NEWS 2 - too little evidence to implement?
| Autor: | J Congleton, Luke Hodgson, Paul Roderick, Lui G. Forni, Richard M. Venn |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Validation study
medicine.medical_specialty Acute exacerbation of chronic obstructive pulmonary disease Scoring system Severity of Illness Index 03 medical and health sciences Pulmonary Disease Chronic Obstructive 0302 clinical medicine medicine Humans 030212 general & internal medicine Letters to the Editor Oxygen saturation (medicine) Aged Monitoring Physiologic Retrospective Studies Aged 80 and over business.industry 030208 emergency & critical care medicine General Medicine Hypercapnic respiratory failure Early warning score medicine.disease United Kingdom Oxygen Cohort Emergency medicine Prospective research business |
| Popis: | The Royal College of Physicians (RCP) recently published the National Early Warning Score 2 (NEWS2), aiming to improve safety for patients with hypercapnic respiratory failure by suggesting a separate oxygen saturation (SpO 2 ) parameter scoring system for such patients. A previously published study of patients (n?2,361 admissions) with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) demonstrated alternative scoring systems at admission did not outperform the original NEWS. Applying NEWS2 SpO 2 parameters to this previously described cohort would have resulted in 44% (n?27/62) of patients who scored =7 points on the original NEWS and subsequently died being placed in a lower call-out threshold. NEWS2 loses the benefits of a unified, standardised scoring system and we suggest prospective research in this area before applying this adjustment. |
| Databáze: | OpenAIRE |
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