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Journal articles on the topic 'National Early Warning Score2'

Author: Grafiati

Published: 24 June 2021

Last updated: 17 February 2022

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1

Martín-Rodríguez, Francisco, Raúl López-Izquierdo, Alicia Mohedano-Moriano, Begoña Polonio-López, Clara Maestre Miquel, Antonio Viñuela, Carlos Durantez Fernández, Jesús Gómez Correas, Gonçalo Marques, and José Luis Martín-Conty. "Identification of Serious Adverse Events in Patients with Traumatic Brain Injuries, from Prehospital Care to Intensive-Care Unit, Using Early Warning Scores." International Journal of Environmental Research and Public Health 17, no. 5 (February 26, 2020): 1504. http://dx.doi.org/10.3390/ijerph17051504.

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Traumatic brain injuries are complex situations in which the emergency medical services must quickly determine the risk of deterioration using minimal diagnostic methods. The aim of this study is to analyze whether the use of early warning scores can help with decision-making in these dynamic situations by determining the patients who need the intensive care unit. A prospective, multicentric cohort study without intervention was carried out on traumatic brain injury patients aged over 18 given advanced life support and taken to the hospital. Our study included a total of 209 cases. The total number of intensive-care unit admissions was 50 cases (23.9%). Of the scores analyzed, the National Early Warning Score2 was the best result presented with an area under the curve of 0.888 (0.81–0.94; p < 0.001) and an odds ratio of 25.4 (95% confidence interval (CI):11.2–57.5). The use of early warning scores (and specifically National Early Warning Score2) can help the emergency medical services to differentiate traumatic brain injury patients with a high risk of deterioration. The emergency medical services should use the early warning scores routinely in all cases for the early detection of high-risk situations.

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2

Hill, Karen. "National Early Warning Score." Nursing in Critical Care 17, no. 6 (October 15, 2012): 318. http://dx.doi.org/10.1111/j.1478-5153.2012.00540_3.x.

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Dean, Erin. "National Early Warning Score update." Nursing Older People 30, no. 2 (February 26, 2018): 12. http://dx.doi.org/10.7748/nop.30.2.12.s11.

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Dean, Erin. "Updated National Early Warning Score." Emergency Nurse 25, no. 10 (March 9, 2018): 10. http://dx.doi.org/10.7748/en.25.10.10.s9.

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Dean, Erin. "Updated National Early Warning Score." Nursing Management 25, no. 1 (March 22, 2018): 14. http://dx.doi.org/10.7748/nm.25.1.14.s9.

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Luís, Leandro, and Carla Nunes. "Short National Early Warning Score — Developing a Modified Early Warning Score." Australian Critical Care 31, no. 6 (November 2018): 376–81. http://dx.doi.org/10.1016/j.aucc.2017.11.004.

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Pirneskoski, Jussi, Markku Kuisma, Klaus T. Olkkola, and Jouni Nurmi. "Prehospital National Early Warning Score predicts early mortality." Acta Anaesthesiologica Scandinavica 63, no. 5 (January 8, 2019): 676–83. http://dx.doi.org/10.1111/aas.13310.

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8

Smith, Gary B., Oliver C. Redfern, Marco AF Pimentel, Stephen Gerry, Gary S. Collins, James Malycha, David Prytherch, Paul E. Schmidt, and Peter J. Watkinson. "The National Early Warning Score 2 (NEWS2)." Clinical Medicine 19, no. 3 (May 2019): 260. http://dx.doi.org/10.7861/clinmedicine.19-3-260.

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9

Badriyah, Tessy, James S. Briggs, Paul Meredith, Stuart W. Jarvis, Paul E. Schmidt, Peter I. Featherstone, David R. Prytherch, and Gary B. Smith. "Decision-tree early warning score (DTEWS) validates the design of the National Early Warning Score (NEWS)." Resuscitation 85, no. 3 (March 2014): 418–23. http://dx.doi.org/10.1016/j.resuscitation.2013.12.011.

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Neary, Peter M., Mark Regan, Myles J. Joyce, Oliver J. McAnena, and Ian Callanan. "National early warning score (NEWS) – evaluation in surgery." International Journal of Health Care Quality Assurance 28, no. 3 (April 20, 2015): 245–52. http://dx.doi.org/10.1108/ijhcqa-01-2014-0012.

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Purpose – The purpose of this paper is to evaluate staff opinion on the impact of the National Early Warning Score (NEWS) system on surgical wards. In 2012, the NEWS system was introduced to Irish hospitals on a phased basis as part of a national clinical programme in acute care. Design/methodology/approach – A modified established questionnaire was given to surgical nursing staff, surgical registrars, surgical senior house officers and surgical interns for completion six months following the introduction of the NEWS system into an Irish university hospital. Findings – Amongst the registrars, 89 per cent were unsure if the NEWS system would improve patient care. Less than half of staff felt consultants and surgical registrars supported the NEWS system. Staff felt the NEWS did not correlate well clinically with patients within the first 24 hours (Day zero) post-operatively. Furthermore, 78-85 per cent of nurses and registrars felt a rapid response team should be part of the escalation protocol. Research limitations/implications – Senior medical staff were not convinced that the NEWS system may improve patient care. Appropriate audit proving a beneficial impact of the NEWS system on patient outcome may be essential in gaining support from senior doctors. Deficiencies with the system were also observed including the absence of a rapid response team as part of the escalation protocol and a lack of concordance of the NEWS in patients Day zero post-operatively. These issues should be addressed moving forward. Originality/value – Appropriate audit of the impact of the NEWS system on patient outcome may be pertinent to obtain the support from senior doctors. Deficiencies with the system were also observed including the absence of a rapid response team as part of the escalation protocol and a lack of concordance of the NEWS in patients Day zero post-operatively. These issues should be addressed moving forward.

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11

Yuan, Wang Chang, Cao Tao, Zhu Dan Dan, Sun Chang Yi, Wang Jing, and Qin Jian. "The significance of National Early Warning Score for predicting prognosis and evaluating conditions of patients in resuscitation room." Hong Kong Journal of Emergency Medicine 25, no. 6 (May 10, 2018): 324–30. http://dx.doi.org/10.1177/1024907918775879.

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Background: For critical patients in resuscitation room, the early prediction of potential risk and rapid evaluation of disease progression would help physicians with timely treatment, leading to improved outcome. In this study, it focused on the application of National Early Warning Score on predicting prognosis and conditions of patients in resuscitation room. The National Early Warning Score was compared with the Modified Early Warning Score) and the Acute Physiology and Chronic Health Evaluation II. Objectives: To assess the significance of NEWS for predicting prognosis and evaluating conditions of patients in resuscitation rooms. Methods: A total of 621 consecutive cases from resuscitation room of Xuanwu Hospital, Capital Medical University were included during June 2015 to January 2016. All cases were prospectively evaluated with Modified Early Warning Score, National Early Warning Score, and Acute Physiology and Chronic Health Evaluation II and then followed up for 28 days. For the prognosis prediction, the cases were divided into death group and survival group. The Modified Early Warning Score, National Early Warning Score, and Acute Physiology and Chronic Health Evaluation II results of the two groups were compared. In addition, receiver operating characteristic curves were plotted. The areas under the receiver operating characteristic curves were calculated for assessing and predicting intensive care unit admission and 28-day mortality. Results: For the prognosis prediction, in death group, the National Early Warning Score (9.50 ± 3.08), Modified Early Warning Score (4.87 ± 2.49), and Acute Physiology and Chronic Health Evaluation II score (23.29 ± 5.31) were significantly higher than National Early Warning Score (5.29 ± 3.13), Modified Early Warning Score (3.02 ± 1.93), and Acute Physiology and Chronic Health Evaluation II score (13.22 ± 6.39) in survival group ( p < 0.01). For the disease progression evaluation, the areas under the receiver operating characteristic curves of National Early Warning Score, Modified Early Warning Score, and Acute Physiology and Chronic Health Evaluation II were 0.760, 0.729, and 0.817 ( p < 0.05), respectively, for predicting intensive care unit admission; they were 0.827, 0.723, and 0.883, respectively, for predicting 28-day mortality. The comparison of the three systems was significant ( p < 0.05). Conclusion: The performance of National Early Warning Score for predicting intensive care unit admission and 28-day mortality was inferior than Acute Physiology and Chronic Health Evaluation II but superior than Modified Early Warning Score. It was able to rapidly predict prognosis and evaluate disease progression of critical patients in resuscitation room.

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12

Mohammed, Mohammed, Muhammad Faisal, Donald Richardson, Robin Howes, Kevin Beatson, Kevin Speed, and John Wright. "Impact of the level of sickness on higher mortality in emergency medical admissions to hospital at weekends." Journal of Health Services Research & Policy 22, no. 4 (September 29, 2017): 236–42. http://dx.doi.org/10.1177/1355819617720955.

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Objective Routine administrative data have been used to show that patients admitted to hospitals over the weekend appear to have a higher mortality compared to weekday admissions. Such data do not take the severity of sickness of a patient on admission into account. Our aim was to incorporate a standardized vital signs physiological-based measure of sickness known as the National Early Warning Score to investigate if weekend admissions are: sicker as measured by their index National Early Warning Score; have an increased mortality; and experience longer delays in the recording of their index National Early Warning Score. Methods We extracted details of all adult emergency medical admissions during 2014 from hospital databases and linked these with electronic National Early Warning Score data in four acute hospitals. We analysed 47,117 emergency admissions after excluding 1657 records, where National Early Warning Score was missing or the first (index) National Early Warning Score was recorded outside ±24 h of the admission time. Results Emergency medical admissions at the weekend had higher index National Early Warning Score (weekend: 2.53 vs. weekday: 2.30, p < 0.001) with a higher mortality (weekend: 706/11,332 6.23% vs. weekday: 2039/35,785 5.70%; odds ratio = 1.10, 95% CI 1.01 to 1.20, p = 0.04) which was no longer seen after adjusting for the index National Early Warning Score (odds ratio = 0.99, 95% CI 0.90 to 1.09, p = 0.87). Index National Early Warning Score was recorded sooner (−0.45 h, 95% CI −0.52 to −0.38, p < 0.001) for weekend admissions. Conclusions Emergency medical admissions at the weekend with electronic National Early Warning Score recorded within 24 h are sicker, have earlier clinical assessments, and after adjusting for the severity of their sickness, do not appear to have a higher mortality compared to weekday admissions. A larger definitive study to confirm these findings is needed.

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Kolic, Ivana, Smiley Crane, Suzanne McCartney, Zane Perkins, and Alex Taylor. "Factors affecting response to National Early Warning Score (NEWS)." Resuscitation 90 (May 2015): 85–90. http://dx.doi.org/10.1016/j.resuscitation.2015.02.009.

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14

McGinley, A., and R. M. Pearse. "A national early warning score for acutely ill patients." BMJ 345, aug08 1 (August 8, 2012): e5310-e5310. http://dx.doi.org/10.1136/bmj.e5310.

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15

Day, Tina, and Julie Oxton. "The National Early Warning Score in practice: a reflection." British Journal of Nursing 23, no. 19 (October 23, 2014): 1036–40. http://dx.doi.org/10.12968/bjon.2014.23.19.1036.

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Fuijkschot, Joris, Boris Kramer, Gijs Vos, and Sam Sambeeck. "Pediatric Early Warning System Scores: Lessons to be Learned." Journal of Pediatric Intensive Care 07, no. 01 (May 3, 2017): 027–32. http://dx.doi.org/10.1055/s-0037-1602802.

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AbstractThe objective was to evaluate the use of a pediatric early warning system (PEWS) score in Dutch general and university hospitals, 4 years after the introduction of a national safety program in which the implementation of a PEWS was advised. An electronic cross-sectional survey was used. All general and university hospitals (n = 91) with a pediatric department in The Netherlands were included in the study. The response rate was 100%. Three-quarters of all Dutch hospitals were using a PEWS score in the pediatric department. A wide variation in the parameters was found leading to 45 different PEWS scores. Almost all PEWS scores were invalidated, self-designed, or modified from other PEWS scores. In one-third of the hospitals with an emergency room, a PEWS was used with a wide variation in the parameters leading to 20 different PEWS scores, the majority of which are invalidated. Three-quarters of the hospitals did implement a PEWS score. The majority implemented an invalidated PEWS score. This may lead to a false sense of security or even a potentially dangerous situation. Although these systems are intuitively experienced as useful, the scientific evidence in terms of hospital mortality reduction and patient safety improvement is lacking. It is recommended to establish a national working group to coordinate the development, validation, and implementation of a wide safety program and a PEWS usable for both general and university hospitals.

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Smith, Gary B., David R. Prytherch, Paul Meredith, and Paul E. Schmidt. "Early warning scores: unravelling detection and escalation." International Journal of Health Care Quality Assurance 28, no. 8 (October 12, 2015): 872–75. http://dx.doi.org/10.1108/ijhcqa-07-2015-0086.

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Purpose – The purpose of this paper is to increase understanding of how patient deterioration is detected and how clinical care escalates when early warning score (EWS) systems are used. Design/methodology/approach – The authors critically review a recent National Early Warning Score paper published in IJHCQA using personal experience and EWS-related publications, and debate the difference between detection and escalation. Findings – Incorrect EWS choice or poorly understood EWS escalation may result in unnecessary workloads forward and responding staff. Practical implications – EWS system implementers may need to revisit their guidance materials; medical and nurse educators may need to expand the curriculum to improve EWS system understanding and use. Originality/value – The paper raises the EWS debate and alerts EWS users that scrutiny is required.

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18

Williams, Bryan. "The National Early Warning Score and the acutely confused patient." Clinical Medicine 19, no. 2 (March 2019): 190–91. http://dx.doi.org/10.7861/clinmedicine.19-2-190.

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19

Jones, Mike. "NEWSDIG: The National Early Warning Score Development and Implementation Group." Clinical Medicine 12, no. 6 (December 2012): 501–3. http://dx.doi.org/10.7861/clinmedicine.12-6-501.

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20

Abdulmohdi, Naim. "Is introducing a national early warning score worth the cost?" Nursing Standard 27, no. 26 (February 27, 2013): 30. http://dx.doi.org/10.7748/ns2013.02.27.26.30.s18.

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21

Glasper, Alan. "Updating the National Early Warning Score algorithm: saving more lives." British Journal of Nursing 27, no. 5 (March 8, 2018): 272–73. http://dx.doi.org/10.12968/bjon.2018.27.5.272.

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22

Peltomaa, Minna, and Elina Suoninen. "Using National Early Warning Score (NEWS) in Tampere University Hospital." Resuscitation 130 (September 2018): e130-e131. http://dx.doi.org/10.1016/j.resuscitation.2018.07.279.

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23

Zhu, Yajing, Yi-Da Chiu, Sofia S. Villar, Jonathan W. Brand, Mathew V. Patteril, David J. Morrice, James Clayton, and Jonathan H. Mackay. "Dynamic individual vital sign trajectory early warning score (DyniEWS) versus snapshot national early warning score (NEWS) for predicting postoperative deterioration." Resuscitation 157 (December 2020): 176–84. http://dx.doi.org/10.1016/j.resuscitation.2020.10.037.

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Van Velthoven, Michelle Helena, Felicia Adjei, Dimitris Vavoulis, Glenn Wells, David Brindley, and Attila Kardos. "ChroniSense National Early Warning Score Study (CHESS): a wearable wrist device to measure vital signs in hospitalised patients—protocol and study design." BMJ Open 9, no. 9 (September 2019): e028219. http://dx.doi.org/10.1136/bmjopen-2018-028219.

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IntroductionThe National Early Warning Score is used as standard clinical practice in the UK as a track and trigger system to monitor hospitalised patients. Currently, nurses are tasked to take routine vital signs measurements and manually record these on a clinical chart. Wearable devices could provide an easier, reliable, more convenient and cost-effective method of monitoring. Our aim is to evaluate the clinical validity of Polso (ChroniSense Medical, Yokneam Illit, Israel), a wrist-based device, to provide National Early Warning Scores.Methods and analysisWe will compare Polso National Early Warning Score measurements to the currently used manual measurements in a UK Teaching District General Hospital. Patients aged 18 years or above who require recordings of observations of vital signs at least every 6 hours will be enrolled after consenting. The sample size for the study was calculated to be 300 participants based on the assumption that the final dataset will include four pairs of measurements per-patient and per-vital sign, resulting in a total of 1200 pairs of data points per vital sign. The primary outcome is the agreement on the individual parameter scores and values of the National Early Warning Score: (1) respiratory rate, (2) oxygen saturation, (3) body temperature, (4) systolic blood pressure and (5) heart rate. Secondary outcomes are the agreement on the aggregate National Early Warning Score. The incidence of adverse events will be recorded. The measurements by the device will not be used for the clinical decision-making in this study.Ethics and disseminationWe obtained ethical approval, reference number 18/LO/0123 from London—Hampstead Research Ethics Committee, through the Integrated Research Application System, (reference number: 235 034. The study received no objection from the Medicine and Health Regulatory Authority, reference number: CI/20018/005 and has National Institute for Health Research portfolio adoption status CPMS number: 32 532.Trial registration numberNCT03448861; Pre-results.

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Jo, Sion, Taeoh Jeong, Jae Baek Lee, Youngho Jin, Jaechol Yoon, and Boyoung Park. "Validation of modified early warning score using serum lactate level in community-acquired pneumonia patients. The National Early Warning Score–Lactate score." American Journal of Emergency Medicine 34, no. 3 (March 2016): 536–41. http://dx.doi.org/10.1016/j.ajem.2015.12.067.

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Finnikin, Samuel, and Veronica Wilke. "What’s behind the NEWS? National Early Warning Scores in primary care." British Journal of General Practice 70, no. 695 (April 8, 2020): 272–73. http://dx.doi.org/10.3399/bjgp20x709361.

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Jones, Joanne. "Managing sepsis effectively with national early warning scores and screening tools." British Journal of Community Nursing 22, no. 6 (June 2, 2017): 278–81. http://dx.doi.org/10.12968/bjcn.2017.22.6.278.

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Colombo, Christopher J., Rhonda E. Colombo, Ryan C. Maves, Angela R. Branche, Stuart H. Cohen, Marie-Carmelle Elie, Sarah L. George, et al. "Performance Analysis of the National Early Warning Score and Modified Early Warning Score in the Adaptive COVID-19 Treatment Trial Cohort." Critical Care Explorations 3, no. 7 (July 2021): e0474. http://dx.doi.org/10.1097/cce.0000000000000474.

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Potter, Daniel A., Nicholas Wroe, Helen Redhead, and Andrew JP Lewington. "Outcomes in patients with acute kidney injury reviewed by Critical Care Outreach: What is the role of the National Early Warning Score?" Journal of the Intensive Care Society 18, no. 4 (July 10, 2017): 300–309. http://dx.doi.org/10.1177/1751143717715968.

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Introduction This study investigated outcomes in critically unwell acute kidney injury patients and the role of the National Early Warning Score and other factors in identifying patients who experience negative outcomes. Methods Retrospective cohort study investigating 64 patients seen by Critical Care Outreach between November 2014 and February 2015. Mortality at one year was analysed using multivariate regression; all other statistical tests were non-parametric. Results Forty-four per cent of patients required escalation to higher level care, 56% failed to survive beyond one year and 30% of those who did survive had a deterioration in renal function. Previous acute kidney injury significantly predicted mortality but the National Early Warning Score did not. A subgroup of patients developed Stage 3 acute kidney injury before a rise in National Early Warning Score. Conclusions Acute kidney injury in the Critical Care Outreach patient population is associated with high morbidity and mortality. Previous acute kidney injury and acute kidney injury stage may be superior to the National Early Warning Score at identifying patients in need of Critical Care Outreach review.

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Silcock, Daniel J., Alasdair R. Corfield, Paul A. Gowens, and Kevin D. Rooney. "Validation of the National Early Warning Score in the prehospital setting." Resuscitation 89 (April 2015): 31–35. http://dx.doi.org/10.1016/j.resuscitation.2014.12.029.

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Collins, Michael. "The National Early Warning Score: when the numbers don't add up." British Journal of Nursing 27, no. 13 (July 12, 2018): 764. http://dx.doi.org/10.12968/bjon.2018.27.13.764.

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Kolic, I., S. McCartney, S. Crane, Z. Perkins, and A. Taylor. "Factors affecting the clinical response to National Early Warning score triggers." Critical Care 18, Suppl 1 (2014): P45. http://dx.doi.org/10.1186/cc13235.

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Mylrea Lowndes, B., M. Mercer, and H. Robinson. "Abandoning the National Early Warning Score in our district general hospital." Critical Care 18, Suppl 1 (2014): P61. http://dx.doi.org/10.1186/cc13251.

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Teasdale, G. M. "National early warning score (NEWS) is not suitable for all patients." BMJ 345, sep04 1 (September 4, 2012): e5875-e5875. http://dx.doi.org/10.1136/bmj.e5875.

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Chen, Jack. "Does the National Early Warning Score 2 system serve its purpose?" Resuscitation 134 (January 2019): 145–46. http://dx.doi.org/10.1016/j.resuscitation.2018.11.006.

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Khan, Nazia, and Coralie Carle. "Should the National Early Warning Score be adopted throughout the NHS?" British Journal of Hospital Medicine 75, no. 8 (August 2, 2014): 478. http://dx.doi.org/10.12968/hmed.2014.75.8.478.

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Tagliabue, Fabio, Daniele Schena, Luca Galassi, Matteo Magni, Guglielmo Guerrazzi, Andrea Acerbis, Christina Rinallo, Daniel Longhi, Alberto Ronzani, and Pierpaolo Mariani. "Modified National Early Warning Score as Early Predictor of Outcome in COVID-19 Pandemic." SN Comprehensive Clinical Medicine 3, no. 9 (June 18, 2021): 1863–69. http://dx.doi.org/10.1007/s42399-021-00997-y.

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Barker, Robert Oliver, Rachel Stocker, Siân Russell, Anthony Roberts, Andrew Kingston, Joy Adamson, and Barbara Hanratty. "Distribution of the National Early Warning Score (NEWS) in care home residents." Age and Ageing 49, no. 1 (December 9, 2019): 141–45. http://dx.doi.org/10.1093/ageing/afz130.

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Abstract Background the National Early Warning Score (NEWS) is a tool based on vital signs that aims to standardise detection of, and response to, clinical deterioration in adults. NEWS has been adopted in hospitals but not adapted for other settings. This study aimed to explore the feasibility of measuring the NEWS in care homes and describe the distribution of NEWS readings amongst care home residents. Methods descriptive analysis of all NEWS readings recorded in a 30-month period (2016–19) across 46 care homes in one Clinical Commissioning Group in England. Comparisons were made between measurements taken as a routine reading and those prompted by concern about acute illness. Results a total of 19,604 NEWS were recorded from 2,424 older adults (≥65 years; mean age 85). Median NEWS was 2. Two thirds (66%) of residents had a low NEWS (≤2), and 28% had a score of 0. Of the total NEWS readings, 6,277 (32%) were known to be routine readings and 2,256 (12%) were measured because of staff concerns. Median NEWS was 1 for routine and 2 for concern recordings. Overall, only 12% of NEWS were high (≥5), but a higher proportion were elevated when there were concerns about acute illness (18%), compared with routine recordings (7%). Conclusions use of NEWS in care homes appears to be feasible. The majority of NEWS were not elevated, and the distribution of scores is consistent with other out-of-hospital settings. Further work is required to know if NEWS is triggering the most appropriate response and improving care home resident outcomes.

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Almutary, Abdulaziz, Saqer Althunayyan, Khaled Alenazi, Abdulrahman Alqahtani, Badar Alotaibi, Marwa Ahmed, Isam S. Osman, et al. "National Early Warning Score (NEWS) as Prognostic Triage Tool for Septic Patients." Infection and Drug Resistance Volume 13 (October 2020): 3843–51. http://dx.doi.org/10.2147/idr.s275390.

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Brabrand, Mikkel, and John Kellett. "Mobility measures should be added to the National Early Warning Score (NEWS)." Resuscitation 85, no. 9 (September 2014): e151. http://dx.doi.org/10.1016/j.resuscitation.2014.05.033.

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Prytherch, David R., Gary B. Smith, Paul E. Schmidt, and Peter I. Featherstone. "ViEWS—Towards a national early warning score for detecting adult inpatient deterioration." Resuscitation 81, no. 8 (August 2010): 932–37. http://dx.doi.org/10.1016/j.resuscitation.2010.04.014.

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Butler, Zoe Abigail. "Implementing the National Early Warning Score 2 into pre-registration nurse education." Nursing Standard 35, no. 3 (February 12, 2020): 70–75. http://dx.doi.org/10.7748/ns.2020.e11470.

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Allen, Daniel. "What is the National Early Warning Score – and why is it important?" Emergency Nurse 29, no. 4 (June 29, 2021): 8–10. http://dx.doi.org/10.7748/en.29.4.8.s8.

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Martín-Rodríguez, Francisco, José L. Martín-Conty, Ancor Sanz-García, Virginia Carbajosa Rodríguez, Guillermo Ortega Rabbione, Irene Cebrían Cebrían Ruíz, José R. Oliva Ramos, et al. "Early Warning Scores in Patients with Suspected COVID-19 Infection in Emergency Departments." Journal of Personalized Medicine 11, no. 3 (March 2, 2021): 170. http://dx.doi.org/10.3390/jpm11030170.

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Early warning scores (EWSs) help prevent and recognize and thereby act as the first signs of clinical and physiological deterioration. The objective of this study is to evaluate different EWSs (National Early Warning Score 2 (NEWS2), quick sequential organ failure assessment score (qSOFA), Modified Rapid Emergency Medicine Score (MREMS) and Rapid Acute Physiology Score (RAPS)) to predict mortality within the first 48 h in patients suspected to have Coronavirus disease 2019 (COVID-19). We conducted a retrospective observational study in patients over 18 years of age who were treated by the advanced life support units and transferred to the emergency departments between March and July of 2020. Each patient was followed for two days registering their final diagnosis and mortality data. A total of 663 patients were included in our study. Early mortality within the first 48 h affected 53 patients (8.3%). The scale with the best capacity to predict early mortality was the National Early Warning Score 2 (NEWS2), with an area under the curve of 0.825 (95% CI: 0.75–0.89). The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) positive patients presented an area under the curve (AUC) of 0.804 (95% CI: 0.71–0.89), and the negative ones with an AUC of 0.863 (95% CI: 0.76–0.95). Among the EWSs, NEWS2 presented the best predictive power, even when it was separately applied to patients who tested positive and negative for SARS-CoV-2.

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Ahn, Jee Hwan, Youn Kyung Jung, Ju-Ry Lee, You Na Oh, Dong Kyu Oh, Jin Won Huh, Chae-Man Lim, Younsuck Koh, and Sang-Bum Hong. "Predictive powers of the Modified Early Warning Score and the National Early Warning Score in general ward patients who activated the medical emergency team." PLOS ONE 15, no. 5 (May 14, 2020): e0233078. http://dx.doi.org/10.1371/journal.pone.0233078.

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Williams, Bryan. "The National Early Warning Score 2 (NEWS2) in patients with hypercapnic respiratory failure." Clinical Medicine 19, no. 1 (January 2019): 94–95. http://dx.doi.org/10.7861/clinmedicine.19-1-94.

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De Oliveira, Ana Paula Amestoy, Janete De Souza Urbanetto, and Rita Catalina Aquino Caregnato. "Adaptação transcultural e validação da national early warning score 2 para o Brasil." Revista de Enfermagem UFPE on line 12, no. 11 (November 6, 2018): 3154. http://dx.doi.org/10.5205/1981-8963-v12i11a235114p3154-3157-2018.

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Abstract:

RESUMOObjetivo: realizar a tradução e a adaptação transcultural da National Early Warning Score 2 (NEWS2) e validar o uso, no Brasil, para a deterioração clínica de pacientes. Método: trata-se de estudo metodológico. Fundamentar-se-á o processo no modelo de Beaton e colaboradores seguindo-se seis etapas: tradução inicial, síntese das traduções, tradução reversa, comitê de especialistas, teste de versão final e auditoria do processo. Realizar-se-á o teste de versão final em um hospital universitário do Sul do Brasil, com amostra de 40 enfermeiros, que aplicarão a escala a três estudos de caso propostos pelas pesquisadoras. Transcrever-se-ão e analisar-se-ão as respostas por meio do coeficiente de Kappa avaliando-se a concordância dos observadores. Realizar-se-á, para a validação, um estudo de coorte avaliando-se os registros de Enfermagem dos pacientes admitidos na emergência, em maio de 2018, e os desfechos óbito ou transferência não programada para a terapia intensiva em 24h, 48h e 72h. Respeitar-se-ão, pelo estudo, os aspectos éticos obtendo-se, como produto educativo, a escala NEWS2 traduzida e adaptada ao português brasileiro. Resultados esperados: pretende-se traduzir, adaptar e validar a NEWS produzindo-se um produto de valia para a assistência aos pacientes. Descritores: Pacientes; Evolução Clínica; Avaliação; Tradução; Estudos de Validação; Segurança.ABSTRACTObjective: to perform translation and cross-cultural adaptation of the National Early Warning Score 2 (NEWS2) and to validate the use in Brazil of clinical deterioration of patients. Method: this is a methodological study. The process will be based on the model of Beaton and collaborators following six steps: initial translation, synthesis of translations, reverse translation, committee of experts, final version test and process audit. The final version will be tested in a university hospital in the South of Brazil, with a sample of 40 nurses, who will apply the scale to three case studies proposed by the researchers. Transcripts will be transcribed and analyzed using the Kappa coefficient and the agreement of the observers will be evaluated. A cohort study will be performed for the validation of the Nursing records of patients admitted to the emergency room in May 2018, and the outcomes of death or unscheduled transfer to intensive care in 24 hours, 48 hours and 72 hours. The ethical aspects will be respected by the study, obtaining as an educational product the NEWS2 scale translated and adapted to Brazilian Portuguese. Expected results: we intend to translate, adapt and validate NEWS producing a valuable product for patient care. Descriptors: Patients; Clinical Evolution; Evaluation; Translating; Validation Studies; Safety.RESUMEN Objetivo: realizar la traducción y la adaptación transcultural de la National Early Warning Score 2 (NEWS2) y validar el uso, en Brasil, para el deterioro clínico de pacientes. Método: se trata de un estudio metodológico. Se fundamenta el proceso en el modelo de Beaton y colaboradores siguiendo seis etapas: traducción inicial, síntesis de las traducciones, traducción inversa, comité de expertos, prueba de versión final y auditoría del proceso. Se realizará la prueba de versión final en un hospital universitario del sur de Brasil, con muestra de 40 enfermeros, que aplicarán la escala a tres estudios de caso propuestos por las investigadoras. Se transcriben y se analizarán las respuestas a través del coeficiente de Kappa evaluando la concordancia de los observadores. Se realizará, para la validación, un estudio de cohorte evaluando los registros de Enfermería de los pacientes admitidos en la emergencia, en mayo de 2018, y los resultados óbito o transferencia no programada para la terapia intensiva en 24h, 48h y 72h. El respeto será, por el estudio, los aspectos éticos de obtener, como un producto educativo, la escala News2 traducido y adaptado al portugués de Brasil. Resultados esperados: se pretende traducir, adaptar y validar la NEWS produciéndose un producto de valor para la asistencia a los pacientes. Descriptores: Pacientes; Evolución Clínica; Evaluación; Traducción; Estudios de Validación; Seguridad.

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Abbott, Tom E. F., Nidhi Vaid, Dorothy Ip, Nicholas Cron, Matt Wells, Hew D. T. Torrance, and Julian Emmanuel. "A single-centre observational cohort study of admission National Early Warning Score (NEWS)." Resuscitation 92 (July 2015): 89–93. http://dx.doi.org/10.1016/j.resuscitation.2015.04.020.

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Spångfors, Martin, Mats Molt, and Karin Samuelson. "National Early Warning Score: A survey of registered nurses' perceptions, experiences and barriers." Journal of Clinical Nursing 29, no. 7-8 (January 24, 2020): 1187–94. http://dx.doi.org/10.1111/jocn.15167.

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Pedersen, N. E., L. S. Rasmussen, J. A. Petersen, T. A. Gerds, D. Østergaard, and A. Lippert. "Modifications of the National Early Warning Score for patients with chronic respiratory disease." Acta Anaesthesiologica Scandinavica 62, no. 2 (October 26, 2017): 242–52. http://dx.doi.org/10.1111/aas.13020.

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