Electronically Recorded National Early Warning Scores, Pain Scores and PONV Scores Among Hospitalized Patients and the Associated Patient Outcomes.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Prevention of In-hospital Adverse Events
- Sponsor
- Tampere University Hospital
- Enrollment
- 30000
- Locations
- 1
- Primary Endpoint
- Death occurring within one day after the first NEWS measurement on general wards
- Last Updated
- 4 years ago
Overview
Brief Summary
National early warning score (NEWS) enables early detection of patient deterioration in hospital floors. However, there is limited data on the prognostic value of NEWS among actual general ward patients. Further, there is no data on how changes in NEWS-values impact patient outcomes. Very little is known on how post-operative nausea and vomiting (PONV) and pain influences NEWS values and vital signs in general.
Detailed Description
The investigators aim to collect detailed data on patients' vital signs, NEWSs, pain scores and PONV scores through electronic data records, where these values are automatically stored with mobile mobile smart devices used by nursing staff. The expected volume of the cohort is 50,000 patients and 300,000 recordings of vital signs. In addition to the scores and vital signs, the registry will include patients' identification numbers (IDs), dates and times of the recordings, and ward numbers. With the IDs, mortality data up to 90-days for the patients will be obtained from the national population register centre. All data will be handled in a pseudonymized form in a secure computer inside hospital, and approval to use the registry in study purposes will be obtained from the Ethics Committee of Tampere University Hospital.
Investigators
Joonas Tirkkonen
MD, PhD. Resident in Anaesthesiology and Intensive Care Medicine. Principal Investigator in this Study.
Tampere University Hospital
Eligibility Criteria
Inclusion Criteria
- •Adult in-hospital patients with recordings of vital signs
Exclusion Criteria
- •Patients under 18 years
Outcomes
Primary Outcomes
Death occurring within one day after the first NEWS measurement on general wards
Time Frame: One day
The percentage of patients that die within one day after their first NEWS measurement at the beginning of their general ward admission
Death occurring within 90-days of the last NEWS measurement
Time Frame: 90 days
The percentage of patients that die within 90-days of the last NEWS recording during their hospitalization.
Secondary Outcomes
- Incidence of post operative pain(Up to 30 days after the first recording of patient's vital signs in the electronic patient records)
- Incidence of post operative nausea and vomiting(Up to 30 days after the first recording of patient's vital signs in the electronic patient records)
- Death occurring within 30-days of the last NEWS measurement(30 days)
- Death occurring within 2-30 days after the first NEWS measurement on general wards(2-30 days)