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

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...

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Publicado en:Clinical Medicine Vol. 20; no. 1; pp. 55 - 61
Autores principales: Spångfors, Martin, Molt, Mats, Samuelson, Karin
Formato: research tables/charts Journal Article
Publicado: Elsevier B.V. Jan2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2020
      vid: 20
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      pub: Elsevier B.V.
      place: New York, New York
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        10.7861/clinmed.2019-0137
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        atl: In-hospital cardiac arrest and preceding National Early Warning Score (NEWS): A retrospective case-control study.
      aug:
        au:
          Spångfors, Martin
          Molt, Mats
          Samuelson, Karin
        affil: Authors: critical care registered nurse and PhD student, Lund University, Lund, Sweden and Hospital of Kristianstad, Kristianstad, Sweden
      sug:
        subj:
          Heart Arrest
          Early Warning Score
          Hospitalization
          Critical Care
          Human
          Case Control Studies
          Retrospective Design
          Rapid Response Team
          Confidence Intervals
          Descriptive Statistics
          Inpatients
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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