■危重患者的临床恶化是一种常见现象,可能在不良结果发生前几个小时发生。及早发现生命体征的细微变化,比如脉搏率和血压的改变,对于预防不良事件至关重要。然而,这些往往没有足够早的认识到,以迅速干预。在尼日利亚的危重病管理中使用警告评分或评估系统尚未得到很好的评估。我们评估了国家早期预警评分(NEWS)系统与结果之间的关联,尤其是乔斯大学教学医院(JUTH)危重病患者的死亡率。尼日利亚。
■这项研究是一项回顾性研究,涉及2021年1月至2021年7月期间入住内科和外科病房的成年人。患者的医疗记录被用来获取社会人口统计学等数据,和生命体征,用于计算新闻变量,诊断,逗留时间,结果,和并发症。患者被分类为低,中等,根据入院后24小时内和感兴趣的结果(死亡或出院)前24小时的NEWS评分,以及高风险。
■本研究共纳入405例患者。患者低,中等,以及在入院后的24小时内的高风险新闻分数,有11.1%,9%,死亡率分别为17%。在结果(死亡或出院)前24小时的新闻评分高风险组中,死亡风险增加至20.6%,死亡几率增加4倍.
我们的结果显示,NEWS评分可以预测结果,并可能表明,在乔斯大学教学医院实施NEWS评分作为监测住院患者的常规工具,可以帮助检测患者存在不良事件风险。
UNASSIGNED: Clinical deterioration in critically ill patients is a common phenomenon that can occur several hours before an adverse outcome. Early detection of subtle changes in vital signs, such as alterations in pulse rate and blood pressure, is crucial for preventing adverse events. However, these are not often recognized early enough to prompt quick intervention. The use of warning scores or assessment systems in the management of the critically ill in Nigeria has not been well evaluated. We assessed the association between the National Early Warning Score (NEWS) system and outcomes particularly mortality among the critically ill at the Jos University Teaching Hospital (JUTH), Nigeria.
UNASSIGNED: This study is a retrospective study involving adults admitted to the medical and surgical wards between January 2021 and July 2021. Patient medical records were used to obtain data such as socio-demographics, and vital signs, which were used to compute the
NEWS variable, diagnosis, length of stay, outcomes, and complications. Patients were classified as low, medium, and high-risk based on their
NEWS scores within the first 24 hours of admission and 24 hours prior to the outcome of interest (death or discharge).
UNASSIGNED: A total of 405 patients were included in this study. Patients with low, medium, and high-risk NEWS scores within the first 24 hours of admission, had an 11.1%, 9%, and 17% chance of death respectively. In the
NEWS score high-risk group 24 hours prior to outcome (death or discharge), the risk of mortality increased to 20.6% and there was a four-fold increase in odds of death.
UNASSIGNED: Our results showed that the
NEWS score predicted outcome and may suggest that the implementation of the
NEWS score as a routine tool for monitoring inpatients at the Jos University Teaching Hospital could help to detect patients at risk of adverse events.