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https://www.readbyqxmd.com/read/28637110/guidelines-for-cauda-equina-syndrome-red-flags-and-white-flags-systematic-review-and-implications-for-triage
#1
Nicholas V Todd
INTRODUCTION: Patients with cauda equina syndrome (CES) are frequently referred late when neurological damage cannot be reversed. National Guidelines for emergency referral, imaging and treatment of CES contain symptoms and/or signs that are those of late often, irreversible CES. Referral at this stage may be too late for that patient. METHODS: Seven sources were reviewed. Advice re emergency referral/imaging/treatment were reviewed. Symptoms/signs were compared with a standard classification of CES...
March 2, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28592013/-reliability-and-validity-of-warning-signs-checklist-for-screening-psychological-behavioral-and-developmental-problems-of-children
#2
X N Huang, Y Zhang, W W Feng, H S Wang, B Cao, B Zhang, Y F Yang, H M Wang, Y Zheng, X M Jin, M X Jia, X B Zou, C X Zhao, J Robert, Jin Jing
Objective: To evaluate the reliability and validity of warning signs checklist developed by the National Health and Family Planning Commission of the People's Republic of China (NHFPC), so as to determine the screening effectiveness of warning signs on developmental problems of early childhood. Method: Stratified random sampling method was used to assess the reliability and validity of checklist of warning sign and 2 110 children 0 to 6 years of age(1 513 low-risk subjects and 597 high-risk subjects) were recruited from 11 provinces of China...
June 2, 2017: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://www.readbyqxmd.com/read/28588013/building-a-visual-aid-for-a-triage-tool-in-a-developing-health-service
#3
Mir Saaduddin Ahmad, Darryl R Wood
Resources in the modern day emergency department are often stretched, and this holds true more so in developing services. With limited manpower, it is essential that efficient tools are created so that processes can be run safely. Here we pilot the use of a vital signs matrix in a medical camp in Dhaka to screen patients at triage. We further modified this matrix to include the National Early Warning Score as our recording of the NEWS have remained poor in triage. A trial and validation study for the use of this matrix in an NHS setting is currently underway...
June 6, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28476552/preceding-national-early-warnings-scores-among-in-hospital-cardiac-arrests-and-their-impact-on-survival
#4
Daniel Roberts, Therese Djärv
OBJECTIVES: In-hospital cardiac arrests (IHCAs) are often preceded by abnormal vital signs. Preceding abnormal vital signs might lower the physiological reserve capacity and therefore decrease survival after an IHCA. AIM: To assess the preceding national early warning score (NEWS) and its relation to survival after an IHCA. MATERIAL AND METHODS: All patients ≥18years suffering an IHCA at Karolinska University Hospital between 1st January 2014 and 31st December 2015 were included...
April 28, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28341619/assessing-feasibility-and-acceptability-of-web-based-enhanced-relapse-prevention-for-bipolar-disorder-erponline-a-randomized-controlled-trial
#5
Fiona Lobban, Alyson L Dodd, Adam P Sawczuk, Ozgur Asar, Dave Dagnan, Peter J Diggle, Martin Griffiths, Mahsa Honary, Dawn Knowles, Rita Long, Richard Morriss, Rob Parker, Steven Jones
BACKGROUND: Interventions that teach people with bipolar disorder (BD) to recognize and respond to early warning signs (EWS) of relapse are recommended but implementation in clinical practice is poor. OBJECTIVES: The objective of this study was to test the feasibility and acceptability of a randomized controlled trial (RCT) to evaluate a Web-based enhanced relapse prevention intervention (ERPonline) and to report preliminary evidence of effectiveness. METHODS: A single-blind, parallel, primarily online RCT (n=96) over 48 weeks comparing ERPonline plus usual treatment with "waitlist (WL) control" plus usual treatment for people with BD recruited through National Health Services (NHSs), voluntary organizations, and media...
March 24, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28301336/sepsis-in-obstetrics-clinical-features-and-early-warning-tools
#6
Sheryl E Parfitt, Mary L Bogat, Sandra L Hering, Charlotte Ottley, Cheryl Roth
Morbidity and mortality associated with sepsis has gained widespread attention on a local, state, and national level, yet, it remains a complicated disorder that can be difficult to identify in a timely manner. Sepsis in obstetric patients further complicates the diagnosis as alterations in physiology related to pregnancy can mask sepsis indicators normally seen in the general population. If early signs of sepsis go unrecognized, septic shock can develop, leading to organ dysfunction and potential death. Maternal early warning tools have been designed to assist clinicians in recognizing early indications of illness...
March 15, 2017: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/28277766/impact-of-implementation-of-the-national-early-warning-score-on-patients-and-staff
#7
Scott Farenden, David Gamble, John Welch
The National Early Warning Score (NEWS) has been criticized for increasing workload and decreasing attention to signs of deterioration. This study highlighted the significant mortality of ward patients referred to critical care, and showed that the NEWS identified high-risk patients without increasing workload or worsening outcomes.
March 2, 2017: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/28122419/factors-influencing-choice-of-pre-hospital-transportation-of-patients-with-potential-acute-coronary-syndrome-an-observational-study
#8
Tim Lavery, Jaimi H Greenslade, William A Parsonage, Tracey Hawkins, Emily Dalton, Christopher Hammett, Louise Cullen
OBJECTIVE: To determine factors associated with ambulance use in patients with confirmed and potential acute coronary syndrome presenting to the ED. METHODS: A convenience sample of patients (n = 247) presenting to the ED from April 2014 to January 2015 with suspected acute coronary syndrome were included in the study. Data on mode of transport and patient demographics were collected from the Emergency Department Information System database. Clinical data were collected from chart records and information systems...
January 25, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28065966/implementation-of-warning-tool-to-improve-maternal-newborn-health-outcomes-in-a-developing-country
#9
Sana Sheikh, Rahat Qureshi, Sidrah Nausheen, Rozina Sikandar
OBJECTIVE: To improve health outcomes through the implementation of national early warning sign tool for babies delivered through emergency caesarean section in off-work hours. METHODS: This comparative clinical study was conducted at the Aga Khan Hospital for Women and Children, Karachi, from April to August 2014, and comprised women who had an emergency caesarean section. Maternal and perinatal outcomes were compared of patients in Group A and Group B which represented individuals before and after the implementation of the national early warning score respectively...
January 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/27906995/assessment-of-the-world-health-organization-s-hiv-drug-resistance-early-warning-indicators-in-main-and-decentralized-outreach-antiretroviral-therapy-sites-in-namibia
#10
Nicholus Mutenda, Alexandra Bukowski, Anne-Marie Nitschke, Tuli Nakanyala, Ndapewa Hamunime, Tadesse Mekonen, Francina Tjituka, Greatjoy Mazibuko, Samson Mwinga, David Mabirizi, Evans Sagwa, Rosalia Indongo, Natalie Dean, Michael R Jordan, Steven Y Hong
BACKGROUND: The World Health Organization (WHO) early warning indicators (EWIs) of HIV drug resistance (HIVDR) assess factors at individual ART sites that are known to create situations favourable to the emergence of HIVDR. METHODS: In 2014, the Namibia HIV care and treatment program abstracted the following adult and pediatric EWIs from all public ART sites (50 main sites and 143 outreach sites): On-time pill pick-up, Retention in care, Pharmacy stock-outs, Dispensing practices, and Viral load suppression...
2016: PloS One
https://www.readbyqxmd.com/read/27818398/early-identification-of-infants-and-toddlers-with-deafblindness
#11
Tanni L Anthony
Data from the 2014 National Center on Deaf-Blindness Count show that fewer than 100 infants and toddlers are currently identified with deaf-blindness across the United States and that identification rates for this population vary greatly from state to state. The author presents a key rationale for timely and accurate identification of early-onset deafblindness and of the challenges involved in current early identification practices. Health and educational providers play a vital role in efforts to understand the impact of deafblindness on early development, high-risk conditions, and diagnoses associated with pediatric deafblindness, as well as the warning signs of early-onset hearing and vision loss...
2016: American Annals of the Deaf
https://www.readbyqxmd.com/read/27783731/translation-and-adaptation-of-a-pediatric-early-warning-score
#12
Juliana de Oliveira Freitas Miranda, Climene Laura de Camargo, Carlito Lopes Nascimento, Daniel Sales Portela, Alan Monaghan, Katia Santana Freitas, Renata Fonseca Mendoza
Objective: to translate and adapt the BPEWS for the Portuguese language, with the purpose of verifying its applicability in the Brazilian context studied. Method: methodological study guided by international and nationally accepted recommendations for translation and adaptation of health measurement instruments. Stages of conceptual, item, semantic, operational and pre-test equivalence are described for obtaining the BPEWS Portuguese version to be used in Brazil...
September 2016: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/27751799/performance-of-the-obstetric-early-warning-score-in-critically-ill-patients-for-the-prediction-of-maternal-death
#13
Angel Paternina-Caicedo, Jezid Miranda, Ghada Bourjeily, Andrew Levinson, Carmelo Dueñas, Camilo Bello-Muñoz, José A Rojas-Suarez
BACKGROUND: Every day, about 830 women die worldwide from preventable causes related to pregnancy and childbirth. Obstetric early warning scores have been proposed as a potential tool to reduce maternal morbidity and mortality, based on the identification of predetermined abnormal values in the vital signs or laboratory parameters, to generate a rapid and effective medical response. Several early warning scores have been developed for obstetrical patients, but the majority are the result of a clinical consensus rather than statistical analyses of clinical outcome measures (ie, maternal deaths)...
January 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27670906/early-diagnosis-of-dengue-disease-severity-in-a-resource-limited-asian-country
#14
Philippe Cavailler, Arnaud Tarantola, Yee Sin Leo, Andrew A Lover, Anne Rachline, Moniboth Duch, Rekol Huy, Ai Li Quake, Yuvatha Kdan, Veasna Duong, Jeremy L Brett, Philippe Buchy
BACKGROUND: Dengue is endemic throughout Cambodia, a country faced with significant health and economic challenges. We undertook a clinical study at the National Paediatric Hospital in Phnom Penh to evaluate clinical diagnostic parameters for dengue and predictors of disease outcome. METHODS: Between September 2011 and January 2013, all consecutive inpatients aged between 1 and 15 years and presenting with suspected dengue were enrolled. They were clinically assessed using both the 1997 and 2009 WHO dengue classifications...
2016: BMC Infectious Diseases
https://www.readbyqxmd.com/read/27581900/sepis-education-on-film
#15
(no author information available yet)
Early identification and management is vital in treating sepsis, and a new film, which aims to help clinicians spot and respond to warning signs of sepsis in children, has been launched by NHS Health Education England. The film, which features parents who lost their young daughter to undiagnosed sepsis, highlights the important signs clinicians should look for, and asks them to think 'could this be sepsis' when assessing children. It also highlights the wide range of learning resources available, including the new National Institute of Health and Care Excellence guidelines ( nice...
September 2016: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/27513547/a-comparison-of-the-ability-of-the-physiologic-components-of-medical-emergency-team-criteria-and-the-u-k-national-early-warning-score-to-discriminate-patients-at-risk-of-a-range-of-adverse-clinical-outcomes
#16
COMPARATIVE STUDY
Gary B Smith, David R Prytherch, Stuart Jarvis, Caroline Kovacs, Paul Meredith, Paul E Schmidt, Jim Briggs
OBJECTIVE: To compare the ability of medical emergency team criteria and the National Early Warning Score to discriminate cardiac arrest, unanticipated ICU admission and death within 24 hours of a vital signs measurement, and to quantify the associated workload. DESIGN: Retrospective cohort study. SETTING: A large U.K. National Health Service District General Hospital. PATIENTS: Adults hospitalized from May 25, 2011, to December 31, 2013...
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27417561/clinical-outcomes-of-patients-seen-by-rapid-response-teams-a-template-for-benchmarking-international-teams
#17
Jonathan Bannard-Smith, Geoffrey K Lighthall, Christian P Subbe, Lesley Durham, John Welch, Rinaldo Bellomo, Daryl A Jones
AIM: The study was developed to characterize short-term outcomes of deteriorating ward patients triggering a Rapid Response Team (RRT), and describe variability between hospitals or groups thereof. METHODS: We performed an international prospective study of Rapid Response Team (RRT) activity over a 7-day period in February 2014. Investigators at 51 acute hospitals across Australia, Denmark, the Netherlands, USA and United Kingdom collected data on all patients triggering RRT review concerning the nature, trigger and immediate outcome of RRT review...
October 2016: Resuscitation
https://www.readbyqxmd.com/read/27413051/adjusting-for-illness-severity-shows-there-is-no-difference-in-patient-mortality-at-weekends-or-weekdays-for-emergency-medical-admissions
#18
Mohammed A Mohammed, Muhammad Faisal, Donald Richardson, Robin Howes, Kevin Beaston, Kevin Speed, John Wright
BACKGROUND: Patients admitted to hospitals over the weekend appear to have a higher risk of death compared to weekday admissions, but the reasons remain unclear. Unlike previous studies, we use a standardised mandated vital signs physiological based measure of sickness known as the National Early Warning Score (NEWS) to investigate this "weekend effect" for emergency admissions. AIM: To determine if weekend admissions are (1) sicker as measured by their index NEWS, (2) have an increased risk of death and (3) have less favourable monitoring of their vital signs compared with weekday admissions...
July 12, 2016: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/27386753/the-national-early-warning-score-translation-testing-and-prediction-in-a-swedish-setting
#19
Martin Spångfors, Lisa Arvidsson, Victoria Karlsson, Karin Samuelson
The National Early Warning Score - NEWS is a "track and trigger" scale designed to assess in-hospital patients' vital signs and detect clinical deterioration. In this study the NEWS was translated into Swedish and its association with the need of intensive care was investigated. A total of 868 patient charts, recorded by the medical emergency team at a university hospital, containing the parameters needed to calculate the NEWS were audited. The NEWS was translated into Swedish and tested for inter-rater reliability with a perfect agreement (weighted κ=1...
December 2016: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27353588/monitoring-the-efficacy-of-antimalarial-medicines-in-india-via-sentinel-sites-outcomes-and-risk-factors-for-treatment-failure
#20
Neelima Mishra, Bina Srivastava, Ram Suresh Bharti, Roma Rana, Kamlesh Kaitholia, Anupkumar R Anvikar, Manoj Kumar Das, Susanta K Ghosh, Rajendra M Bhatt, Prajesh K Tyagi, Vas Dev, Sobhan Phookan, Suman Lata Wattal, Gagan Singh Sonal, Akshay Chand Dhariwal, Neena Valecha
BACKGROUND & OBJECTIVES: To combat the problem of antimalarial drug resistance, monitoring the changes in drug efficacy over time through periodic surveillance is essential. Since 2009, systematic and continuous monitoring is being done through nationwide sentinel site system. Potential early warning signs like partner drug resistance markers were also monitored in the clinical samples from the study areas. METHODS: A total of 1864 patients with acute uncomplicated malaria were enrolled in therapeutic efficacy studies of artesunate plus sulphadoxine-pyrimethamine (AS+SP) for Plasmodium falciparum; those infected with P...
April 2016: Journal of Vector Borne Diseases
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