Literature DB >> 31941734

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

Martin Spångfors1, Mats Molt2, Karin Samuelson2.   

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 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. © Royal College of Physicians 2020. All rights reserved.

Entities:  

Keywords:  National Early Warning Score; critical care outreach; early warning scores; in-hospital cardiac arrest; medical emergency team

Mesh：

Year:  2020        PMID： 31941734      PMCID： PMC6964185          DOI： 10.7861/clinmed.2019-0137

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


  21 in total

1.  Predicting cardiac arrest on the wards: a nested case-control study.

Authors:  Matthew M Churpek; Trevor C Yuen; Michael T Huber; Seo Young Park; Jesse B Hall; Dana P Edelson
Journal:  Chest       Date:  2011-11-03       Impact factor: 9.410

2.  Calculating early warning scores--a classroom comparison of pen and paper and hand-held computer methods.

Authors:  David R Prytherch; Gary B Smith; Paul Schmidt; Peter I Featherstone; Kate Stewart; Debbie Knight; Bernie Higgins
Journal:  Resuscitation       Date:  2006-06-27       Impact factor: 5.262

3.  A critical assessment of early warning score records in 168,000 patients.

Authors:  Niels Egholm Pedersen; Lars Simon Rasmussen; John Asger Petersen; Thomas Alexander Gerds; Doris Østergaard; Anne Lippert
Journal:  J Clin Monit Comput       Date:  2017-02-25       Impact factor: 2.502

4.  Medical emergency team activation: performance of conventional dichotomised criteria versus national early warning score.

Authors:  Joonas Tirkkonen; Klaus T Olkkola; Heini Huhtala; Jyrki Tenhunen; Sanna Hoppu
Journal:  Acta Anaesthesiol Scand       Date:  2014-02-12       Impact factor: 2.105

5.  The ability of the National Early Warning Score (NEWS) to discriminate patients at risk of early cardiac arrest, unanticipated intensive care unit admission, and death.

Authors:  Gary B Smith; David R Prytherch; Paul Meredith; Paul E Schmidt; Peter I Featherstone
Journal:  Resuscitation       Date:  2013-01-04       Impact factor: 5.262

6.  Preceding national early warnings scores among in-hospital cardiac arrests and their impact on survival.

Authors:  Daniel Roberts; Therese Djärv
Journal:  Am J Emerg Med       Date:  2017-04-28       Impact factor: 2.469

7.  Frequency of early warning score assessment and clinical deterioration in hospitalized patients: A randomized trial.

Authors:  John Asger Petersen; Kristian Antonsen; Lars S Rasmussen
Journal:  Resuscitation       Date:  2016-02-15       Impact factor: 5.262

8.  A comparison of antecedents to cardiac arrests, deaths and emergency intensive care admissions in Australia and New Zealand, and the United Kingdom--the ACADEMIA study.

Authors:  Juliane Kause; Gary Smith; David Prytherch; Michael Parr; Arthas Flabouris; Ken Hillman
Journal:  Resuscitation       Date:  2004-09       Impact factor: 5.262

9.  Patterns in the recording of vital signs and early warning scores: compliance with a clinical escalation protocol.

Authors:  Chris Hands; Eleanor Reid; Paul Meredith; Gary B Smith; David R Prytherch; Paul E Schmidt; Peter I Featherstone
Journal:  BMJ Qual Saf       Date:  2013-04-19       Impact factor: 7.035

10.  A Comparison of the Ability of the Physiologic Components of Medical Emergency Team Criteria and the U.K. National Early Warning Score to Discriminate Patients at Risk of a Range of Adverse Clinical Outcomes.

Authors:  Gary B Smith; David R Prytherch; Stuart Jarvis; Caroline Kovacs; Paul Meredith; Paul E Schmidt; Jim Briggs
Journal:  Crit Care Med       Date:  2016-12       Impact factor: 7.598
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  1 in total

1.  Validation of National Early Warning Score for predicting 30-day mortality after rapid response system activation in Japan.

Authors:  Takaki Naito; Kuniyoshi Hayashi; Hsiang-Chin Hsu; Kazuhiro Aoki; Kazuma Nagata; Masayasu Arai; Taka-Aki Nakada; Shinichiro Suzaki; Yoshiro Hayashi; Shigeki Fujitani
Journal:  Acute Med Surg       Date:  2021-05-15
  1 in total

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