PDF(Pubmed)
Abstract：
We aimed to describe and evaluate the National Early Warning Score (NEWS) in the 24 hours preceding an in-hospital cardiac arrest among general somatic ward patients.The 24 hours preceding the in-hospital cardiac arrest were divided into four timespans and analysed by a medical record review of 127:254 matched case-control patients. The median NEWS ranged from 3 (2-6) to 6 (3-9) points for cases vs 1 (0-3) to 1 (0-3) point for controls. The proportion of cases ranged from 23-45% at high risk vs 3-6% for controls. The NEWS high-risk category was associated with an increase of 3.17 (95% confidence interval (CI) 1.66-6.04) to 4.43 (95% CI 2.56-7.67) in odds of in-hospital cardiac arrest compared to the low-risk category.NEWS, with its intuitive and for healthcare staff easy to interpret risk classification, is suitable for discriminating deteriorating patients with major deviating vital signs scoring high risk on NEWS.
摘要：
我们旨在描述和评估普通躯体病房患者院内心脏骤停前24小时的国家早期预警评分（NEWS）。将住院心脏骤停前的24小时分为四个时间跨度，并通过对127：254名匹配病例对照患者的病历审查进行分析。病例的NEWS中位数为3（2-6）至6（3-9）点，对照组为1（0-3）至1（0-3）点。高危病例的比例为23-45％，对照组为3-6％。与低风险类别相比，NEWS高风险类别与院内心脏骤停的几率增加3.17（95％置信区间（CI）1.66-6.04）至4.43（95％CI2.56-7.67）相关。新闻,凭借其直观性和医护人员易于解释的风险分类，适用于区分严重偏离生命体征评分高风险的恶化患者。
