Observational studyJournal of clinical monitoring and computing2018
A critical assessment of early warning score records in 168,000 patients.
Observational study in Journal of clinical monitoring and computing, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03201679 (The Association Between Preoperative Sepsis and the Mortality After Hip Fracture Surgery), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Association Between Preoperative Sepsis and the Mortality After Hip Fracture Surgery
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Quantitative systematic review: Sources of inaccuracy in manually measured adult respiratory rate data.Journal of advanced nursing · 2021Pooled it
- Associations between clinical interventions and transcutaneous blood gas values in postoperative patients.Journal of clinical monitoring and computing · 2023Trial
- Reliability of an all-in-one wearable sensor for continuous vital signs monitoring in high-risk patients: the NIGHTINGALE clinical validation study.Journal of clinical monitoring and computing · 2025Observational
- Prognostic value of heart rate variability for risk of serious adverse events in continuously monitored hospital patients.Journal of clinical monitoring and computing · 2024Article
- The optimal duration of continuous respiratory rate monitoring to predict in-hospital mortality within seven days of admission - A pilot study in a low resource setting.Resuscitation plus · 2024Article
- Discrepancies between Promised and Actual AI Capabilities in the Continuous Vital Sign Monitoring of In-Hospital Patients: A Review of the Current Evidence.Sensors (Basel, Switzerland) · 2024Review
- Variation in nurses' compliance with an Early Warning Score protocol: A retrospective cohort study.Heliyon · 2024Article
- Health care workers' experiences of calling-for-help when taking care of critically ill patients in hospitals in Tanzania and Kenya.BMC health services research · 2024Article
- Improving patient outcomes following vital sign monitoring protocol failure: A retrospective cohort study.Health science reports · 2024Article
- Quantifying physiological stability in the general ward using continuous vital signs monitoring: the circadian kernel density estimator.Journal of clinical monitoring and computing · 2023Article
- Development of a dynamic prediction model for unplanned ICU admission and mortality in hospitalized patients.PLOS digital health · 2023Article
- Continuous wireless pre- and postoperative vital sign monitoring reveal new, severe desaturations after vascular surgery.Acta anaesthesiologica Scandinavica · 2023Observational
- Clinical impact of vital sign abnormalities in patients admitted with acute exacerbation of chronic obstructive pulmonary disease: an observational study using continuous wireless monitoring.Internal and emergency medicine · 2022Observational
- Continuous monitoring of vital sign abnormalities; association to clinical complications in 500 postoperative patients.Acta anaesthesiologica Scandinavica · 2022Observational
- Detecting Deteriorating Patients in the Hospital: Development and Validation of a Novel Scoring System.American journal of respiratory and critical care medicine · 2021Article
- Physiological abnormalities in patients admitted with acute exacerbation of COPD: an observational study with continuous monitoring.Journal of clinical monitoring and computing · 2020Observational
- Current clinical methods of measurement of respiratory rate give imprecise values.ERJ open research · 2020Article
- Article
- In-hospital cardiac arrest and preceding National Early Warning Score (NEWS): A retrospective case-control study.Clinical medicine (London, England) · 2020Article
- Comparison of Reverse Triage with National Early Warning Score, Sequential Organ Failure Assessment and Charlson Comorbidity Index to classify medical inpatients of an Italian II level hospital according to their resource's need.Internal and emergency medicine · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The national early warning score (NEWS) is recommended to detect deterioration in hospitalised patients. In 2013, a NEWS-based system was introduced in a hospital service with over 250,000 annual admissions, generating large amounts of NEWS data. The quality of such data has not been described. We critically assessed NEWS data recorded over 12 months. This observational study included NEWS records from adult inpatients hospitalized in the Capital Region of Denmark during 2014. Physiological variables and the use of supplementary oxygen (NEWS variables) were recorded. We identified implausible records and assessed the distributions of NEWS variable values. Of 2,835,331 NEWS records, 271,103 (10%) were incomplete with one or more variable missing and 0.2% of records containing implausible values. Digit preferences were identified for respiratory rate, supplementation oxygen flow, pulse rate, and systolic blood pressure. There was an accumulation of pulse rate records below 91 beats per minute. Among complete NEWS records, 64% had NEWS ≥ 1; 29% had NEWS ≥ 3; and 8% had NEWS ≥ 6. In a large set of NEWS data, 10% of the records were incomplete. In a system where data were manually entered into an electronic medical record, digit preferences and the accumulation of pulse rate records below 91 beats per minute, which is the limit for NEWS point generation, showed that staff practice influenced the recorded values. This indicates a potential limitation of transferability of research results obtained in such systems to fully automated systems.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.