Key result
The National Early Warning Score (NEWS) discriminated the combined outcome of death, cardiac arrest, or unanticipated ICU admission equally well in non-elective surgical patients (AUROC 0.874) as in medical patients (AUROC 0.874).
Why the study?
Does the National Early Warning Score (NEWS) accurately discriminate risk of death, cardiac arrest, or unanticipated ICU admission in non-elective surgical patients compared to medical patients?
Population
87,399 adult inpatients admitted to surgical or medical specialties who stayed at least one night or died on…
Comparison
National Early Warning Score (NEWS) vs Comparison between non-elective surgical and…
Design
Cohort
Follow-up
Hospital stay
Authors
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Supports equivalent NEWS performance in non-elective surgical patients; extends validation but leaves outcome impact open.
Observational (n=87,399)
No
Does the National Early Warning Score (NEWS) accurately discriminate risk of death, cardiac arrest, or unanticipated ICU admission in non-elective surgical patients compared to medical patients?
Absolute Event Rate: 0.874% vs 0.874%
p-value: p=0.874
The National Early Warning Score (NEWS) discriminates clinical deterioration in non-elective surgical patients as effectively as in medical patients, supporting its universal use in hospitals.
Kovacs et al. (2016) conducted an observational in Acute illness and clinical deterioration in hospital admissions (n=87,399). National Early Warning Score (NEWS) vs. Medical admissions was evaluated on Discrimination of the combined outcome of death, cardiac arrest, or unanticipated ICU admission within 24 hours (AUROC) (p=0.874). The National Early Warning Score (NEWS) discriminated the combined outcome of death, cardiac arrest, or unanticipated ICU admission equally well in non-elective surgical patients (AUROC 0.874) as in medical patients (AUROC 0.874).
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