CompletedNot Applicable

Early Warning Score Combined With Bedside Assessments: Accelerating Emergency Care To Improve Prognosis

China1,000 participantsStarted 2024-05-01

Plain-language summary

Brief Summary This study, sponsored by the National Natural Science Foundation of China and conducted at the Emergency Department (ED) of Jiangnan University Affiliated Hospital, aims to optimize emergency care for critically ill patients via combining "early warning scoring" and "bedside rapid assessment". Why the Study? Delayed identification of emergency patients at high risk of deterioration worsens outcomes; traditional assessments often miss subtle deterioration signs. This study seeks a more efficient assessment approach to help clinicians recognize high-risk patients earlier and start targeted treatment faster. Eligibility 200-300 participants will be recruited from the hospital's ED for acute diseases (e.g., severe infection, heart failure, trauma). Inclusion: aged 18-80, with informed consent (or family consent if unable to communicate). Exclusion: severe mental illness, non-intervenable terminal illness. Study Process All participants receive routine emergency care. The research team uses a new combined assessment tool: first a 2-minute bedside rapid assessment (vital signs, consciousness, breathing), then early warning scoring to classify risk. Doctors adjust treatment priority based on results. The team records time from admission to treatment initiation and 72-hour condition changes. No additional invasive procedures/experimental drugs are used, and no extra cost for assessments. Potential Benefits Participants may get more timely, targeted emergency care (reducing deterioration risk and hospital stay). Study results will improve emergency care at this and other hospitals, benefiting more emergency patients. Study Leadership Principal Investigator: Dr. Jun Liu (Attending Physician, ED of Jiangnan University Affiliated Hospital) Responsible Party: Jiangnan University Affiliated Hospital (Sponsor) Ethical Approval: Approved by the hospital's Medical Ethics Committee (Approval No.: To be filled with actual number)

Who can participate

Age range18 Years – 80 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion criteria

✓. Age between 18 and 80 years at the time of presentation.
✓. Presentation to the emergency department (ED) for acute medical evaluation.
✓. Completion of at least one documented Early Warning Score (EWS) assessment upon ED admission or during the ED stay.

Exclusion criteria

✕. Do-not-resuscitate (DNR) orders or enrollment in a palliative/comfort care pathway at the time of presentation.
✕. Cardiac arrest upon arrival to the ED (unresponsive, pulseless, requiring resuscitation without return of spontaneous circulation).
✕. Transfer out of the hospital (to another institution or to the operating room for immediate surgery) within 24 hours of ED admission.
✕. History of major cardiac surgery (e.g., coronary artery bypass grafting, valve replacement) or heart transplantation, as these conditions may alter baseline hemodynamics and limit EWS applicability.
✕. Severe chronic organ dysfunction, including:

What they're measuring

ICU-Level Organ Support or In-Hospital Mortality Within 24 Hours

Timeframe: From the time of patient admission (admission time) up to 24 hours after admission time.

Trial details

NCT IDNCT07249151

SponsorJun Liu

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2025-08-30

View on ClinicalTrials.gov More Acute Critical Illnesses in Emergency Settings trials