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Evaluation and Comparison of Diagnostic Accuracy of Early Warning Scores in Trauma Patients for Determining the Need for Intensive Care Unit Admission: A Prospective Study
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Mohammad Ganji   , Elham Navab , Maryam Esmaeili , Shima Haghani , Mahboubeh Shali * |
| Department of Critical Care Nursing, Tehran School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran & none , mehraneshali@yahoo.com |
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Abstract: (79 Views) |
Background & aim: Predicting the need for intensive care in patients requires predicting the level of risk. Determining the amount of risk that threatens patients can lead to making correct treatment decisions. The present study aimed to determine and compare the diagnostic accuracy of early warning scores in trauma patients to determine the need for intensive care unit admission.
Methods: This prospective study was conducted from December 2024 to January 2025 in hospitals affiliated with Tehran University of Medical Sciences. Using the convenience sampling method, 250 trauma patients were enrolled in the study. To collect data, a demographic information questionnaire and warning scores of the National Early Warning Score 2, the Modified Early Warning Score, the Triage Early Warning Score, and the Modified Emergency Medicine Score were used.
Results: The mean age of the patients was 40.90 ± 15.78. Accident (56.8%) was the most common mechanism of trauma and multiple trauma (56%) was the most common type of trauma. The National Early Warning Score 2 showed the highest diagnostic accuracy with sensitivity (82.2%), specificity (81.1%), and area under the curve (0.889).
Conclusion: While all four early warning scores had good ability to detect ICU admission, there were significant differences in their performance measures. The higher diagnostic accuracy of the National Early Warning Score 2 makes it a valuable tool in identifying patients who may require ICU admission. |
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| Keywords: Early Warning Score, Trauma Nursing, Intensive Care Units |
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Full-Text [PDF 1180 kb]
(26 Downloads)
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Type of Study: Research |
Subject:
Special
Received: 2025/03/22 | Accepted: 2025/05/18 | Published: 2025/06/7
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