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dc.contributor.authorGray, J.T.
dc.contributor.authorChallen, K
dc.contributor.authorOughton, L
dc.date.accessioned2020-07-31T13:47:32Z
dc.date.available2020-07-31T13:47:32Z
dc.date.issued2010-11-13
dc.identifier.citationGray, J.T., Challen, K., Oughton, L., 2010. Does the pandemic medical early warning score system correlate with disposition decisions made at patient contact by emergency care practitioners? Emergency Medical Journal, 27 (12), 943-947.en_US
dc.identifier.issn1472-0205
dc.identifier.issn1472-0213
dc.identifier.doi10.1136/emj.2009.072959
dc.identifier.urihttp://hdl.handle.net/20.500.12417/896
dc.description.abstractObjective To assess the performance of the pandemic medical early warning score (PMEWS) in a cohort of adult patients seen in the community by emergency care practitioners (ECP) and its correlation with ECP decision-making to either ‘treat and leave’ or transfer for hospital assessment. Methods Cases attended by ECP in South Yorkshire in 2007 in which the final ECP working diagnosis was a respiratory condition were retrospectively identified from the Yorkshire Ambulance Service database. The patient report forms were reviewed for the PMEWS variables and scores calculated using the PMEWS system. The outcome measure was management in the community versus transport to hospital. Receiver operating characteristics (ROC) curves were calculated to assess the discrimination of PMEWS. Results A cohort of 300 patients was assessed. 217 (72%) were aged 65 years or over, and 272 (91%) had either comorbid disease or impaired functional status. 98 (33%) were deemed to need hospital assessment or admission. The ROC curves suggested that there is good correlation between the PMEWS score and the decision to discharge. Conclusions PMEWS correlates well with decisions to admit to hospital or leave at home made by extended role practitioners in the patient group studied; however, further prospective work is required to further validate early warning scoring systems in prehospital care. https://emj.bmj.com/content/27/12/943 This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ http://dx.doi.org/10.1136/emj.2011.113019
dc.language.isoenen_US
dc.subjectPandemic Medical Early Warning Score (PMEWS)en_US
dc.subjectPre-hospital Careen_US
dc.subjectEmergency Medical Servicesen_US
dc.subjectRespiratory Insufficiencyen_US
dc.subjectDecision Making, Clinicalen_US
dc.titleDoes the pandemic medical early warning score system correlate with disposition decisions made at patient contact by emergency care practitioners?en_US
dc.typeJournal Article/Review
dc.source.journaltitleEmergency Medical Journalen_US
dcterms.dateAccepted2020-02-13
rioxxterms.versionNAen_US
rioxxterms.licenseref.uriAll Rights Reserveden_US
rioxxterms.licenseref.startdate2020-02-13
refterms.panelUnspecifieden_US
refterms.dateFirstOnline2010-11-13
html.description.abstractObjective To assess the performance of the pandemic medical early warning score (PMEWS) in a cohort of adult patients seen in the community by emergency care practitioners (ECP) and its correlation with ECP decision-making to either ‘treat and leave’ or transfer for hospital assessment. Methods Cases attended by ECP in South Yorkshire in 2007 in which the final ECP working diagnosis was a respiratory condition were retrospectively identified from the Yorkshire Ambulance Service database. The patient report forms were reviewed for the PMEWS variables and scores calculated using the PMEWS system. The outcome measure was management in the community versus transport to hospital. Receiver operating characteristics (ROC) curves were calculated to assess the discrimination of PMEWS. Results A cohort of 300 patients was assessed. 217 (72%) were aged 65 years or over, and 272 (91%) had either comorbid disease or impaired functional status. 98 (33%) were deemed to need hospital assessment or admission. The ROC curves suggested that there is good correlation between the PMEWS score and the decision to discharge. Conclusions PMEWS correlates well with decisions to admit to hospital or leave at home made by extended role practitioners in the patient group studied; however, further prospective work is required to further validate early warning scoring systems in prehospital care. https://emj.bmj.com/content/27/12/943 This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ http://dx.doi.org/10.1136/emj.2011.113019en_US


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