low-resource hospital in sub-Saharan Africa.

Immaculate Nakitende1, Joan Nabiryo2, Teopista Namujwiga2, Lucien Wasingya-Kasereka2, John Kellett3.   

Abstract

BACKGROUND: Early warning scores (EWS) generated in a developed healthcare setting may not perform as well in low-resource settings in sub-Saharan Africa.
METHOD: The performance of EWS used in developed world was compared with those generated in low-resource settings in sub-Saharan Africa.
RESULTS: When tested on 1,266 acutely ill patients consecutively admitted to a low-resource Ugandan hospital there was no statistical difference in the performance of any of the EWS tested. The performance of all the scores appeared to be improved by the addition of mobility assessment. Although statistically insignificant, the National Early Warning Score with extra points added for impaired mobility had the highest discrimination and sensitivity.
CONCLUSION: There were only marginal and no statistical differences in the performance of EWS generated in low- and high-resource healthcare settings in a cohort of unselected acutely ill medical patients admitted to a low-resource hospital in sub-Saharan Africa. © Royal College of Physicians 2020. All rights reserved.

Entities:  

Keywords:  Early warning scores; acute care; prognosis; risk assessment; sub-Saharan Africa

Mesh：

Year:  2019        PMID： 31704729      PMCID： PMC6964175          DOI： 10.7861/clinmed.2019-0196

Source DB:  PubMed          Journal:  Clin Med (Lond)        ISSN： 1470-2118            Impact factor:   2.659


  22 in total

1.  Validation of a modified Early Warning Score in medical admissions.

Authors:  C P Subbe; M Kruger; P Rutherford; L Gemmel
Journal:  QJM       Date:  2001-10

2.  Simple bedside assessment of level of consciousness: comparison of two simple assessment scales with the Glasgow Coma scale.

Authors:  A F McNarry; D R Goldhill
Journal:  Anaesthesia       Date:  2004-01       Impact factor: 6.955

3.  ViEWS--Towards a national early warning score for detecting adult inpatient deterioration.

Authors:  David R Prytherch; Gary B Smith; Paul E Schmidt; Peter I Featherstone
Journal:  Resuscitation       Date:  2010-08       Impact factor: 5.262

4.  Validation of an abbreviated Vitalpac™ Early Warning Score (ViEWS) in 75,419 consecutive admissions to a Canadian regional hospital.

Authors:  John Kellett; Arnold Kim
Journal:  Resuscitation       Date:  2011-09-10       Impact factor: 5.262

5.  Respiratory rates observed over 15 and 30 s compared with rates measured over 60 s: practice-based evidence from an observational study of acutely ill adult medical patients during hospital admission.

Authors:  M Rimbi; D Dunsmuir; J M Ansermino; I Nakitende; T Namujwiga; J Kellett
Journal:  QJM       Date:  2019-07-01

6.  Should impaired mobility on presentation be a vital sign?

Authors:  M Brabrand; J Kellett; M Opio; T Cooksley; C H Nickel
Journal:  Acta Anaesthesiol Scand       Date:  2018-03-06       Impact factor: 2.105

7.  The ability of the National Early Warning Score (NEWS) to discriminate patients at risk of early cardiac arrest, unanticipated intensive care unit admission, and death.

Authors:  Gary B Smith; David R Prytherch; Paul Meredith; Paul E Schmidt; Peter I Featherstone
Journal:  Resuscitation       Date:  2013-01-04       Impact factor: 5.262

8.  Derivation and validation of a universal vital assessment (UVA) score: a tool for predicting mortality in adult hospitalised patients in sub-Saharan Africa.

Authors:  Christopher C Moore; Riley Hazard; Kacie J Saulters; John Ainsworth; Susan A Adakun; Abdallah Amir; Ben Andrews; Mary Auma; Tim Baker; Patrick Banura; John A Crump; Martin P Grobusch; Michaëla A M Huson; Shevin T Jacob; Olamide D Jarrett; John Kellett; Shabir Lakhi; Albert Majwala; Martin Opio; Matthew P Rubach; Jamie Rylance; W Michael Scheld; John Schieffelin; Richard Ssekitoleko; India Wheeler; Laura E Barnes
Journal:  BMJ Glob Health       Date:  2017-07-28

9.  Evaluation of the feasibility and performance of early warning scores to identify patients at risk of adverse outcomes in a low-middle income country setting.

Authors:  Abi Beane; Ambepitiyawaduge Pubudu De Silva; Nirodha De Silva; Jayasingha A Sujeewa; R M Dhanapala Rathnayake; P Chathurani Sigera; Priyantha Lakmini Athapattu; Palitha G Mahipala; Aasiyah Rashan; Sithum Bandara Munasinghe; Kosala Saroj Amarasiri Jayasinghe; Arjen M Dondorp; Rashan Haniffa
Journal:  BMJ Open       Date:  2018-04-27       Impact factor: 2.692

10.  A complex intervention to improve implementation of World Health Organization guidelines for diagnosis of severe illness in low-income settings: a quasi-experimental study from Uganda.

Authors:  Matthew J Cummings; Elijah Goldberg; Savio Mwaka; Olive Kabajaasi; Eric Vittinghoff; Adithya Cattamanchi; Achilles Katamba; Nathan Kenya-Mugisha; Shevin T Jacob; J Lucian Davis
Journal:  Implement Sci       Date:  2017-11-06       Impact factor: 7.327
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  4 in total

1.  Clinical Medicine 2020 - putting policy into practice.

Authors:  Anton Emmanuel
Journal:  Clin Med (Lond)       Date:  2020-01       Impact factor: 2.659

2.  Two simple replacements for the Triage Early Warning Score to facilitate the South African Triage Scale in low resource settings.

Authors:  Lucien Wasingya-Kasereka; Pauline Nabatanzi; Immaculate Nakitende; Joan Nabiryo; Teopista Namujwiga; John Kellett
Journal:  Afr J Emerg Med       Date:  2021-01-06

3.  Performance of the Universal Vital Assessment (UVA) mortality risk score in hospitalized adults with infection in Rwanda: A retrospective external validation study.

Authors:  Riley Hazard; Danstan Bagenda; Andrew J Patterson; Julia T Hoffman; Steven J Lisco; Olivier Urayeneza; Polyphile Ntihinyurwa; Christopher C Moore
Journal:  PLoS One       Date:  2022-03-23       Impact factor: 3.240

4.  Oxygen use in low-resource settings: An intervention still triggered by intuition.

Authors:  Lucien Wasingya-Kasereka; Pauline Nabatanzi; Immaculate Nakitende; Joan Nabiryo; Teopista Namujwiga; John Kellett
Journal:  Resusc Plus       Date:  2020-12-07
  4 in total

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