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abstract:
Early warning score: An indicator of adverse outcomes in postoperative patients on a gynecologic oncology service
Objective
In 2014, our hospital implemented an early warning score (EWS) to identify inpatients at risk for clinical deterioration. EWS ≥ 8 is associated with ≥10% mortality in medical admissions. Since postoperative hemodynamic changes may alter EWS, we evaluated EWS in post-laparotomy patients.Methods
Gynecologic oncology patients admitted for laparotomy from 9/1/2014 to 7/31/2015 were categorized by highest EWS during admission: <5, 5–7, and ≥8.The primary outcome was a composite including death, ICU transfer, rapid response team activation, pulmonary embolus, sepsis, and reoperation. For patients with the composite, highest EWS prior to that outcome was evaluated. Secondary outcomes were length of stay (LOS), readmission, and transfusion. Groups were compared using chi-square test for trend....
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