The National Early Warning Score predicts mortality in hospital ward patients with deviating vital signs : A retrospective medical record review study
Spångfors, Martin LU
; Bunkenborg, Gitte
LU
; Molt, Mats
LU
and Samuelson, Karin
LU
(2019)
In Journal of Clinical Nursing
28(7-8).
p.1216-1222
- Abstract
Aims and objectives: To evaluate whether the scale used for assessment of hospital ward patients could predict in-hospital and 30-day mortality amongst those with deviating vital signs; that is, that patients classified as medium or high risk would have increased risk of in-hospital and 30-day mortality compared to patients with low risk. Background: The National Early Warning Score (NEWS) is a widely adopted scale for assessing deviating vital signs. A clinical risk scale that comes with the NEWS divides the risk for critical illness into three risk categories, low, medium and high. Design: Retrospective analysis of vital sign data. Methods: Logistic regression models for age-adjusted in-hospital and 30-day mortality were used for... (More)
Aims and objectives: To evaluate whether the scale used for assessment of hospital ward patients could predict in-hospital and 30-day mortality amongst those with deviating vital signs; that is, that patients classified as medium or high risk would have increased risk of in-hospital and 30-day mortality compared to patients with low risk. Background: The National Early Warning Score (NEWS) is a widely adopted scale for assessing deviating vital signs. A clinical risk scale that comes with the NEWS divides the risk for critical illness into three risk categories, low, medium and high. Design: Retrospective analysis of vital sign data. Methods: Logistic regression models for age-adjusted in-hospital and 30-day mortality were used for analyses of 1,107 patients with deviating vital signs. Results: Patients classified as medium or high risk by NEWS experienced a 2.11 or 3.40 increase, respectively, in odds of in-hospital death (95% CI: 1.27–3.51, p = 0.004% and 95% CI: 1.90–6.01, p < 0.001) compared to low-risk patients. Moreover, those with NEWS medium or high risk were associated with a 1.98 or 3.19 increase, respectively, in odds of 30-day mortality (95% CI: 1.32–2.97, p = 0.001% and 95% CI: 1.97–5.18, p < 0.001). Conclusion: The NEWS risk classification seems to be a reliable predictor of mortality on patients in hospital wards. Relevance to clinical practice: The NEWS risk classification offers a simple way to identify deteriorating patients and can aid the healthcare staff to prioritise amongst patients.
(Less)
- author
- Spångfors, Martin
LU
; Bunkenborg, Gitte
LU
; Molt, Mats
LU
and Samuelson, Karin
LU
- organization
- publishing date
- 2019
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- critical care, critical care outreach, Early Warning Score, hospital mortality, in-hospital cardiac arrest, Medical Emergency Team, National Early Warning Score, vital signs
- in
- Journal of Clinical Nursing
- volume
- 28
- issue
- 7-8
- pages
- 1216 - 1222
- publisher
- Wiley-Blackwell
- external identifiers
-
- pmid:30516860
- scopus:85059637434
- ISSN
- 0962-1067
- DOI
- 10.1111/jocn.14728
- language
- English
- LU publication?
- yes
- id
- de8fbbe5-2af6-4fd8-adc7-960d0e6e127f
- date added to LUP
- 2019-01-18 14:08:44
- date last changed
- 2024-06-25 04:28:08
@article{de8fbbe5-2af6-4fd8-adc7-960d0e6e127f,
abstract = {{<p>Aims and objectives: To evaluate whether the scale used for assessment of hospital ward patients could predict in-hospital and 30-day mortality amongst those with deviating vital signs; that is, that patients classified as medium or high risk would have increased risk of in-hospital and 30-day mortality compared to patients with low risk. Background: The National Early Warning Score (NEWS) is a widely adopted scale for assessing deviating vital signs. A clinical risk scale that comes with the NEWS divides the risk for critical illness into three risk categories, low, medium and high. Design: Retrospective analysis of vital sign data. Methods: Logistic regression models for age-adjusted in-hospital and 30-day mortality were used for analyses of 1,107 patients with deviating vital signs. Results: Patients classified as medium or high risk by NEWS experienced a 2.11 or 3.40 increase, respectively, in odds of in-hospital death (95% CI: 1.27–3.51, p = 0.004% and 95% CI: 1.90–6.01, p < 0.001) compared to low-risk patients. Moreover, those with NEWS medium or high risk were associated with a 1.98 or 3.19 increase, respectively, in odds of 30-day mortality (95% CI: 1.32–2.97, p = 0.001% and 95% CI: 1.97–5.18, p < 0.001). Conclusion: The NEWS risk classification seems to be a reliable predictor of mortality on patients in hospital wards. Relevance to clinical practice: The NEWS risk classification offers a simple way to identify deteriorating patients and can aid the healthcare staff to prioritise amongst patients.</p>}},
author = {{Spångfors, Martin and Bunkenborg, Gitte and Molt, Mats and Samuelson, Karin}},
issn = {{0962-1067}},
keywords = {{critical care; critical care outreach; Early Warning Score; hospital mortality; in-hospital cardiac arrest; Medical Emergency Team; National Early Warning Score; vital signs}},
language = {{eng}},
number = {{7-8}},
pages = {{1216--1222}},
publisher = {{Wiley-Blackwell}},
series = {{Journal of Clinical Nursing}},
title = {{The National Early Warning Score predicts mortality in hospital ward patients with deviating vital signs : A retrospective medical record review study}},
url = {{http://dx.doi.org/10.1111/jocn.14728}},
doi = {{10.1111/jocn.14728}},
volume = {{28}},
year = {{2019}},
}