Early warning scores generated in developed healthcare settings are not sufficient at predicting early mortality in Blantyre, Malawi: a prospective cohort study

India Wheeler; Charlotte Price; Alice Sitch; Peter Banda; John Kellett; Mulinda Nyirenda; Jamie Rylance

doi:10.1371/journal.pone.0059830

Early warning scores generated in developed healthcare settings are not sufficient at predicting early mortality in Blantyre, Malawi: a prospective cohort study

India Wheeler, Charlotte Price, Alice Sitch, Peter Banda, John Kellett, Mulinda Nyirenda, Jamie Rylance

Research output: Contribution to journal › Article › peer-review

39 Citations (Scopus)

Abstract

Early warning scores (EWS) are widely used in well-resourced healthcare settings to identify patients at risk of mortality. The Modified Early Warning Score (MEWS) is a well-known EWS used comprehensively in the United Kingdom. The HOTEL score (Hypotension, Oxygen saturation, Temperature, ECG abnormality, Loss of independence) was developed and tested in a European cohort; however, its validity is unknown in resource limited settings. This study compared the performance of both scores and suggested modifications to enhance accuracy.

Original language	English
Pages (from-to)	e59830
Journal	PLoS ONE
Volume	8
Issue number	3
DOIs	https://doi.org/10.1371/journal.pone.0059830
Publication status	Published - 2013

Keywords

Adult
Algorithms
Body Temperature
Decision Support Techniques
Female
Health Status Indicators
Hospital Mortality
Hospitalization
Humans
Malawi
Male
Middle Aged
Odds Ratio
Oxygen
Prospective Studies
ROC Curve
Regression Analysis
Reproducibility of Results
Risk Assessment
Sensitivity and Specificity
Severity of Illness Index
Tachypnea
Treatment Outcome
Triage
Wakefulness

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10.1371/journal.pone.0059830

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abstract = "Early warning scores (EWS) are widely used in well-resourced healthcare settings to identify patients at risk of mortality. The Modified Early Warning Score (MEWS) is a well-known EWS used comprehensively in the United Kingdom. The HOTEL score (Hypotension, Oxygen saturation, Temperature, ECG abnormality, Loss of independence) was developed and tested in a European cohort; however, its validity is unknown in resource limited settings. This study compared the performance of both scores and suggested modifications to enhance accuracy.",

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AU - Price, Charlotte

AU - Sitch, Alice

AU - Banda, Peter

AU - Kellett, John

AU - Nyirenda, Mulinda

AU - Rylance, Jamie

PY - 2013

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KW - Middle Aged

KW - Odds Ratio

KW - Oxygen

KW - Prospective Studies

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KW - Risk Assessment

KW - Sensitivity and Specificity

KW - Severity of Illness Index

KW - Tachypnea

KW - Treatment Outcome

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Early warning scores generated in developed healthcare settings are not sufficient at predicting early mortality in Blantyre, Malawi: a prospective cohort study

Abstract

Keywords

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