scholarly journals Physician awareness and attitudes regarding early warning score systems in mainland China: a cross-sectional study

2020 ◽  
Author(s):  
Y Xiong ◽  
WW Dai ◽  
RH Yu ◽  
LL Liang ◽  
LL Peng
Keyword(s):  
Early Warning ◽  
Mainland China ◽  
Cross Sectional Study ◽  
Early Warning Score ◽  
Sectional Study ◽  
Cross Sectional ◽  
Physician Awareness ◽  
Score Systems

scholarly journals Use of the first National Early Warning Score recorded within 24 hours of admission to estimate the risk of in-hospital mortality in unplanned COVID-19 patients: a retrospective cohort study

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e043721
Author(s):  
Donald Richardson ◽  
Muhammad Faisal ◽  
Massimo Fiori ◽  
Kevin Beatson ◽  
Mohammed Mohammed
Keyword(s):  
Hospital Mortality ◽  
Early Warning ◽  
Absolute Risk ◽  
Cross Sectional Study ◽  
Early Warning Score ◽  
Cross Sectional ◽  
Risk Of Mortality ◽  
Baseline Mortality ◽  
Acute Hospitals ◽  
National Early Warning Score

ObjectivesAlthough the National Early Warning Score (NEWS) and its latest version NEWS2 are recommended for monitoring deterioration in patients admitted to hospital, little is known about their performance in COVID-19 patients. We aimed to compare the performance of the NEWS and NEWS2 in patients with COVID-19 versus those without during the first phase of the pandemic.DesignA retrospective cross-sectional study.SettingTwo acute hospitals (Scarborough and York) are combined into a single dataset and analysed collectively.ParticipantsAdult (≥18 years) non-elective admissions discharged between 11 March 2020 and 13 June 2020 with an index or on-admission NEWS2 electronically recorded within ±24 hours of admission to predict mortality at four time points (in-hospital, 24 hours, 48 hours and 72 hours) in COVID-19 versus non-COVID-19 admissions.ResultsOut of 6480 non-elective admissions, 620 (9.6%) had a diagnosis of COVID-19. They were older (73.3 vs 67.7 years), more often male (54.7% vs 50.1%), had higher index NEWS (4 vs 2.5) and NEWS2 (4.6 vs 2.8) scores and higher in-hospital mortality (32.1% vs 5.8%). The c-statistics for predicting in-hospital mortality in COVID-19 admissions was significantly lower using NEWS (0.64 vs 0.74) or NEWS2 (0.64 vs 0.74), however, these differences reduced at 72hours (NEWS: 0.75 vs 0.81; NEWS2: 0.71 vs 0.81), 48 hours (NEWS: 0.78 vs 0.81; NEWS2: 0.76 vs 0.82) and 24hours (NEWS: 0.84 vs 0.84; NEWS2: 0.86 vs 0.84). Increasing NEWS2 values reflected increased mortality, but for any given value the absolute risk was on average 24% higher (eg, NEWS2=5: 36% vs 9%).ConclusionsThe index or on-admission NEWS and NEWS2 offers lower discrimination for COVID-19 admissions versus non-COVID-19 admissions. The index NEWS2 was not proven to be better than the index NEWS. For each value of the index NEWS/NEWS2, COVID-19 admissions had a substantially higher risk of mortality than non-COVID-19 admissions which reflects the increased baseline mortality risk of COVID-19.

scholarly journals Current Treatment Modalities for Osteonecrosis of Femoral Head in Mainland China: A Cross‐Sectional Study

2020 ◽  
Vol 12 (6) ◽  
pp. 1776-1783
Author(s):  
Ze‐qing Huang ◽  
Fan‐yu Fu ◽  
Wen‐long Li ◽  
Biao Tan ◽  
Hai‐jun He ◽  
...  
Keyword(s):  
Femoral Head ◽  
Mainland China ◽  
Cross Sectional Study ◽  
Current Treatment ◽  
Treatment Modalities ◽  
Sectional Study ◽  
Cross Sectional ◽  
Osteonecrosis Of Femoral Head

scholarly journals Midwives’ experiences of using the Obstetric Norwegian Early Warning System (ONEWS): A national cross-sectional study

2021 ◽  
Vol 5 (April) ◽  
pp. 1-9
Author(s):  
Line Fladeby ◽  
Marianne Raunedokken ◽  
Hannah Fonkalsrud ◽  
Dorte Hvidtjørn ◽  
Mirjam Lukasse
Keyword(s):  
Early Warning ◽  
Early Warning System ◽  
Warning System ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Sharp instrument injuries among hospital healthcare workers in mainland China: a cross-sectional study

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e017761 ◽  
Author(s):  
Sheng-Li Huang ◽  
Qun Lu ◽  
Shan-Hong Fan ◽  
Zhi-Yong Zong ◽  
Tie-Ying Hou ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Mainland China ◽  
Needle Insertion ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Sectional Study ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Medical Apparatus ◽  
General Wards

ObjectivesTo determine the prevalence of sharp instrument injuries in hospital-based healthcare workers (HCWs) in mainland China and the contributing factors.DesignCross-sectional study.SettingThe data were derived from public hospitals.ParticipantsA total of 360 hospitals were recruited in the study, including 289 general hospitals and 71 specialised hospitals. Among them, 194 are tertiary-level hospitals and 166 are secondary level. The study population finally consisted of 223 149 hospital HCWs.Primary outcome measuresA questionnaire was designed based on the aim of the study. Profession of HCWs, workplace, circumstance and medical apparatus and instrument were covered in the survey. HCWs completed a self-administered questionnaire regarding details of sharp instrument injuries within the previous month. Prevalence estimates for the injuries were calculated for the overall HCWs and for subgroups according to profession, workplace, circumstance or instrument.ResultsWithin the included HCWs, the prevalence of sharp instrument injuries was 0.08 per person-month. Only 4.6% of the HCWs reported to their hospitals after injury. The highest number of injuries occurred in nursing staff (10.3%). Injuries took place most frequently on general wards (44.5%). The circumstances that involved most frequent injuries include surgical needle insertion, removing an arteriovenous needle from a patient and recapping the needle. Single-use syringe caused more injuries incidents than other instruments.ConclusionsThese results indicate that sharp instrument injuries have become a major occupational problem of HCWs in mainland China. Attentions need to be paid to the issue and strategies for preventing such injuries are needed.

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