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Clinical Early Warning Scores: New Clinical Tools in Evolution

机译:临床预警评分:进化中的新临床工具

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Clinical Early Warning Scores are tools intended to alert clinical staff to possible future clinical deterioration, often related to the onset of sepsis. Since their introduction, they have increased greatly in popularity. Their operation is conceptually simple: an elevated early warning score triggers a formal assessment by the responsible clinician. While the best-known system is the Royal College of Physicians National Early Warning Score (NEWS), a number of other scores are in use, such as an adaptation known as the Modified Early Warning System (MEWS) or warning systems for pediatric patients (PEWS). However, while promising, such instruments need to be studied in more detail to better characterize their eventual role in monitoring hospital patients. In particular, a central question concerns the identification of the best system (NEWS, MEWS, PEWS etc.) for a given clinical population (pediatric, trauma, prehospital etc.).
机译:临床预警评分是用于警告临床人员未来可能发生的临床恶化的工具,通常与败血症的发作有关。自从引入以来,它们的受欢迎程度大大提高了。他们的操作从概念上讲很简单:较高的预警评分会触发负责的临床医生进行正式评估。虽然最著名的系统是英国皇家内科医师学会国家早期预警评分(NEWS),但仍在使用许多其他评分,例如改编为改良早期预警系统(MEWS)或针对儿科患者的预警系统( PEWS)。然而,尽管前景广阔,但仍需要更详细地研究此类仪器,以更好地表征其最终在监测住院患者中的作用。特别是,一个中心问题涉及为给定的临床人群(儿科,创伤,院前等)确定最佳系统(NEWS,MEWS,PEWS等)。

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