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Gennemgang af Early Warning Score til forebyggelse af uventet kritisk sygdom og død

Early Warning Score-system medfører en rutinemæssig måling af vitalværdier flere gange dagligt hos indlagte patienter.
Forfatter(e)
Pernille Brok Nielsen1, Niels Egholm Pedersen2, 5 Martin Schultz1, Christian Sahlholt Meyhoff2, Anne Marie Kodal3, Gitte Bunkenborg4, Anne Lippert5, Ove Andersen6, Lars Simon Rasmussen7 & Kasper Karmark Iversen1 1) Akutafdelingen og Hjertemedicinsk Afdeling, Herlev og Gentofte Hospital 2) Anæstesiafdelingen, Bispebjerg og Frederiksberg Hospital 3) Anæstesiafdelingen, Nordsjællands Hospital, Hillerød4) Forskningens Hus
og Anæstesiologisk Afdeling,
Holbæk Sygehus5) Copenhagen Academy for Medical Education and Simulation,
Center for HR,
Region Hovedstaden 6) Klinisk Forskningscenter og Akutafdelingen, Amager og Hvidovre Hospital7) Anæstesi- og Operationsklinikken, HovedOrtoCentret, Rigshospitalet

Ugeskr Læger 2018;180:V02180135
Reference: 
Ugeskr Læger 2018;180:V02180135
Sidetal: 

Pernille Brok Nielsen, Niels Egholm Pedersen, Martin Schultz, Christian Sahlholt Meyhoff, Anne Marie Kodal, Gitte Bunkenborg, Anne Lippert, Ove Andersen, Lars Simon Rasmussen & Kasper Karmark Iversen:

Review of Early Warning Score in preventing sudden critical illness and death

Ugeskr Læger 2018;180:V02180135

Early Warning Score (EWS) are used extensively to identify patients at risk of deterioration during hospital admission. The validation of EWS has primarily focused on investigating predictive validity, i.e. the association between EWS and severe adverse events. Few studies have tested, whether EWS work in the clinical setting, and if it prevents severe adverse events from occurring. Many of these studies have methodological limitations, and their clinical relevance could be questioned. Currently, there is limited evidence to support, that the implementation of EWS reduces the occurrence of severe adverse events.

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