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The National Early Warning Score : Translation, testing and prediction in a Swedish setting

Spångfors, Martin LU ; Arvidsson, Lisa; Karlsson, Victoria and Samuelson, Karin LU (2016) In Intensive and Critical Care Nursing 37. p.62-67
Abstract

The National Early Warning Score – NEWS is a “track and trigger” scale designed to assess in-hospital patients’ vital signs and detect clinical deterioration. In this study the NEWS was translated into Swedish and its association with the need of intensive care was investigated. A total of 868 patient charts, recorded by the medical emergency team at a university hospital, containing the parameters needed to calculate the NEWS were audited. The NEWS was translated into Swedish and tested for inter-rater reliability with a perfect agreement (weighted κ = 1.0) among the raters. The median score for patients admitted to the ICU were higher than for those who were not (10 vs. 8, p < 0.0001). AUROC for discriminating admittance to the ICU... (More)

The National Early Warning Score – NEWS is a “track and trigger” scale designed to assess in-hospital patients’ vital signs and detect clinical deterioration. In this study the NEWS was translated into Swedish and its association with the need of intensive care was investigated. A total of 868 patient charts, recorded by the medical emergency team at a university hospital, containing the parameters needed to calculate the NEWS were audited. The NEWS was translated into Swedish and tested for inter-rater reliability with a perfect agreement (weighted κ = 1.0) among the raters. The median score for patients admitted to the ICU were higher than for those who were not (10 vs. 8, p < 0.0001). AUROC for discriminating admittance to the ICU was 0.68 (95% CI: 0.622–0.739, p < 0.0001). A regression analysis showed that lower oxygen saturation and a lower level of consciousness were significantly associated with ICU admission (OR 1.27 [1.06–1.52], p = 0.01 and OR 1.77 [1.12–2.82], p = 0.02) and may predict admission to the ICU better than the other parameters. The Swedish translated NEWS seems to have excellent inter-rater reliability and can be used without risk of linguistic misinterpretation. High scores for the parameters oxygen saturation and level of consciousness in the NEWS may predict admission to the ICU.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Critical care outreach, ICU admission, In-hospital patient safety, Medical emergency team, National Early Warning Score, Rapid response team
in
Intensive and Critical Care Nursing
volume
37
pages
6 pages
publisher
Elsevier
external identifiers
  • scopus:84977124787
  • wos:000386319500009
ISSN
0964-3397
DOI
10.1016/j.iccn.2016.05.007
language
English
LU publication?
yes
id
85b22892-f1e4-49be-a9eb-025ee07b6d18
date added to LUP
2016-12-02 08:30:29
date last changed
2017-04-12 09:22:31
@article{85b22892-f1e4-49be-a9eb-025ee07b6d18,
  abstract     = {<p>The National Early Warning Score – NEWS is a “track and trigger” scale designed to assess in-hospital patients’ vital signs and detect clinical deterioration. In this study the NEWS was translated into Swedish and its association with the need of intensive care was investigated. A total of 868 patient charts, recorded by the medical emergency team at a university hospital, containing the parameters needed to calculate the NEWS were audited. The NEWS was translated into Swedish and tested for inter-rater reliability with a perfect agreement (weighted κ = 1.0) among the raters. The median score for patients admitted to the ICU were higher than for those who were not (10 vs. 8, p &lt; 0.0001). AUROC for discriminating admittance to the ICU was 0.68 (95% CI: 0.622–0.739, p &lt; 0.0001). A regression analysis showed that lower oxygen saturation and a lower level of consciousness were significantly associated with ICU admission (OR 1.27 [1.06–1.52], p = 0.01 and OR 1.77 [1.12–2.82], p = 0.02) and may predict admission to the ICU better than the other parameters. The Swedish translated NEWS seems to have excellent inter-rater reliability and can be used without risk of linguistic misinterpretation. High scores for the parameters oxygen saturation and level of consciousness in the NEWS may predict admission to the ICU.</p>},
  author       = {Spångfors, Martin and Arvidsson, Lisa and Karlsson, Victoria and Samuelson, Karin},
  issn         = {0964-3397},
  keyword      = {Critical care outreach,ICU admission,In-hospital patient safety,Medical emergency team,National Early Warning Score,Rapid response team},
  language     = {eng},
  month        = {12},
  pages        = {62--67},
  publisher    = {Elsevier},
  series       = {Intensive and Critical Care Nursing},
  title        = {The National Early Warning Score : Translation, testing and prediction in a Swedish setting},
  url          = {http://dx.doi.org/10.1016/j.iccn.2016.05.007},
  volume       = {37},
  year         = {2016},
}