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Age and sexes significance on vital signs and NEWS-score during PIG-assesment after intensive care

Niklasson, Ludvig LU and Hellmark, Andreas LU (2022) SINM22 20221
Department of Health Sciences
Abstract
Background: Male sex and older age have been described as risk factors for readmission to the Intensive Care Unit [ICU]. The implementation of PIG-team can help to identify patients who are at risk for clinical deterioration or being readmitted to the Intensive Care Unit. The usage of National Early Warning Score [NEWS] has been proven to effectively discriminate patients who are at risk for unplanned readmission to the ICU, cardiac arrest or death within 24h.
Aim: Analyse potential differences in vital signs and NEWS score between males versus females and patients over versus under 60 years of age. Also evaluate correlation between the different variables and risk for readmission to the ICU within 72h.
Method: A retrospective,... (More)
Background: Male sex and older age have been described as risk factors for readmission to the Intensive Care Unit [ICU]. The implementation of PIG-team can help to identify patients who are at risk for clinical deterioration or being readmitted to the Intensive Care Unit. The usage of National Early Warning Score [NEWS] has been proven to effectively discriminate patients who are at risk for unplanned readmission to the ICU, cardiac arrest or death within 24h.
Aim: Analyse potential differences in vital signs and NEWS score between males versus females and patients over versus under 60 years of age. Also evaluate correlation between the different variables and risk for readmission to the ICU within 72h.
Method: A retrospective, observational study was conducted, and all data analyses were made in the statistical software SPSS. The population (n=190) consists of patients from Centralsjukhuset i Kristianstad, during 2020 and 2021.
Results: Overall, the analysis showed few significant differences in vital signs or NEWS scores between the different variables examined. A minor indication was that men and patients over 60 years old were at higher risk for readmission to the ICU (n=4).
Conclusion: This study highlights the importance of PIG-team and the usage of NEWS to discriminate patients after ICU discharge. The study showed few significant differences in vital signs or NEWS scores between the examined groups, which verifies NEWS validity and reliability. Further studies with a higher quality of evidence are needed to examine risk factors for readmission to the ICU. (Less)
Abstract (Swedish)
Bakgrund: Manligt kön och hög ålder har visat sig utgöra riskfaktorer att återinläggas på IVA. Att implementera uppföljande verksamhet efter utskrivning, såsom PIG-team, kan bidra till att identifiera patienter som riskerar att försämras i sitt sjukdomstillstånd eller återinläggas på IVA. Tillämpandet av bedömningsinstrumentet NEWS har visat sig kunna identifiera patienter som löper risk för oplanerad återinläggning på IVA, hjärtstopp eller död inom 24 timmar.
Syfte: Påvisa eventuella skillnader i vitala parametrar eller NEWS-poäng mellan variablerna män och kvinnor samt patienter över respektive under 60 år. Även undersöka eventuella samband mellan de olika variablerna med risk för återinläggning på IVA inom 72 timmar.
Metod: En... (More)
Bakgrund: Manligt kön och hög ålder har visat sig utgöra riskfaktorer att återinläggas på IVA. Att implementera uppföljande verksamhet efter utskrivning, såsom PIG-team, kan bidra till att identifiera patienter som riskerar att försämras i sitt sjukdomstillstånd eller återinläggas på IVA. Tillämpandet av bedömningsinstrumentet NEWS har visat sig kunna identifiera patienter som löper risk för oplanerad återinläggning på IVA, hjärtstopp eller död inom 24 timmar.
Syfte: Påvisa eventuella skillnader i vitala parametrar eller NEWS-poäng mellan variablerna män och kvinnor samt patienter över respektive under 60 år. Även undersöka eventuella samband mellan de olika variablerna med risk för återinläggning på IVA inom 72 timmar.
Metod: En retrospektiv observationsstudie genomfördes, och all data analyserades i statistikprogrammet SPSS. Studiepopulationen (n=190) innefattar patienter från Centralsjukhuset i Kristianstad, mellan åren 2020 och 2021.
Resultat: Studien kunde inte påvisa några betydande skillnader i vitala parametrar eller NEWS-poäng mellan de undersökta variablerna. Resultatet pekade på en svag indikation att män och patienter över 60 år löpte större risk att återinläggas på IVA (n=4).
Konklusion: Studien belyser vikten av PIG-team och tillämpningen av NEWS för att identifiera riskpatienter efter utskrivning från IVA. Studien påvisade generellt inga betydande skillnader i vitala parametrar eller NEWS-poäng mellan variablerna, vilket vidimerar NEWS validitet och reliabilitet. Framtida studier med högre evidensgrad behövs för att undersöka riskfaktorer för återinläggning på IVA. (Less)
Please use this url to cite or link to this publication:
author
Niklasson, Ludvig LU and Hellmark, Andreas LU
supervisor
organization
course
SINM22 20221
year
type
H1 - Master's Degree (One Year)
subject
keywords
PIG-team, vital signs, NEWS, readmission
language
Swedish
id
9084260
date added to LUP
2022-06-10 14:08:49
date last changed
2022-06-10 14:08:49
@misc{9084260,
  abstract     = {{Background: Male sex and older age have been described as risk factors for readmission to the Intensive Care Unit [ICU]. The implementation of PIG-team can help to identify patients who are at risk for clinical deterioration or being readmitted to the Intensive Care Unit. The usage of National Early Warning Score [NEWS] has been proven to effectively discriminate patients who are at risk for unplanned readmission to the ICU, cardiac arrest or death within 24h.
Aim: Analyse potential differences in vital signs and NEWS score between males versus females and patients over versus under 60 years of age. Also evaluate correlation between the different variables and risk for readmission to the ICU within 72h. 
Method: A retrospective, observational study was conducted, and all data analyses were made in the statistical software SPSS. The population (n=190) consists of patients from Centralsjukhuset i Kristianstad, during 2020 and 2021. 
Results: Overall, the analysis showed few significant differences in vital signs or NEWS scores between the different variables examined. A minor indication was that men and patients over 60 years old were at higher risk for readmission to the ICU (n=4). 
Conclusion: This study highlights the importance of PIG-team and the usage of NEWS to discriminate patients after ICU discharge. The study showed few significant differences in vital signs or NEWS scores between the examined groups, which verifies NEWS validity and reliability. Further studies with a higher quality of evidence are needed to examine risk factors for readmission to the ICU.}},
  author       = {{Niklasson, Ludvig and Hellmark, Andreas}},
  language     = {{swe}},
  note         = {{Student Paper}},
  title        = {{Age and sexes significance on vital signs and NEWS-score during PIG-assesment after intensive care}},
  year         = {{2022}},
}