Application of early warning system (EWS) in patients with cardiovascular disorders : a descriptive study

Teguh Theryana Bobonera(1*), Mohammad Fatkhul Mubin(2), Vivi Yosafianti Pohan(3), Edy Soesanto(4), Rahayu Astuti(5)


(1) Master of Nursing Department, Postgraduate Program, Universitas Muhammadiyah Semarang
(2) Nursing Department, Faculty of Nursing and Health Sciences, Universitas Muhammadiyah Semarang
(3) Nursing Department, Faculty of Nursing and Health Sciences, Universitas Muhammadiyah Semarang
(4) Nursing Department, Faculty of Nursing and Health Sciences, Universitas Muhammadiyah Semarang
(5) Master of Public Health Department, Postgraduate Program, Universitas Muhammadiyah Semarang
(*) Corresponding Author

Abstract


Incidents of clients experiencing sudden cardiac arrest in the inpatient setting or unexpected and unavoidable deaths in the inpatient setting are common. One of the efforts to improve quality related to patient safety in hospitals is the application of the Early Warning System (EWS) to clinical changes in patients in hospital inpatient installations. The purpose of this study was to describe the application of EWS in clients with cardiovascular system disorders, including the risk of seriousness, respiratory rate, oxygen saturation, use of oxygen supplements, systolic blood pressure, pulse frequency, level of consciousness, and body temperature. This study is an observational descriptive study with a cross-sectional approach. The number of respondents was 48 people, namely clients who were treated with diseases of the cardiovascular system. Data analysis using descriptive analysis. The characteristics of respondents obtained in this study showed that the majority of respondents were female (54.2%), the majority of medical diagnoses were congestive heart failure, which was 43.75%, and the average length of stay was 4.63 days. Most of the patient's risk of seriousness was in the moderate category, namely 22 respondents (45.8%). Assessment of clients with cardiovascular system disorders with EWS in this study can predict the level of patient care so that preventive measures can be taken. Recommendations for future research are research on predicting patient mortality using EWS.

Keywords


Early warning system; cardiovascular disease

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References


Kemenkes RI. Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/Menkes/1128/2022 Tentang Standar Akreditasi Rumah Sakit. Jakarta: Kementerian Kesehatan RI; 2022.

Faggioni MP, González-Melado FJ, Di Pietro ML. National health system cuts and triage decisions during the COVID-19 pandemic in Italy and Spain: ethical implications. J Med Ethics 2021;47:300–7.

Jentzer JC, Rossello X. Past, present, and future of mortality risk scores in the contemporary cardiac intensive care unit. Eur Heart J Acute Cardiovasc Care 2021;10:940–6.

Navuluri N, Solomon HS, Hargett CW, Kussin PS. Distressed Work: Chronic Imperatives and Distress in Covid‐19 Critical Care. Hastings Center Report 2023;53:33–45.

Zhang Y, Coats AJ, Zheng Z, Adamo M, Ambrosio G, Anker SD, et al. Management of heart failure patients with COVID‐19: a joint position paper of the Chinese Heart Failure Association & National Heart Failure Committee and the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail 2020;22:941–56.

Park SM, Lee SY, Jung M-H, Youn J-C, Kim D, Cho JY, et al. Korean Society of Heart Failure Guidelines for the management of heart failure: management of the underlying etiologies and comorbidities of heart failure. Korean Circ J 2023;53:425.

Badr MN, Khalil NS, Mukhtar AM. Effect of national early warning scoring system implementation on cardiopulmonary arrest, unplanned ICU admission, emergency surgery, and acute kidney injury in an emergency hospital, Egypt. J Multidiscip Healthc 2021:1431–42.

Joyce-McCoach J, Ashworth P, Park SA, Kellerman T, McKenna L. Transition and pathway programs from second to first level nursing: A scoping review. Nurse Educ Today 2023.

Bedoya AD, Clement ME, Phelan M, Steorts RC, O’Brien C, Goldstein BA. Minimal impact of implemented early warning score and best practice alert for patient deterioration. Crit Care Med 2019;47:49.

Hidayat DI, Agushybana F, Nugraheni SA. Early Warning System pada Perubahan Klinis Pasien terhadap Mutu Pelayanan Rawat Inap. Journal of Public Health Research and Development 2020;4:506–19.

Burgos-Esteban A, Gea-Caballero V, Marín-Maicas P, Santillán-García A, Cordón-Hurtado MdV, Marqués-Sule E. Effectiveness of early warning scores for early severity assessment in outpatient emergency care: A systematic review. Front Public Health 2022;10.

Wongtanasarasin W, Srisurapanont K, Nishijima DK. How Epinephrine Administration Interval Impacts the Outcomes of Resuscitation during Adult Cardiac Arrest: A Systematic Review and Meta-Analysis. J Clin Med 2023;12:481.

Gerry S, Bonnici T, Birks J, Kirtley S, Virdee PS, Watkinson PJ. Early warning scores for detecting deterioration in adult hospital patients: systematic review and critical appraisal of methodology. BMJ 2020:269.

Mortensen M, Sandvik RKNM, Svendsen ØS, Haaverstad R, Moi AL. Return to work after coronary artery bypass grafting and aortic valve replacement surgery: A scoping review. Scand J Caring Sci 2021;36:893–909. https://doi.org/10.1111/scs.13006.

Giacon TA, Giancola F, Paganini M, Tiengo C, Camporesi EM, Bosco G. Hyperbaric Oxygen Therapy and A-PRF Pre-Treated Implants in Severe Periodontitis: A Case Report. Int J Environ Res Public Health 2021;18:413. https://doi.org/10.3390/ijerph18020413.

Oeung B, Pham K, Olfert IM, De DJ, Zerda L, Gaio E, et al. The normal distribution of the hypoxic ventilatory response and methodological impacts: a meta-analysis and computational investigation Key points. J Physiol 2023;601:4423–40. https://doi.org/10.1113/JP284767#support-information-section.

Rodgers ML, Fox E, Abdelhak T, Franker LM, Johnson BJ, Kirchner-Sullivan C, et al. Care of the Patient With Acute Ischemic Stroke (Endovascular/Intensive Care Unit-Postinterventional Therapy): Update to 2009 Comprehensive Nursing Care Scientific Statement: A Scientific Statement From the American Heart Association. Stroke 2021;52:E198–210. https://doi.org/10.1161/STR.0000000000000358.

Wu CY, Hu HY, Chou YJ, Huang N, Chou YC, Li CP. High blood pressure and all-cause and cardiovascular disease mortalities in community-dwelling older adults. Medicine (United States) 2015;94:e2160. https://doi.org/10.1097/MD.0000000000002160.

DeMers D, Wachs D. Physiology, Mean Arterial Pressure, Treasure Island (FL): StatPearls Publishing; 2023.

Castillo RL, Ibacache M, Cortínez I, Carrasco-Pozo C, Farías JG, Carrasco RA, et al. Dexmedetomidine Improves Cardiovascular and Ventilatory Outcomes in Critically Ill Patients: Basic and Clinical Approaches. Front Pharmacol 2020;10. https://doi.org/10.3389/fphar.2019.01641.

Ma J, Tai Y, Fan M, Wang Z. Cardiac rehabilitation of patients with acute st-elevation myocardial infarction undergoing primary percutaneous coronary intervention in a han population in northern china: A prospective cohort study. Int J Gen Med 2021;14:4959–65. https://doi.org/10.2147/IJGM.S326725.

Cheshire WP. Thermoregulatory disorders and illness related to heat and cold stress. Auton Neurosci 2016;196:91–104. https://doi.org/10.1016/j.autneu.2016.01.001.

Luo W, Cao L, Wang C. Low body temperature and mortality in critically ill patients with coronary heart disease: a retrospective analysis from MIMIC-IV database. Eur J Med Res 2023;28. https://doi.org/10.1186/s40001-023-01584-8.


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DOI: https://doi.org/10.26714/mki.7.1.2024.31-37

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