Evidence map›Paper›PMID 36916829›Full record

Observational studyNursing open2023

Early warning scores and trigger recommendations must be used with care in older home nursing care patients: Results from an observational study.

Kristin Jeppestøl, Marit Kirkevold, Line K Bragstad

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Nursing open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.1field-weighted citation impact, top 14% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Kristin JeppestølDepartment of Public Health Science, University of Oslo Faculty of Medicine, Oslo, Norway.ORCID 0000-0002-1932-8685
Marit KirkevoldDepartment of Public Health Science, University of Oslo Faculty of Medicine, Oslo, Norway.
Line K BragstadDepartment of Public Health Science, University of Oslo Faculty of Medicine, Oslo, Norway.ORCID 0000-0002-9645-3770
OsloMet – Oslo Metropolitan University · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo explore modified early warning scores (MEWSs) and deviating vital signs among older home nursing care patients to determine whether the MEWS trigger recommendations were adhered to in cases of where registered nurses (RNs) suspected acute functional decline.

designProspective observational study with a descriptive, explorative design.

methodsParticipants were included from April 2018 to February 2019. Demographic, health-related and clinical data were collected over a 3-month period.

resultsIn all, 135 older patients participated. Median MEWS (n = 444) was 1 (interquartile range (IQR) 1-2). Frequently deviating vital signs were respiratory (88.8%) and heart rate (15.3%). Median habitual MEWS (n = 51) was 1 (IQR 0-1). Deviating vital signs were respiratory (72.5%) and heart rate (19.6%). A significant difference between habitual MEWS and MEWS recorded in cases of suspected functional decline was found (p = 0.002). MEWS' trigger recommendations were adhered to in 68.9% of all MEWS measurements.

Indexed as

Early Warning ScoreAgedHeart RateHome NursingHumansRespiratory RateVital Signsacute functional declineclinical decision-makingclinical judgementmodified early warning scoresobservational studyvital signs

Identifiers

PMID36916829
PMCPMC10277451
OpenAlexW4324130263

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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.