14 Initial prehospital vital signs to predict subsequent adverse hospital outcomes

Conclusion Initial prehospital vital signs, in particular GCS, may predict subsequent adverse hospital outcomes. Non-linear associations between initial physiological signs and subsequent outcomes should be considered in developing prehospital alert systems. References Royal College of physicians. National Early Warning Score (NEWS): Standardising the assessment of acute illness severity in the NHS. Report of a working party. London: RCP. 2012. Silcock DJ, Corfield AR, Gowens PA, Rooney KD. Validation of the National Early Warning Score in the prehospital setting. Resuscitation2015;89:31–5. Williams TA, Tohira H, Finn J, Perkins GD, Ho KM. The ability of early warning scores (EWS) to detect critical illness in the prehospital setting: A systematic review. Resuscitation2016;102:35–43. Conflict of interest P. Bailey is the Clinical Services Director of St John Ambulance-Western Australia. D. Brink is the Executive Manager Clinical Governance St John Ambulance-Western Australia. J. Finn receives partial salary support from St John Ambulance-Western Australia T.A. Williams, K.M. Ho, H. Tohira, D. M. Fatovich, P. Gowens, G. D. Perkins has no conflict of interest St John Ambulance Western Australia played no role in the study design, conduct or interpretation of the results. Funding None declared.
Source: BMJ Open - Category: General Medicine Authors: Source Type: research