Modifications to the National Early Warning Score: a scoping review protocol.

Autor:	Milne-Ives M; Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, NE1 7RU, UK.; Centre for Health Technology, School of Nursing and Midwifery, University of Plymouth, Plymouth, PL4 6DN, UK., Riccalton V; Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, NE1 7RU, UK., Plummer C; Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, NE1 7RU, UK.; Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK., Threlfall L; Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, NE1 7RU, UK.; Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK., Cong C; Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, NE1 7RU, UK., Ananthakrishnan A; Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, NE1 7RU, UK., Meinert E; Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, NE1 7RU, UK edward.meinert@newcastle.ac.uk.; Centre for Health Technology, School of Nursing and Midwifery, University of Plymouth, Plymouth, PL4 6DN, UK.; Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, W6 8RP, UK.; Faculty of Life Sciences and Medicine, King's College London, London, WC2R 2LS, UK.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2024 Oct 09; Vol. 14 (10), pp. e089061. Date of Electronic Publication: 2024 Oct 09.
DOI:	10.1136/bmjopen-2024-089061
Abstrakt:	Introduction: The National Early Warning Score (NEWS/2) system was developed to enable the detection and early intervention of patients at risk of clinical deterioration. It has demonstrated good accuracy in identifying imminent critical outcomes but has limitations in its applicability to various patient types and its ability to predict upcoming deterioration beyond 24 hours. Various studies have attempted to improve its predictive accuracy and clinical utility by modifying or adding variables to the standard NEWS/2 system. The purpose of this scoping review is to identify modifications to the NEWS and NEWS2 systems (eg, the inclusion of additional patient demographic, physiological or other characteristics) and how those modifications influence predictive accuracy to provide an evidence base for subsequent improvement of the system. Methods and Analysis: The review will be structured using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews and the Population, Intervention, Comparator, Outcome, and Study frameworks. Six databases (PubMed, ScienceDirect, Embase, CINAHL, Web of Science and Cochrane Library) will be searched in April 2024 for articles published in English. Article screening and data extraction will be conducted by two independent reviewers, with any conflicts resolved by discussion. The analysis will be descriptive to provide a summary of modifications identified and their influence on the predictive accuracy of NEWS/NEWS 2. Ethics and Dissemination: Ethical approval is not required as data will be obtained from already published sources. Findings from this study will be disseminated via publication in a peer-reviewed journal. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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