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In-hospital cardiac arrest and preceding National Early Warning Score (NEWS) : A retrospective case-control study

Spångfors, Martin LU orcid ; Molt, Mats LU and Samuelson, Karin LU (2020) In Clinical Medicine 20(1). p.55-60
Abstract

We aimed to describe and evaluate the National Early Warning Score (NEWS) in the 24 hours preceding an in-hospital cardiac arrest among general somatic ward patients.The 24 hours preceding the in-hospital cardiac arrest were divided into four timespans and analysed by a medical record review of 127:254 matched case-control patients. The median NEWS ranged from 3 (2-6) to 6 (3-9) points for cases vs 1 (0-3) to 1 (0-3) point for controls. The proportion of cases ranged from 23-45% at high risk vs 3-6% for controls. The NEWS high-risk category was associated with an increase of 3.17 (95% confidence interval (CI) 1.66-6.04) to 4.43 (95% CI 2.56-7.67) in odds of in-hospital cardiac arrest compared to the low-risk category.NEWS, with its... (More)

We aimed to describe and evaluate the National Early Warning Score (NEWS) in the 24 hours preceding an in-hospital cardiac arrest among general somatic ward patients.The 24 hours preceding the in-hospital cardiac arrest were divided into four timespans and analysed by a medical record review of 127:254 matched case-control patients. The median NEWS ranged from 3 (2-6) to 6 (3-9) points for cases vs 1 (0-3) to 1 (0-3) point for controls. The proportion of cases ranged from 23-45% at high risk vs 3-6% for controls. The NEWS high-risk category was associated with an increase of 3.17 (95% confidence interval (CI) 1.66-6.04) to 4.43 (95% CI 2.56-7.67) in odds of in-hospital cardiac arrest compared to the low-risk category.NEWS, with its intuitive and for healthcare staff easy to interpret risk classification, is suitable for discriminating deteriorating patients with major deviating vital signs scoring high risk on NEWS.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Clinical Medicine
volume
20
issue
1
pages
6 pages
publisher
Royal College of Physicians of London
external identifiers
  • scopus:85077941238
  • pmid:31941734
ISSN
1470-2118
DOI
10.7861/clinmed.2019-0137
language
English
LU publication?
yes
additional info
© Royal College of Physicians 2020. All rights reserved.
id
ed28a301-19d2-43b6-82c3-ea04d3d7ba66
date added to LUP
2020-01-23 19:14:09
date last changed
2024-05-03 20:05:20
@article{ed28a301-19d2-43b6-82c3-ea04d3d7ba66,
  abstract     = {{<p>We aimed to describe and evaluate the National Early Warning Score (NEWS) in the 24 hours preceding an in-hospital cardiac arrest among general somatic ward patients.The 24 hours preceding the in-hospital cardiac arrest were divided into four timespans and analysed by a medical record review of 127:254 matched case-control patients. The median NEWS ranged from 3 (2-6) to 6 (3-9) points for cases vs 1 (0-3) to 1 (0-3) point for controls. The proportion of cases ranged from 23-45% at high risk vs 3-6% for controls. The NEWS high-risk category was associated with an increase of 3.17 (95% confidence interval (CI) 1.66-6.04) to 4.43 (95% CI 2.56-7.67) in odds of in-hospital cardiac arrest compared to the low-risk category.NEWS, with its intuitive and for healthcare staff easy to interpret risk classification, is suitable for discriminating deteriorating patients with major deviating vital signs scoring high risk on NEWS.</p>}},
  author       = {{Spångfors, Martin and Molt, Mats and Samuelson, Karin}},
  issn         = {{1470-2118}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{55--60}},
  publisher    = {{Royal College of Physicians of London}},
  series       = {{Clinical Medicine}},
  title        = {{In-hospital cardiac arrest and preceding National Early Warning Score (NEWS) : A retrospective case-control study}},
  url          = {{http://dx.doi.org/10.7861/clinmed.2019-0137}},
  doi          = {{10.7861/clinmed.2019-0137}},
  volume       = {{20}},
  year         = {{2020}},
}