Volume 16, Issue 4 (Jul & Aug-In Press 2026)
J Research Health 2026, 16(4): 9-9 |
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Ahmed E T A, Aly M, Mahmoud H. Enhance Outcomes for Acute Care Patients by Applying Early Warning Score System. J Research Health 2026; 16 (4) :9-9
URL: http://jrh.gmu.ac.ir/article-1-2950-en.html
URL: http://jrh.gmu.ac.ir/article-1-2950-en.html
1- Asdiut University, Egypt , EkhlasElkhteeb@gmail.com
2- Assiut University, Egypt
2- Assiut University, Egypt
Abstract: (30 Views)
Background: Early Warning Score developed by the Royal College of Physicians is a bedside tool based on measurement of patients’ vital signs to enable early detection of physiological deterioration within 24 hours. It assigns numerical scores parameters including respiratory rate, oxygen saturation, body temperature, systolic blood pressure, heart rate, and level of consciousness.
Methods: A quasi-experimental design used to conduct this study in Emergency Department at Main Hospital, Assiut University, Egypt, purposive sample of 120 patients enrolled and randomly assigned in 1:1 ratio to a study group receiving Early Warning Score 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 used: tool I: patient assessment, tool II: Early Warning Score 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 ages (46.48 ± 8.38 vs. 45.93 ± 11.51 years). Study group experienced a substantial reduction in unplanned 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 control group (6.72 ± 2.31 vs. 4.25 ± 1.23 days; p < 0.001).
Conclusions: although the study limited to a single acute care setting, findings suggest that structured physiological monitoring enhances early recognition of deterioration.
Methods: A quasi-experimental design used to conduct this study in Emergency Department at Main Hospital, Assiut University, Egypt, purposive sample of 120 patients enrolled and randomly assigned in 1:1 ratio to a study group receiving Early Warning Score 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 used: tool I: patient assessment, tool II: Early Warning Score 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 ages (46.48 ± 8.38 vs. 45.93 ± 11.51 years). Study group experienced a substantial reduction in unplanned 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 control group (6.72 ± 2.31 vs. 4.25 ± 1.23 days; p < 0.001).
Conclusions: although the study 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: 2026/06/9
Received: 2025/10/22 | Accepted: 2026/02/7 | Published: 2026/06/9
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