Can the prehospital National Early Warning Score identify patients most at risk from subsequent deterioration?

Emergency Medicine Journal : EMJ
Joanna ShawFionna Moore

Abstract

The National Early Warning Score (NEWS) aids the early recognition of those at risk of becoming critically ill. NEWS has been recommended for use by ambulance services, but very little work has been undertaken to date to determine its suitability. This paper examines whether a prehospital NEWS derived from ambulance service clinical observations is associated with the hospital ED disposition. Prehospital NEWS was retrospectively calculated from the ambulance service clinical records of 287 patients who were treated by the ambulance service and transported to hospital. In this cohort study, derived NEWS scores were compared with ED disposition data and patients were categorised into the following groups depending on their outcome: discharged from ED, admitted to a ward, admitted to intensive therapy unit (ITU) or died. Prehospital NEWS-based ambulance service clinical observations were significantly associated with discharge disposition groups (p<0.001), with scores escalating in line with increasing severity of outcome. Patients who died or were admitted to ITU had higher scores than those admitted to a ward or discharged from ED (mean NEWS 7.2 and 7.5 vs 2.6 and 1.7, respectively), and in turn those who were admitted to a ward...Continue Reading

References

Sep 17, 2010·Prehospital and Disaster Medicine·Kirsty Challen, Darren Walter
Oct 27, 2012·Emergency Medicine Journal : EMJ·Sean Michael Booth, Mark Bloch
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Citations

Sep 19, 2018·Nursing Standard·Nicholas Woolfe Loftus, Duncan Smith
Jan 10, 2019·Acta Anaesthesiologica Scandinavica·Jussi PirneskoskiJouni Nurmi
Mar 4, 2020·Journal of Clinical Medicine·Francisco Martín-RodríguezJosé Luis Martín-Conty
Jan 11, 2019·Internal and Emergency Medicine·Francisco Martín-RodríguezRaúl López-Izquierdo
May 31, 2020·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Jani PaulinTimo Iirola
Aug 22, 2020·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Francisco Martín-RodríguezRaúl López-Izquierdo
Aug 31, 2019·Nursing Standard·Nicholas Woolfe Loftus, Duncan Smith
Aug 18, 2020·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Alasdair R CorfieldKevin D Rooney
Mar 16, 2021·British Journal of Community Nursing·Marina Maciver
Mar 15, 2020·Heart & Lung : the Journal of Critical Care·Francisco Martín-RodríguezMiguel A Castro-Villamor
Oct 18, 2020·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Ming-Ju HsiehMatthew Huei-Ming Ma
Jul 6, 2021·The American Journal of Emergency Medicine·Francisco Martín-RodríguezRaúl López-Izquierdo
Jul 3, 2021·Journal of Clinical Medicine·Federico SemeraroGiovanni Gordini
Dec 1, 2021·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Francisco Martín-RodríguezRaúl López-Izquierdo

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