Clinical trial NCT05584098: Modified Early Warning Score (MEWS) and Quick Sequential Organ Failure Assessment (qSOFA) in the Emergency Room
Official title: Modified Early Warning Score (MEWS) and Quick Sequential Organ Failure Assessment (qSOFA) to Predict the Occurrence of Sepsis in the Emergency Room
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Sepsis
Keywords: Sepsis
Modified Early Warning Score(MEWS)
quick Sequential Organ Failure Assessment(qSOFA)
emergency Medicine
Lead sponsor: St. Martin De Porress Hospital
Sponsor class: OTHER
First posted: 2022-10-18
Enrollment: 950
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: In a cross-sectional study, the investigator measures the outcome and the exposures in the study participants at the same time.
Primary purpose: SCREENING

Brief summary: In the development of sepsis treatment of recent years, the demand for medical manpower has increased significantly when patients with sepsis appear because of the expansion of medical care demand and shortened response time related to sepsis Due to the shortage of manpower, a more simple and easy-to-operate inspection method is adopted and artificial intelligence technology is used to assist in the evaluation.

The applicability of physiological indicators MEWS and qSOFA as sepsis screening tools in emergency department (ED) and predicting sepsis outcome in the emergency department. When patients with sepsis appear, artificial intelligence technology is used to remind the physicians to respond and administer drugs as soon as possible.

This is a single-center retrospective study of a group of patients admitted to the emergency department. The medical records were reviewed, mainly based on the hospital site records and the existing vital signs of the patients. Attended a hospital emergency room between January 2020 and December 2022. Physiological numerical indicators MEWS and qSOFA were all scored to understand the distribution of sepsis.

Detailed description: 1. A single-center retrospective study of a cohort of patients admitted to the emergency department
2. To see a doctor in the emergency department of the hospital between January 2020 and December 2022, review their medical records, and focus on the hospital's on-site records and the existing patient's vital signs.
3. The physiological indicators MEWS and qSOFA were scored to understand the distribution of sepsis.
4. Remind the doctor when a suspected sepsis patient appears under level 5 triage and use artificial intelligence technology to assist
5. This study will explore the specific improvement practices and effects of improving the response of patients with sepsis when they see a doctor
6. To analyze and evaluate the economics and benefits of this operation mode, improve the accuracy of emergency inspection of sepsis patients and improve the rationality of hospital manpower deployment
7. Scheduled progress of the plan: Patients who visited the emergency department of the hospital between January 2020 and December 2022 were included in this study under investigation. This is a retrospective study, and patients are required to undergo necessary examinations according to their own conditions, without any interference from the study

Eligibility criteria: Inclusion Criteria:

* This is a single-center retrospective study of a group of patients admitted to the emergency department.

Exclusion Criteria:

* Patients with incomplete treatment clinical data, lack of information in medical records, trauma patients

Primary outcomes:
measure: qSOFA used in emergency medicine department
timeFrame: From date of randomization until the date of first documented progression assessed up to 36 months
measure: Modified Early Warning Score(MEWS) which quickly determine whether a particular patient needs increased medical attention
timeFrame: From date of randomization until the date of first documented progression assessed up to 36 months
Secondary outcomes:
Other outcomes:
Locations:
city: Chiayi City
country: Taiwan
facility: St. Martin De Porres Hospital
city: Chiayi City
country: Taiwan
facility: St. Martin De Porres Hospital
Study officials:
affiliation: Emergency Medicine Department of St. Martin De Porres Hospital
name: Chia-Hsi Chen, MD
role: PRINCIPAL_INVESTIGATOR
References: