Literature DB >> 30287428

NEWS 2 - too little evidence to implement?

Luke E Hodgson1, Jo Congleton2, Richard Venn3, Lui G Forni4, Paul J Roderick5.   

Abstract

The Royal College of Physicians (RCP) recently published the National Early Warning Score 2 (NEWS2), aiming to improve safety for patients with hypercapnic respiratory failure by suggesting a separate oxygen saturation (SpO2) parameter scoring system for such patients. A previously published study of patients (n=2,361 admissions) with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) demonstrated alternative scoring systems at admission did not outperform the original NEWS. Applying NEWS2 SpO2 parameters to this previously described cohort would have resulted in 44% (n=27/62) of patients who scored ≥7 points on the original NEWS and subsequently died being placed in a lower call-out threshold. NEWS2 loses the benefits of a unified, standardised scoring system and we suggest prospective research in this area before applying this adjustment. © Royal College of Physicians 2018. All rights reserved.

Entities:  

Keywords:  Chronic obstructive pulmonary disease; National Early Warning Score 2; validation study

Mesh：

Substances：

Year:  2018        PMID： 30287428      PMCID： PMC6334094          DOI： 10.7861/clinmedicine.18-5-371

Source DB:  PubMed          Journal:  Clin Med (Lond)        ISSN： 1470-2118            Impact factor:   2.659


  8 in total

1.  ViEWS--Towards a national early warning score for detecting adult inpatient deterioration.

Authors:  David R Prytherch; Gary B Smith; Paul E Schmidt; Peter I Featherstone
Journal:  Resuscitation       Date:  2010-08       Impact factor: 5.262

2.  Concerns regarding the design of the bedside monitoring chart for use with the NEWS (National Early Warning System).

Authors:  B Ronan O'Driscoll; Nawar Diar Bakerly; Peter Murphy; Samantha Decalmer; Binita Kane; Aisha A Nasir; Fiona Simpson; Peter M Turkington
Journal:  Clin Med (Lond)       Date:  2013-06       Impact factor: 2.659

Review 3.  BTS guideline for oxygen use in adults in healthcare and emergency settings.

Authors:  B R O'Driscoll; L S Howard; J Earis; V Mak
Journal:  Thorax       Date:  2017-06       Impact factor: 9.139

4.  A validation of the National Early Warning Score to predict outcome in patients with COPD exacerbation.

Authors:  Luke E Hodgson; Borislav D Dimitrov; Jo Congleton; Richard Venn; Lui G Forni; Paul J Roderick
Journal:  Thorax       Date:  2016-08-23       Impact factor: 9.139

5.  CREWS: improving specificity whilst maintaining sensitivity of the National Early Warning Score in patients with chronic hypoxaemia.

Authors:  Sinan R Eccles; Chris Subbe; Daniel Hancock; Nicolette Thomson
Journal:  Resuscitation       Date:  2013-09-20       Impact factor: 5.262

6.  Worthing physiological scoring system: derivation and validation of a physiological early-warning system for medical admissions. An observational, population-based single-centre study.

Authors:  R W Duckitt; R Buxton-Thomas; J Walker; E Cheek; V Bewick; R Venn; L G Forni
Journal:  Br J Anaesth       Date:  2007-04-30       Impact factor: 9.166

7.  Modifications of the National Early Warning Score for patients with chronic respiratory disease.

Authors:  N E Pedersen; L S Rasmussen; J A Petersen; T A Gerds; D Østergaard; A Lippert
Journal:  Acta Anaesthesiol Scand       Date:  2017-10-26       Impact factor: 2.105

8.  Transparent Reporting of a multivariable prediction model for Individual Prognosis or Diagnosis (TRIPOD): explanation and elaboration.

Authors:  Karel G M Moons; Douglas G Altman; Johannes B Reitsma; John P A Ioannidis; Petra Macaskill; Ewout W Steyerberg; Andrew J Vickers; David F Ransohoff; Gary S Collins
Journal:  Ann Intern Med       Date:  2015-01-06       Impact factor: 25.391
  8 in total
  10 in total

1.  The inclusion of delirium in version 2 of the National Early Warning Score will substantially increase the alerts for escalating levels of care: findings from a retrospective database study of emergency medical admissions in two hospitals .

Authors:  Mohammed A Mohammed; Muhammad Faisal; Donald Richardson; Andy Scally; Robin Howes; Kevin Beatson; Sally Irwin; Kevin Speed
Journal:  Clin Med (Lond)       Date:  2019-03       Impact factor: 2.659

2.  The National Early Warning Score 2 (NEWS2).

Authors:  Gary B Smith; Oliver C Redfern; Marco Af Pimentel; Stephen Gerry; Gary S Collins; James Malycha; David Prytherch; Paul E Schmidt; Peter J Watkinson
Journal:  Clin Med (Lond)       Date:  2019-05       Impact factor: 2.659

3.  The National Early Warning Score 2 (NEWS2) in patients with hypercapnic respiratory failure.

Authors:  Bryan Williams
Journal:  Clin Med (Lond)       Date:  2019-01       Impact factor: 2.659

4.  The challenge of change: evidence, culture and expertise.

Authors:  Ed Nicol
Journal:  Clin Med (Lond)       Date:  2018-10       Impact factor: 2.659

5.  Trends in the national early warning score are associated with subsequent mortality - A prospective three-centre observational study with 11,331 general ward patients.

Authors:  Eetu Loisa; Antti Kallonen; Sanna Hoppu; Joonas Tirkkonen
Journal:  Resusc Plus       Date:  2022-05-21

6.  Impact of using data from electronic protocols in nursing performance management: A qualitative interview study.

Authors:  Joanna Hope; Peter Griffiths; Paul E Schmidt; Alejandra Recio-Saucedo; Gary B Smith
Journal:  J Nurs Manag       Date:  2019-10-28       Impact factor: 3.325

7.  "NEWS2" as an Objective Assessment of Hospitalised COPD Exacerbation Severity.

Authors:  Jennifer K Quint; John R Hurst; Philip W Stone; Cosetta Minelli; Johanna Feary; C Michael Roberts
Journal:  Int J Chron Obstruct Pulmon Dis       Date:  2022-04-08

8.  Ability of the National Early Warning Score and its respiratory and haemodynamic subcomponents to predict short-term mortality on general wards: a prospective three-centre observational study in Finland.

Authors:  Eetu Loisa; Antti Kallonen; Sanna Hoppu; Joonas Tirkkonen
Journal:  BMJ Open       Date:  2022-04-26       Impact factor: 3.006

9.  Remote COVID-19 Assessment in Primary Care (RECAP) risk prediction tool: derivation and real-world validation studies.

Authors:  Ana Espinosa-Gonzalez; Denys Prociuk; Francesca Fiorentino; Christian Ramtale; Ella Mi; Emma Mi; Ben Glampson; Ana Luisa Neves; Cecilia Okusi; Laiba Husain; Jack Macartney; Martina Brown; Ben Browne; Caroline Warren; Rachna Chowla; Jonty Heaversedge; Trisha Greenhalgh; Simon de Lusignan; Erik Mayer; Brendan C Delaney
Journal:  Lancet Digit Health       Date:  2022-07-28

10.  Comparison of early warning scores in patients with COPD exacerbation: DECAF and NEWS score.

Authors:  Carlos Echevarria; John Steer; Stephen C Bourke
Journal:  Thorax       Date:  2019-08-06       Impact factor: 9.139
  10 in total

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