Development and External Validation of the International Early Warning Score for Improved Age- and Sex-Adjusted In-Hospital Mortality Prediction in the Emergency Department.

ABSTRACT:

Objectives

Early Warning Scores (EWSs) have a great potential to assist clinical decision-making in the emergency department (ED). However, many EWS contain methodological weaknesses in development and validation and have poor predictive performance in older patients. The aim of this study was to develop and externally validate an International Early Warning Score (IEWS) based on a recalibrated National Early warning Score (NEWS) model including age and sex and evaluate its performance independently at arrival to the ED in three age categories (18-65, 66-80, > 80 yr).

Design

International multicenter cohort study.

Setting

Data was used from three Dutch EDs. External validation was performed in two EDs in Denmark.

Patients

All consecutive ED patients greater tha

SUBMITTER: Candel BGJ 

PROVIDER: S-EPMC10262984 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature