Early warning scores: the case for aggregate vs. single extreme parameter activation to detect patient deterioration

AnaesthesiaVolume 78, Issue 7 p. 803-806 Editorial Early warning scores: the case for aggregate vs. single extreme parameter activation to detect patient deterioration M. Murali, Corresponding Author M. Murali Registrar [email protected] orcid.org/0000-0002-2340-7810 @@MuraliMayur Division of Anaesthetics, Pain Medicine and Intensive Care, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK Correspondence to: M. Murali Email: [email protected]Search for more papers by this authorM. Inada-Kim, M. Inada-Kim Professor @@mattinadakim Department of Acute Medicine, Royal Hampshire County Hospital, Hampshire Hospitals NHS Foundation Trust, Winchester, UK Department of Clinical and Experimental Sciences, University Hospitals Southampton NHS Foundation Trust, Southampton, UKSearch for more papers by this author M. Murali, Corresponding Author M. Murali Registrar [email protected] orcid.org/0000-0002-2340-7810 @@MuraliMayur Division of Anaesthetics, Pain Medicine and Intensive Care, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK Correspondence to: M. Murali Email: [email protected]Search for more papers by this authorM. Inada-Kim, M. Inada-Kim Professor @@mattinadakim Department of Acute Medicine, Royal Hampshire County Hospital, Hampshire Hospitals NHS Foundation Trust, Winchester, UK Department of Clinical and Experimental Sciences, University Hospitals Southampton NHS Foundation Trust, Southampton, UKSearch for more papers by this author First published: 17 May 2023 https://doi.org/10.1111/anae.16048 1 Registrar, Division of Anaesthetics, Pain Medicine and Intensive Care, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK 2 Professor, Department of Acute Medicine, Royal Hampshire County Hospital, Hampshire Hospitals NHS Foundation Trust, Winchester, UK 3 Professor, Department of Clinical and Experimental Sciences, University Hospitals Southampton NHS Foundation Trust, Southampton, UK This editorial accompanies an article by Kane et al., Anaesthesia 2023; 78: 830–839. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL References 1Inada-Kim M, Nsutebu E. NEWS 2: an opportunity to standardise the management of deterioration and sepsis. British Medical Journal 2018; 360: k1260. 2 Royal College of Physicians. National Early Warning Score (NEWS): Standardising the assessment of acute illness severity in the NHS. Report of a working party. 2012. https://www.rcplondon.ac.uk/file/32/download (accessed 02/05/2023). 3Smith GB, Prytherch DR, Meredith P, Schmidt PE, Featherstone PI. 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Anaesthesia 2021; 76: 1600– 6. 21Jarvis S, Kovacs C, Briggs J, et al. Aggregate National Early Warning Score (NEWS) values are more important than high scores for a single vital signs parameter for discriminating the risk of adverse outcomes. Resuscitation 2015; 87: 75– 80. 22Alam N, Hobbelink EL, van Tienhoven AJ, van de Ven PM, Jansma EP, Nanayakkara PWB. The impact of the use of the Early Warning Score (EWS) on patient outcomes: a systematic review. Resuscitation 2014; 85: 587– 94. 23Kovacs C, Jarvis SW, Prytherch DR, Meredith P, Schmidt PE, Briggs JS, Smith GB. Comparison of the National Early Warning Score in non-elective medical and surgical patients. British Journal of Surgery 2016; 103: 1385– 93. Volume78, Issue7July 2023Pages 803-806 ReferencesRelatedInformation