Undefined
Conditions
Keywords
Hospital Stay, Mortality, Clinical Deterioration
Brief summary
The Early Warning Score (EWS) has been shown in previous studies to be correlated with mortality and mean hospital stay, but it is unknown whether the implementation of the scale improves mortality and mean hospital stay. This trial aims to study whether the implantation of the EWS in a regional hospital reduces the mean hospital stay (primary objective), mortality and complications (secondary objectives). For this, an open clinical trial will be carried out in which the hospitalization floors of the hospital will be administratively divided into two sections (two study branches); the EWS scale will be implemented in the computer equipment of one of the sections of each floor, acting the another section as a control branch. All the patients admitted to the participating hospital floors during one year will be included in the study. The mean stay, mortality and complications will be compared between study branches.
Interventions
OTHEREWS
Early Warning Score will be implemented in the computer system of the nursing station which belong to this intervention group. When the nurses enter the vital signs of the patients into the system, the EWS will be automatically calculated and an alarm will be displayed if an intervention is necessary, which is protocolized.
OTHERusual clinical care
Nurses perform their clinical monitoring activities as usual. EWS will not be implemented in their nursing station
Sponsors
Consorci Sanitari de l'Alt Penedès i Garraf
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Patients admitted during study period to the participant hospital units.
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hospital stay | from baseline to hospital discharge, as much 3 months | Average days of hospital admission |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mortality | from baseline to hospital discharge, as much 3 months | Percentage of patients deceased during hospital admission |
| Complications | from baseline to hospital discharge, as much 3 months | Percentage of patients who develop health complications during hospital admission |
Countries
Spain
Outcome results
None listed