In-hospital cardiac arrest and preceding National Early Warning Score (NEWS) : A retrospective case-control study
(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
- Spångfors, Martin LU ; Molt, Mats LU and Samuelson, Karin LU
- organization
- publishing date
- 2020-01
- 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
- 2024-08-24 07:00:58
@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}}, }