We have read with great interest the letter to the Editor “Methodological concerns
about the poisoning Early Warning Score” by Shi et al.
[1]
with regard the original article, “A predictive model for serious adverse events
in adults with acute poisoning in prehospital and hospital care” by Martin-Rodriguez
et al.
- Shi Q.
- Zhang J.
Methodological concerns about the poisoning Early Warning Score.
Aust Crit Care. 2022; https://doi.org/10.1016/j.aucc.2022.10.002
[2]
There are several versions of clinical early warning prediction models for assessing
the severity of acute illness or Early Warning Score (EWS). These scores are based
on patients' vital signs and are capable of identifying the probability of a deterioration
of the patient's condition, thus improving care and monitoring of the potentially
critically ill patient.
[3]
However, these scores are heterogeneous and hence contradictory conclusions may be
reached as to their effectiveness in discriminating or predicting patients at risk
of clinical deterioration.
[4]
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References
- Methodological concerns about the poisoning Early Warning Score.Aust Crit Care. 2022; https://doi.org/10.1016/j.aucc.2022.10.002
- A predictive model for serious adverse events in adults with acute poisoning in prehospital and hospital care.Aust Crit Care. 2021; 34: 209-216
- National early warning score (NEWS) 2: standardising the assessment of acute-illness severity in the NHS.RCP, London2017 (Updated report of a working party)
- Early warning score validation methodologies and performance metrics: a systematic review.BMC Med Inf Decis Making. 2020; 20: 111
- The use of early warning system scores in prehospital and emergency department settings to predict clinical deterioration: a systematic review and meta-analysis.PLoS One. 2022; 17e0265559
- Validity of the pediatric early warning score and the bedside pediatric early warning score in classifying patients who require the resources of a higher level pediatric hospital.Prehosp Emerg Care. 2020; 24: 341-348
- Tracking the National Early Warning Score 2 from prehospital care to the emergency department: a prospective, ambulance-based, observational study.Prehosp Emerg Care. 2022; 12: 1-9
- Assessing severity of illness in patients transported to hospital by paramedics: external validation of 3 prognostic scores.Prehosp Emerg Care. 2020; 24: 273-281
- Glucose as an additional parameter to National Early Warning Score (NEWS) in prehospital setting enhances identification of patients at risk of death: an observational cohort study.Emerg Med J. 2020; 37: 286-292
- A predictive model for serious adverse events in adults with acute poisoning in prehospital and hospital care.Aust Crit Care. 2022; 35: 3-4
Article info
Publication history
Published online: December 02, 2022
Received:
October 23,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.