Performance of universal early warning scores in different patient subgroups and clinical settings: a systematic review.

ABSTRACT:

Objective

To assess predictive performance of universal early warning scores (EWS) in disease subgroups and clinical settings.

Design

Systematic review.

Data sources

Medline, CINAHL, Embase and Cochrane database of systematic reviews from 1997 to 2019.

Inclusion criteria

Randomised trials and observational studies of internal or external validation of EWS to predict deterioration (mortality, intensive care unit (ICU) transfer and cardiac arrest) in disease subgroups or clinical settings.

Results

We identified 770 studies, of which 103 were included. Study designs and methods were inconsistent, with significant risk of bias (high: n=16 and unclear: n=64 and low risk: n=28). There were only two randomised trials. There was a high degree of heterogeneity in

SUBMITTER: Alhmoud B 

PROVIDER: S-EPMC8039269 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature