Volume 16, Issue 4 (Jul & Aug 2026)
J Research Health 2026, 16(4): 391-400 |
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Ethics code: 1120230593
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Ahmed E T A, Aly Mohamed M, Mahmoud Ahmed H. Enhancing Outcomes for Acute Care Patients by Applying Early Warning Score System. J Research Health 2026; 16 (4) :391-400
URL: http://jrh.gmu.ac.ir/article-1-2950-en.html
URL: http://jrh.gmu.ac.ir/article-1-2950-en.html
1- Department of Critical Care and Emergency Nursing, Assiut Universty Hospital, Assiut, Egypt. , EkhlasElkhteeb@gmail.com
2- Department of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Asyut, Egypt.
3- Department of Endocrinology, Faculty of Medicine, Assiut University, Asyut, Egypt.
2- Department of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Asyut, Egypt.
3- Department of Endocrinology, Faculty of Medicine, Assiut University, Asyut, Egypt.
Abstract: (454 Views)
Background: The early warning score (EWS), developed by the royal college of physicians, is a bedside tool based on the measurement of patients’ vital signs to enable early detection of physiological deterioration within 24 hours. It assigns numerical scores to parameters, including respiratory rate, oxygen saturation, body temperature, systolic blood pressure, heart rate, and level of consciousness.
Methods: A quasi-experimental design was used to conduct this study in the Emergency Department at Main Hospital, Assiut University, Egypt. A purposive sample of 120 patients was enrolled and randomly assigned in a 1:1 ratio to a study group receiving EWS-based care (n=60) and a control group receiving routine care (n=60) using simple coin flip randomization. Data collected over six months (January–June 2025). Three tools were used: Tool I: patient assessment, tool II: EWS implementation, and tool III: patient outcomes.
Results: Patients in both groups were predominantly male (45.0% in the study group and 60.0% in the control group), with comparable mean age (46.48±8.38 vs 45.93±11.51 years). The study group experienced a substantial reduction in unplanned intensive care unit (ICU) admissions (23.3% vs 68.3%, P<0.001) and significantly lower rates of emergency surgery, urinary tract infection, and neurological complications (P<0.01). However, the mean hospital stay was longer in the study group than the control group (6.72±2.31 vs 4.25±1.23 days; P<0.001).
Conclusion: Although the study was limited to a single acute care setting, findings suggest that structured physiological monitoring enhances early recognition of deterioration.
Methods: A quasi-experimental design was used to conduct this study in the Emergency Department at Main Hospital, Assiut University, Egypt. A purposive sample of 120 patients was enrolled and randomly assigned in a 1:1 ratio to a study group receiving EWS-based care (n=60) and a control group receiving routine care (n=60) using simple coin flip randomization. Data collected over six months (January–June 2025). Three tools were used: Tool I: patient assessment, tool II: EWS implementation, and tool III: patient outcomes.
Results: Patients in both groups were predominantly male (45.0% in the study group and 60.0% in the control group), with comparable mean age (46.48±8.38 vs 45.93±11.51 years). The study group experienced a substantial reduction in unplanned intensive care unit (ICU) admissions (23.3% vs 68.3%, P<0.001) and significantly lower rates of emergency surgery, urinary tract infection, and neurological complications (P<0.01). However, the mean hospital stay was longer in the study group than the control group (6.72±2.31 vs 4.25±1.23 days; P<0.001).
Conclusion: Although the study was limited to a single acute care setting, findings suggest that structured physiological monitoring enhances early recognition of deterioration.
Type of Study: Orginal Article |
Subject:
● International Health
Received: 2025/10/22 | Accepted: 2026/02/7 | Published: 2026/07/1
Received: 2025/10/22 | Accepted: 2026/02/7 | Published: 2026/07/1
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