Please use this identifier to cite or link to this item:
10.2147/TCRM.S192630
Title: | Use of national early warning score for observation for increased risk for clinical deterioration during post-ICU care at a surgical ward |
Authors: | Klepstad, Pia Katrin Nordseth, Trond Sikora, Normunds Klepstad, Pål Department of Surgery Rīga Stradiņš University |
Keywords: | Clinical deterioration;Early warning score;Post ICU patients;Surgical;3.3 Health sciences;1.1. Scientific article indexed in Web of Science and/or Scopus database;Safety Research;Pharmacology, Toxicology and Pharmaceutics(all);Pharmacology (medical);Chemical Health and Safety |
Issue Date: | 2019 |
Citation: | Klepstad , P K , Nordseth , T , Sikora , N & Klepstad , P 2019 , ' Use of national early warning score for observation for increased risk for clinical deterioration during post-ICU care at a surgical ward ' , Therapeutics and Clinical Risk Management , vol. 15 , pp. 315-322 . https://doi.org/10.2147/TCRM.S192630 |
Abstract: | Purpose: Patients transferred from an intensive care unit (ICU) to a general ward are at risk for clinical deterioration. The aim of the study was to determine if an increase in National Early Warning Score (NEWS) value predicted worse outcomes in surgical ward patients previously treated in the ICU. Patients and methods: A retrospective observational study was conducted in a cohort of gastrointestinal surgery patients after transfer from an ICU/high dependency unit (HDU). NEWS values were collected throughout the ward admission. Clinical deterioration was defined by ICU readmission or death. The ability of NEWS to predict clinical deterioration was determined using a linear mixed effect model. Results: We included 124 patients, age 65.9±14.5, 60% males with an ICU Simplified Acute Physiology Score II 33.8±12.7. No patients died unexpectedly at the ward and 20 were readmitted to an ICU/HDU. The NEWS values increased by a mean of 0.15 points per hour (intercept 3.7, P<0.001) before ICU/HDU readmission according to the linear mixed effect model. NEWS at transfer from ICU was the only factor that predicted readmission (OR 1.32; 95% CI 1.01–1.72; P=0.04) at the time of admission to the ward. Conclusion: Clinical deterioration of surgical patients was preceded by an increase in NEWS. |
Description: | Publisher Copyright: © 2019 Klepstad et al. |
DOI: | 10.2147/TCRM.S192630 |
ISSN: | 1176-6336 |
Appears in Collections: | Research outputs from Pure / Zinātniskās darbības rezultāti no ZDIS Pure |
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File | Size | Format | |
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Use_of_national_early_warning_score_news_for_observation_f_022219.pdf | 843.14 kB | Adobe PDF | View/Open |
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