Hamilton Early Warning Score: predict, prevent and protect

Examining the utility of the Hamilton early warning scores (HEWS) at triage: Retrospective pilot study in a Canadian emergency department

“…This study is a secondary analysis of a larger prospectively identified database of consecutive patients admitted to medical and surgical floors during the 6-month implementation of HEWS on the wards, which began in January 2014. 13,14 The current study included only patients who were admitted through the ED.…”

“…Furthermore, the combination of HEWS and a rapid response team reduced the incidence of cardiac arrest and death. 13 The current study is a retrospective review examining HEWS at ED triage as a predictor of the occurrence of critical events during admission. A secondary goal was to examine HEWS as a predictor of sepsis and the occurrence of critical events among septic patients.…”

Prognostic accuracy of early warning scores for predicting serious illness and in-hospital mortality in patients with COVID-19

“…Among the 16 EWSs, we excluded three; Modified Early Warning Score with GCS (MEWS-GCS) [ 19 ] and Abbreviated VitalPac Early Warning Score (AbViEWS) [ 20 ] because of having similar components as Modified Early Warning Score (MEWS) and VitalPac Early Warning Score (ViEWS) and in case of National Early Warning Score (NEWS) [ 21 ], we kept National Early Warning Score 2 (NEWS2) as it has already been recommended by the Royal College of Physicians in diagnosing deteriorating COVID-19 patients [ 22 ]. Total 13 EWSs including National Early Warning Score 2 (NEWS2) [ 23 ], Modified National Early Warning Score (m-NEWS/ NEWS-C) [ 24 ], Quick Sepsis-related Organ Failure Assessment (qSOFA) [ 25 ], Rapid Acute Physiology Score (RAPS) [ 26 ], Modified Early Warning Score (MEWS) [ 27 ], Standardized Early Warning Score (SEWS) [ 28 ], Rapid Emergency Medicine Score (REMS) [ 29 ], Goodacre Score [ 30 ], Worthing Physiological Score (WPS) [ 31 ], Hamilton Early Warning Score (HEWS) [ 32 ], Groarke Score [ 33 ], VitalPac Early Warning Score (ViEWS) [ 16 ] and Confusion Respiratory Rate Blood Pressure Age 65 score (CRB-65) [ 34 ] were evaluated for formulating predicting outcome in our study based on the clinical parameters on admission day.…”