The Early Warning Score is a widely used general scoring system to monitor patient progress with a varying score of 0 to 20 in critically unwell patients.
Dr Giuseppe Garcea and colleagues from England evaluated the Early Warning Score system compared with other scoring systems for acute pancreatitis.
Early Warning Score were compared with APACHE scores, Imrie scores, and computed tomography grading scores.
The investigative team also assessed the Ranson criteria for 110 admissions with acute pancreatitis.
A favorable outcome was considered to be survival without intensive therapy unit admission or surgery.
The investigators considered nonsurvivors, necrosectomy, and critical care admission as adverse outcomes.
Early Warning Score was the best predictor of adverse outcome in the first 24 hours of admission.
|An Early Warning Score 3 indicates adverse outcomes with acute pancreatitis|
|Journal of Gastrointestinal Surgery|
The team observed that the most accurate predictor of mortality overall was Early Warning Score on day 3 of admission.
The team found that Early Warning Score correlated with duration of intensive therapy unit stay and number of ventilated days.
The Early Warning Score selected those who went on to develop pancreas-specific complications such as pseudocyst or ascites.
Dr Garcea's team concludes, “An Early Warning Score of 3 or above is an indicator of adverse outcome in patients with acute pancreatitis.”
“Early Warning Score can accurately and reliably select both patients with severe acute pancreatitis and those at risk of local complications.”