Cookies?
Library Header Image
LSE Research Online LSE Library Services

Pre-hospital National Early Warning Score (NEWS) is associated with in-hospital mortality and critical care unit admission: a cohort study

Abbott, Tom E.F., Cron, Nicholas J., Vaid, Nidhi, Ip, Dorothy, Torrance, Hew D.T. and Emmanuel, Julian (2018) Pre-hospital National Early Warning Score (NEWS) is associated with in-hospital mortality and critical care unit admission: a cohort study. Annals of Medicine and Surgery, 27. pp. 17-21. ISSN 2049-0801

[img]
Preview
Text - Published Version
Available under License Creative Commons Attribution.

Download (291kB) | Preview
Identification Number: 10.1016/j.amsu.2018.01.006

Abstract

Background National Early Warning Score (NEWS) is increasingly used in UK hospitals. However, there is only limited evidence to support the use of pre-hospital early warning scores. We hypothesised that pre-hospital NEWS was associated with death or critical care escalation within the first 48 h of hospital stay. Methods Planned secondary analysis of a prospective cohort study at a single UK teaching hospital. Consecutive medical ward admissions over a 20-day period were included in the study. Data were collected from ambulance report forms, medical notes and electronic patient records. Pre-hospital NEWS was calculated retrospectively. The primary outcome was a composite of death or critical care unit escalation within 48 h of hospital admission. The secondary outcome was length of hospital stay. Results 189 patients were included in the analysis. The median pre-hospital NEWS was 3 (IQR 1–5). 13 patients (6.9%) died or were escalated to the critical care unit within 48 h of hospital admission. Pre-hospital NEWS was associated with death or critical care unit escalation (OR, 1.25; 95% CI, 1.04–1.51; p = 0.02), but NEWS on admission to hospital was more strongly associated with this outcome (OR, 1.52; 95% CI, 1.18–1.97, p < 0.01). Neither was associated with hospital length of stay. Conclusion Pre-hospital NEWS was associated with death or critical care unit escalation within 48 h of hospital admission. NEWS could be used by ambulance crews to assist in the early triage of patients requiring hospital treatment or rapid transport. Further cohort studies or trials in large samples are required before implementation

Item Type: Article
Official URL: https://www.sciencedirect.com/journal/annals-of-me...
Additional Information: © 2018 The Authors © CC-BY-NC-ND
Divisions: Statistics
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Sets: Departments > Statistics
Date Deposited: 13 Mar 2018 14:46
Last Modified: 20 Oct 2019 00:08
URI: http://eprints.lse.ac.uk/id/eprint/87191

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics