Nicola Credland1, Judith Dyson2, Miriam J Johnson3. 1. Faculty of Health Sciences, School of Health and Social Work, The University of Hull, Hull, UK. 2. City University of London, Northampton Square, London, UK. 3. Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK.
Abstract
AIM: To determine the effect of Early Warning Track and Trigger Tools on patient outcomes. DESIGN: A systematic review: synthesis without meta-analysis. DATA SOURCES: Electronic databases were searched from 1 January 2013-1 August 2018 and 221 papers identified. REVIEW METHODS: A systematic review and narrative synthesis supported the identification of synthesized findings named and reported according to outcome measure. RESULTS: Five international papers representing over 74,000 patients were included in the analysis. Seven key findings were identified, the impact of NEWS on: (a) cardiopulmonary arrest; (b) mortality; (c) serious adverse events; (d) length of hospital stay; (e) hospital admissions; (f) observation frequency; and (g) Intensive/High dependency Unit admission. Papers identified statistically significant improvements in mortality, serious adverse events, hospital admissions, observation frequency, and intensive care unit/high dependency unit admission when an Early Warning Track and Trigger protocol is in use. There were conflicting results regarding length of stay and cardiopulmonary arrest data. CONCLUSION: Early Warning Track and Trigger Tools can aid recognition of deteriorating patients. Further research is required in relation to hospital length of stay and cardiopulmonary arrests. IMPACT: Early warning track and trigger tools have been implemented nationally and to a lesser degree internationally. There is evidence to suggest improved clinical outcomes following their use. Further research needs to combine the use of the National Early Warning Score with an agreed set of measured outcomes, and then subsequent study data could be combined to provide much stronger levels of evidence.
AIM: To determine the effect of Early Warning Track and Trigger Tools on patient outcomes. DESIGN: A systematic review: synthesis without meta-analysis. DATA SOURCES: Electronic databases were searched from 1 January 2013-1 August 2018 and 221 papers identified. REVIEW METHODS: A systematic review and narrative synthesis supported the identification of synthesized findings named and reported according to outcome measure. RESULTS: Five international papers representing over 74,000 patients were included in the analysis. Seven key findings were identified, the impact of NEWS on: (a) cardiopulmonary arrest; (b) mortality; (c) serious adverse events; (d) length of hospital stay; (e) hospital admissions; (f) observation frequency; and (g) Intensive/High dependency Unit admission. Papers identified statistically significant improvements in mortality, serious adverse events, hospital admissions, observation frequency, and intensive care unit/high dependency unit admission when an Early Warning Track and Trigger protocol is in use. There were conflicting results regarding length of stay and cardiopulmonary arrest data. CONCLUSION: Early Warning Track and Trigger Tools can aid recognition of deteriorating patients. Further research is required in relation to hospital length of stay and cardiopulmonary arrests. IMPACT: Early warning track and trigger tools have been implemented nationally and to a lesser degree internationally. There is evidence to suggest improved clinical outcomes following their use. Further research needs to combine the use of the National Early Warning Score with an agreed set of measured outcomes, and then subsequent study data could be combined to provide much stronger levels of evidence.
Authors: Amina El Saghir; Georgios Dimitriou; Miriam Scholer; Ioanna Istampoulouoglou; Patrick Heinrich; Klaus Baumgartl; René Schwendimann; Stefano Bassetti; Anne Leuppi-Taegtmeyer Journal: Drug Healthc Patient Saf Date: 2021-12-24
Authors: Amaya Burgos-Esteban; Vicente Gea-Caballero; Patricia Marín-Maicas; Azucena Santillán-García; María de Valvanera Cordón-Hurtado; Elena Marqués-Sule; Marta Giménez-Luzuriaga; Raúl Juárez-Vela; Juan Luis Sanchez-Gonzalez; Jorge García-Criado; Iván Santolalla-Arnedo Journal: Front Public Health Date: 2022-07-14