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The National Early Warning Score predicts mortality in hospital ward patients with deviating vital signs: A retrospective medical record review study

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  • Martin Spångfors
  • Gitte Bunkenborg
  • Mats Molt
  • Karin Samuelson

Abstract

Aims and objectives To evaluate whether the scale used for assessment of hospital ward patients could predict in‐hospital and 30‐day mortality amongst those with deviating vital signs; that is, that patients classified as medium or high risk would have increased risk of in‐hospital and 30‐day mortality compared to patients with low risk. Background The National Early Warning Score (NEWS) is a widely adopted scale for assessing deviating vital signs. A clinical risk scale that comes with the NEWS divides the risk for critical illness into three risk categories, low, medium and high. Design Retrospective analysis of vital sign data. Methods Logistic regression models for age‐adjusted in‐hospital and 30‐day mortality were used for analyses of 1,107 patients with deviating vital signs. Results Patients classified as medium or high risk by NEWS experienced a 2.11 or 3.40 increase, respectively, in odds of in‐hospital death (95% CI: 1.27–3.51, p = 0.004% and 95% CI: 1.90–6.01, p

Suggested Citation

  • Martin Spångfors & Gitte Bunkenborg & Mats Molt & Karin Samuelson, 2019. "The National Early Warning Score predicts mortality in hospital ward patients with deviating vital signs: A retrospective medical record review study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(7-8), pages 1216-1222, April.
    • Handle: RePEc:wly:jocnur:v:28:y:2019:i:7-8:p:1216-1222
    DOI: 10.1111/jocn.14728
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    References listed on IDEAS

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    1. Kimberly D Johnson & Lindsey Mueller & Chris Winkelman, 2017. "The nurse response to abnormal vital sign recording in the emergency department," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(1-2), pages 148-156, January.
    2. Duncan J Smith & Leanne M Aitken, 2016. "Use of a single parameter track and trigger chart and the perceived barriers and facilitators to escalation of a deteriorating ward patient: a mixed methods study," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(1-2), pages 175-185, January.
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    Cited by:

    1. Anja Geisler & Susanne Hedegaard & Tracey K. Bucknall, 2023. "Piloting a Nurse-Led Critical Care Outreach Service to Pre-Empt Medical Emergency Team Calls and Facilitate Staff Learning," IJERPH, MDPI, vol. 20(5), pages 1-11, February.
    2. Filip Haegdorens & Koenraad G. Monsieurs & Koen De Meester & Peter Van Bogaert, 2020. "The optimal threshold for prompt clinical review: An external validation study of the national early warning score," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(23-24), pages 4594-4603, December.
    3. Jee‐In Hwang & Ho Jun Chin, 2020. "Relationships between the National Early Warning Score 2, clinical worry and patient outcome at discharge: Retrospective observational study," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(19-20), pages 3774-3789, October.

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