The National Early Warning Score: Translation, testing and prediction in a Swedish setting.
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 patie...
| Published in: | Intensive & Critical Care Nursing Vol. 37; pp. 62 - 68 |
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| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Elsevier B.V.
Dec2016
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118656634&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 118656634 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09643397 DOI jtl: Intensive & Critical Care Nursing issn: 09643397 maglogo: N pubinfo: dt: Dec2016 vid: 37 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 118656634 118656634 118656634 10.1016/j.iccn.2016.05.007 118656634 ppf: 62 ppct: 6 formats: tig: atl: The National Early Warning Score: Translation, testing and prediction in a Swedish setting. aug: au: Spångfors, Martin Arvidsson, Lisa Karlsson, Victoria Samuelson, Karin affil: Lund University, Faculty of Medicine, Department of Clinical Sciences Lund, Anaesthesiology and Intensive Care, Lund, Sweden sug: subj: Early Intervention Sweden Patient Admission Critically Ill Patients Sweden Human Translations Scales Confidence Intervals Odds Ratio Academic Medical Centers Mann-Whitney U Test Chi Square Test Record Review Medical Records Middle Age Aged Male Female Logistic Regression Multivariate Analysis Instrument Validation Consciousness Oxygen Saturation Respiratory Rate Interrater Reliability Spearman's Rank Correlation Coefficient Goodness of Fit Chi Square Test kappa Statistic Middle Aged: 45-64 years Aged: 65+ years Male Female ab: 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 K = 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). AUROCfor 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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