Table 3

Summary of model type and patient outcomes including effect size and statistical significance, if reported

AuthorsDeterioration modelIHCPA changeIn-hospital mortality changeICU admission changeLOS change (days)
Bailey et al 24 Logistic regression10% (control) to 11% (intervention)16%–14%7.07–6.92
Bedoya et al 35 NEWS0.175–0.182 (academic), 0.262–0.251 (community)0.537–0.483 (academic), 0.429–0.361 (community)
Bellomo et al 36 Varied by site0.4%–0.3%, p=0.341.8%–2.0%, p=0.345.4%–5.4%*, p=0.953.4–3 (US only, p<0.0001), 4–4 (non-US only, p=0.38) overall 4–3, p<0.0001
Danesh et al 25 Rothman Index8.85–6.73 per 1000 patient days*, p=0.001
Duncan et al 37 Custom EWS21–9Unknown
Escobar et al 26 Logistic regression14.4%–9.8%30-day ICU admission RR 0.91 (0.84–0.98)Hospital discharge HR=1.07(1.03–1.11)
Evans et al 31 Custom EWS3.7%–2.6% in unit A, p=0.04; 0.6%–0.5% in unit B4.1%–5.1% in unit A, p=0.234.4–4.9 in unit A, p=0.002, no change or effect size reported in unit B
Fletcher et al 32 Custom EWSIRR 1.46, p=0.43IRR 0.96, p=0.89IRR 1.15*, p=0.25
Fogerty et al 40 SIRS criteriaNo effect size reported, p=0.07OR 1.25*, p=0.036
Giuliano, K.34 EWS14–10
Heal et al 27 Custom EWS3–1
Heller et al 41 MEWS0.53%–0.21%, p<0.001 8.5–8.83.6%–3.0%*, p<0.001 14.7–13.8
Jones et al 42 CMFT EWS0.4%–0.0%, p=0.219.5%–7.6%, p=0.190.47%–0.28%, p=0.04 9.7–6.9, p<0.001
Kollef et al 30 Logistic regressionOR 0.947, p=0.865OR 0.972, p=0.8989.4–8.4, p=0.038
Mestrom et al 38 MEWS1.6%–1.1%, p=0.913.4%–10.6%, p=0.3612–11 days, p=0.39
Parrish et al 39 MEWS1.19–1.16 per 1000 discharges1–3
Subbe et al 28 NEWS/CREWS/palliative0.65%–0.08%, p=0.002 OR=0.79, p=0.043 1.2%–0.9%*, p=0.158
Weller et al 33 Custom EWS0.492%–0.260%5.29%–4.02%, p=0.09
  • Statistically significant (p<0.05) effect sizes denoted with bold text. Unplanned ICU admissions denoted with an asterisk (*).

  • CMFT, Central Manchester University NHS Foundation Trust; CREWS, Chronic Respiratory Early Warning Score; EWS, Early Warning Score; ICU, intensive care unit; IHCPA, in-hospital cardiac or pulmonary arrest; IRR, incidence rate ratio; LOS, length of stay; MEWS, Modified Early Warning Score; NEWS, National Early Warning Score; NHS, National Health Service; RR, relative risk; SIRS, systemic inflammatory response syndrome.