Francisco Martín-Rodríguez1, Raúl López-Izquierdo2, Carlos Del Pozo Vegas3, Irene Sánchez-Soberón4, Juan F Delgado-Benito4, José Luis Martín-Conty5, Miguel A Castro-Villamor6. 1. Advanced Clinical Simulation Center, Faculty of Medicine, Universidad de Valladolid, Avda. Ramón y Cajal, 7, 47005 Valladolid, Spain; Advanced Medical Life Support, Emergency Medical Services (SACYL), P° Hospital Militar, 24, 47007 Valladolid, Spain. Electronic address: fmartin@saludcastillayleon.es. 2. Advanced Clinical Simulation Center, Faculty of Medicine, Universidad de Valladolid, Avda. Ramón y Cajal, 7, 47005 Valladolid, Spain; Emergency Department, Hospital Universitario Rio Hortega, C/ Dulzaina 2, 47012 Valladolid, Spain. 3. Emergency Department, Hospital Clínico Universitario, Avda. Ramón y Cajal, 3, 47003 Valladolid, Spain. 4. Advanced Medical Life Support, Emergency Medical Services (SACYL), P° Hospital Militar, 24, 47007 Valladolid, Spain. 5. Faculty of Health Sciences, Castilla la Mancha University, Avda. Real Fábrica de Seda, s/n, 45600 Talavera de la Reina, Toledo, Spain. 6. Advanced Clinical Simulation Center, Faculty of Medicine, Universidad de Valladolid, Avda. Ramón y Cajal, 7, 47005 Valladolid, Spain.
Abstract
BACKGROUND: The National Early Warning Score 2 (NEWS2) scores can help identify clinical deterioration. OBJECTIVE: To assess the predictive capacity of the NEWS2 at prehospital level for the detection of early mortality in the hospital. METHODS: Prospective multicenter cohort study, in which we compiled a database of observed vital signs between March 1, 2018 and May 30, 2019. We collected demographic data, vital signs (respiration rate, oxygen saturation, supplemental oxygen, temperature, systolic blood pressure, heart rate and level of consciousness), prehospital diagnosis and hospital mortality data. We calculated the AUROC of the NEWS2 for early mortality. RESULTS: We included a total of 2335 participants. Median age was 69 years (IQR 54-81 years). The AUC for mortality within one day was 0.862 (95%CI:0.78-0.93), within two days 0.885 (95%CI:0.84-0.92) and within seven days 0.835 (95%CI:0.79-0.87) (in all cases, p<0.001). CONCLUSIONS: The NEWS2 performed at prehospital level is a bedside tool for predicting early hospital mortality.
BACKGROUND: The National Early Warning Score 2 (NEWS2) scores can help identify clinical deterioration. OBJECTIVE: To assess the predictive capacity of the NEWS2 at prehospital level for the detection of early mortality in the hospital. METHODS: Prospective multicenter cohort study, in which we compiled a database of observed vital signs between March 1, 2018 and May 30, 2019. We collected demographic data, vital signs (respiration rate, oxygen saturation, supplemental oxygen, temperature, systolic blood pressure, heart rate and level of consciousness), prehospital diagnosis and hospital mortality data. We calculated the AUROC of the NEWS2 for early mortality. RESULTS: We included a total of 2335 participants. Median age was 69 years (IQR 54-81 years). The AUC for mortality within one day was 0.862 (95%CI:0.78-0.93), within two days 0.885 (95%CI:0.84-0.92) and within seven days 0.835 (95%CI:0.79-0.87) (in all cases, p<0.001). CONCLUSIONS: The NEWS2 performed at prehospital level is a bedside tool for predicting early hospital mortality.
Authors: Daria S Fomina; Mar'yana A Lysenko; Irina P Beloglazova; Zinaida Yu Mutovina; Nataliya G Poteshkina; Inna V Samsonova; Tat'yana S Kruglova; Anton A Chernov; Alexander V Karaulov Journal: Pathog Immun Date: 2020-10-02
Authors: Francisco Martín-Rodríguez; Ancor Sanz-García; Guillermo J Ortega; Juan F Delgado-Benito; Eduardo García Villena; Cristina Mazas Pérez-Oleaga; Raúl López-Izquierdo; Miguel A Castro Villamor Journal: Ann Med Date: 2022-12 Impact factor: 5.348
Authors: Amaya Burgos-Esteban; Vicente Gea-Caballero; Patricia Marín-Maicas; Azucena Santillán-García; María de Valvanera Cordón-Hurtado; Elena Marqués-Sule; Marta Giménez-Luzuriaga; Raúl Juárez-Vela; Juan Luis Sanchez-Gonzalez; Jorge García-Criado; Iván Santolalla-Arnedo Journal: Front Public Health Date: 2022-07-14