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

Research output: Contribution to journalArticle

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.

Details

Authors
Organisations
External organisations
  • Central Hospital Kristianstad
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Cardiac and Cardiovascular Systems
Original languageEnglish
Pages (from-to)55-60
Number of pages6
JournalClinical Medicine
Volume20
Issue number1
Publication statusPublished - 2020 Jan
Publication categoryResearch
Peer-reviewedYes

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Martin Spångfors, 2020, Lund: Lund University, Faculty of Medicine. 93 p.

Research output: ThesisDoctoral Thesis (compilation)

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