The National Early Warning Score:. Translation, testing and prediction in a Swedish setting

The National Early Warning Score:. Translation, testing and prediction in a Swedish setting
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DOI:
10.1016/j.iccn.2016.05.007
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发表时间:
2016-12-01
影响因子:
5.3
通讯作者:
Samuelson, Karin
Samuelson, Karin
中科院分区:
医学2区
文献类型:
--
作者:
Spangfors, Martin;Arvidsson, Lisa;Samuelson, Karin

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国家早期预警评分NEWS是一种“跟踪和触发”量表,旨在评估住院患者的生命体征并检测临床恶化。在这项研究中,NEWS被翻译成瑞典语,并调查了其与重症监护需求的关系。对一所大学医院的医疗急救小组记录的总共868份患者图表进行了审计,这些图表包含计算NEWS所需的参数。将NEWS翻译成瑞典语,并测试评分者之间的可靠性,评分者之间完全一致(加权kappa=1.0)。入住ICU的患者的中位评分高于未入住ICU的患者(10 vs. 8,p< 0.0001)。AUROC判别是否进入ICU为0.68(95%CI:0.622-0.739,p
The National Early Warning Score NEWS is a "track and trigger" scale designed to assess in-hospital patients' vital signs and detect clinical deterioration. In this study the NEWS was translated into Swedish and its association with the need of intensive care was investigated. A total of 868 patient charts, recorded by the medical emergency team at a university hospital, containing the parameters needed to calculate the NEWS were audited. The NEWS was translated into Swedish and tested for inter-rater reliability with a perfect agreement (weighted kappa=1.0) among the raters. The median score for patients admitted to the ICU were higher than for those who were not (10 vs. 8, p< 0.0001). AUROC for discriminating admittance to the ICU was 0.68 (95% CI: 0.622-0.739, p