The National Early Warning Score predicts mortality in hospital ward patients with deviating vital signs: A retrospective medical record review study.
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 morta...
| Publicado en: | Journal of Clinical Nursing (John Wiley & Sons, Inc.) Vol. 28; no. 7/8; pp. 1216 - 1223 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Apr2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=135199422&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 135199422 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09621067 LVDZ jtl: Journal of Clinical Nursing (John Wiley & Sons, Inc.) issn: 09621067 maglogo: N pubinfo: dt: Apr2019 vid: 28 iid: 7/8 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 135199422 135199422 135199422 10.1111/jocn.14728 135199422 ppf: 1216 ppct: 7 formats: tig: atl: The National Early Warning Score predicts mortality in hospital ward patients with deviating vital signs: A retrospective medical record review study. aug: au: Spångfors, Martin Bunkenborg, Gitte Molt, Mats Samuelson, Karin affil: Department of Clinical Sciences Lund, Anesthesiology and Intensive Care, Faculty of Medicine, Lund University, Lund Sweden sug: subj: Hospital Mortality Evaluation Early Diagnosis Vital Signs Evaluation Human Funding Source Inpatients Retrospective Design Record Review Scales Reference Values Logistic Regression Odds Ratio Confidence Intervals Heart Arrest Critical Care Prospective Studies Adult Monitoring, Physiologic Secondary Analysis Nonexperimental Studies Electronic Health Records Middle Age Aged Aged, 80 and Over Nonparametric Statistics Chi Square Test Mann-Whitney U Test ROC Curve Male Female Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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