The National Early Warning Score predicts mortality in hospital ward patients with deviating vital signs: A retrospective medical record review study

Martin Spångfors, Gitte Bunkenborg, Mats Molt and Karin Samuelson

Journal of Clinical Nursing, 2019, vol. 28, issue 7-8, 1216-1222

Abstract: Aims and objectives To evaluate whether the scale used for assessment of hospital ward patients could predict in‐hospital and 30‐day mortality amongst those with deviating vital signs; that is, that patients classified as medium or high risk would have increased risk of in‐hospital and 30‐day mortality compared to patients with low risk. Background The National Early Warning Score (NEWS) is a widely adopted scale for assessing deviating vital signs. A clinical risk scale that comes with the NEWS divides the risk for critical illness into three risk categories, low, medium and high. Design Retrospective analysis of vital sign data. Methods Logistic regression models for age‐adjusted in‐hospital and 30‐day mortality were used for analyses of 1,107 patients with deviating vital signs. Results Patients classified as medium or high risk by NEWS experienced a 2.11 or 3.40 increase, respectively, in odds of in‐hospital death (95% CI: 1.27–3.51, p = 0.004% and 95% CI: 1.90–6.01, p

Date: 2019
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https://doi.org/10.1111/jocn.14728

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Persistent link: https://EconPapers.repec.org/RePEc:wly:jocnur:v:28:y:2019:i:7-8:p:1216-1222

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