A warning on early-warning scores!

This source preferred by Gary Smith

Authors: Cuthbertson, B.H. and Smith, G.B.

http://dx.doi.org/10.1093/bja/aem121

Journal: British Journal of Anaesthesia

Volume: 98

Pages: 704-706

ISSN: 0007-0912

DOI: 10.1093/bja/aem121

It is clinically intuitive that physiological deterioration precedes critical illness, and there is growing research evidence to support this belief. The use of track and trigger early-warning systems to facilitate the early recognition of the acutely deteriorating patient outside the critical care area of a hospital is based on this premise. The first such scoring system, based on a single parameter trigger, was developed in Liverpool, Australia as part of the Medical Emergency Team (MET) concept. This was followed by the development of a range of similar systems that have entered clinical practice around the world. These incorporate a variety of physiological variables in scoring, and trigger algorithms that are often more complex than the original MET's calling criteria. They use a wide range of weightings and cut-off points to develop a score designed to trigger activation of a response system. However, most parameters and cut-off points are still based on clinical intuition, rather than the use of rigorous derivation and validation methodologies.

This data was imported from PubMed:

Authors: Cuthbertson, B.H. and Smith, G.B.

Journal: Br J Anaesth

Volume: 98

Issue: 6

Pages: 704-706

ISSN: 0007-0912

DOI: 10.1093/bja/aem121

This data was imported from Scopus:

Authors: Cuthbertson, B.H. and Smith, G.B.

Journal: British Journal of Anaesthesia

Volume: 98

Issue: 6

Pages: 704-706

eISSN: 1471-6771

ISSN: 0007-0912

DOI: 10.1093/bja/aem121

This data was imported from Web of Science (Lite):

Authors: Cuthbertson, B.H. and Smith, G.B.

Journal: BRITISH JOURNAL OF ANAESTHESIA

Volume: 98

Issue: 6

Pages: 704-706

eISSN: 1471-6771

ISSN: 0007-0912

DOI: 10.1093/bja/aem121

This data was imported from Europe PubMed Central:

Authors: Cuthbertson, B.H. and Smith, G.B.

Journal: British journal of anaesthesia

Volume: 98

Issue: 6

Pages: 704-706

eISSN: 1471-6771

ISSN: 0007-0912

The data on this page was last updated at 04:55 on April 21, 2019.