Application of the National Early Warning Score (NEWS) as a stratification tool on admission in an Italian acute medical ward: A perspective study
Application of the National Early Warning Score (NEWS) as a stratification tool on admission in an Italian acute medical ward: A perspective study
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DOI：
10.1111/ijcp.12934
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发表时间：
2017-03-01
影响因子：
2.6
通讯作者：
Nollo, Giandomenico
中科院分区：
文献类型：
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作者：
Spagnolli, Walter;Rigoni, Marta;Nollo, Giandomenico
目的：我们的目的是评估国家早期预警评分（NEWS）作为急性内科病房入院时患者风险分层工具的性能，并确保患者被安置在具有所需和最适当护理强度的病房区域。作为次要目标，我们考虑了两个亚组患者的NEWS表现：突发心脏事件（急性冠状动脉综合征和心律失常事件）和慢性呼吸功能不全。方法：对2013年7月至2015年3月意大利特伦托医院内科病房连续收治的2677例未入选患者进行透视队列单中心研究。住院时必须收集新闻。我们定义了临床恶化的三个风险类别：低评分（NEWS 0-4）、中评分（NEWS 5-6）和高评分（NEWS >= 7）。考虑了以下不良结局：总不良结局和早期不良结局（4 vs NEWS患者）
Aim: We aimed to assess the performance of the National Early Warning Score (NEWS) as tool for patient risk stratification at admission in an acute Internal Medicine ward and to ensure patient placement in ward areas with the required and most appropriate intensity of care. As secondary objective, we considered NEWS performance in two subgroups of patients: sudden cardiac events (acute coronary syndromes and arrhythmic events), and chronic respiratory insufficiency.Methods: We conducted a perspective cohort single centre study on 2,677 unselected patients consecutively admitted from July 2013 to March 2015 in the Internal Medicine ward of the hospital of Trento, Italy. The NEWS was mandatory collected on ward admission. We defined three risk categories for clinical deterioration: low score (NEWS 0-4), medium score (NEWS 5-6), and high score (NEWS >= 7). Following-adverse outcomes were considered: total and early (4 vs patients with NEWS