A Multicenter Observational Prospective Cohort Study of Association of the Prehospital National Early Warning Score 2 and Hospital Triage with Early Mortality
Aim of the Study. To evaluate the ability of the prehospital National Early Warning Score 2 scale (NEWS2) to predict early mortality (within 48 hours) after the index event based on the triage priority assigned for any cause in the emergency department. Methods. This is a multicenter longitudinal ob...
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Wiley
2019-01-01
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| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2019/5147808 |
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| author | Francisco Martín-Rodríguez Raúl López-Izquierdo Carlos del Pozo Vegas Juan F. Delgado-Benito Carmen del Pozo Pérez Virginia Carbajosa Rodríguez Agustín Mayo Iscar José Luis Martín-Conty Carlos Escudero Cuadrillero Miguel A. Castro-Villamor |
| author_facet | Francisco Martín-Rodríguez Raúl López-Izquierdo Carlos del Pozo Vegas Juan F. Delgado-Benito Carmen del Pozo Pérez Virginia Carbajosa Rodríguez Agustín Mayo Iscar José Luis Martín-Conty Carlos Escudero Cuadrillero Miguel A. Castro-Villamor |
| author_sort | Francisco Martín-Rodríguez |
| collection | DOAJ |
| description | Aim of the Study. To evaluate the ability of the prehospital National Early Warning Score 2 scale (NEWS2) to predict early mortality (within 48 hours) after the index event based on the triage priority assigned for any cause in the emergency department. Methods. This is a multicenter longitudinal observational cohort study on patients attending Advanced Life Support units and transferred to the emergency department of their reference hospital. We collected demographic, physiological, and clinical variables, main diagnosis, and hospital triage level as well as mortality. The main outcome variable was mortality from any cause within two days of the index event. Results. Between April 1 and November 30, 2018, a total of 1054 patients were included in our study. Early mortality within the first 48 hours after the index event affected 55 patients (5.2%), of which 23 cases (41.8%) had causes of cardiovascular origin. In the stratification by triage levels, the AUC of the NEWS2 obtained for short-term mortality varied between 0.77 (95% CI: 0.65-0.89) for level I and 0.94 (95% CI: 0.79-1) for level III. Conclusions. The Prehospital Emergency Medical Services should evaluate the implementation of the NEWS2 as a routine evaluation, which, together with the structured hospital triage system, effectively serves to predict early mortality and detect high-risk patients. |
| format | Article |
| id | doaj-art-f93543f87c8f4fe5addd29115232ae47 |
| institution | Kabale University |
| issn | 2090-2840 2090-2859 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-f93543f87c8f4fe5addd29115232ae472025-02-03T06:06:10ZengWileyEmergency Medicine International2090-28402090-28592019-01-01201910.1155/2019/51478085147808A Multicenter Observational Prospective Cohort Study of Association of the Prehospital National Early Warning Score 2 and Hospital Triage with Early MortalityFrancisco Martín-Rodríguez0Raúl López-Izquierdo1Carlos del Pozo Vegas2Juan F. Delgado-Benito3Carmen del Pozo Pérez4Virginia Carbajosa Rodríguez5Agustín Mayo Iscar6José Luis Martín-Conty7Carlos Escudero Cuadrillero8Miguel A. Castro-Villamor9Advanced Clinical Simulation Center, Faculty of Medicine, Universidad de Valladolid, Avda. Ramón y Cajal, 7, 47005 Valladolid, SpainAdvanced Clinical Simulation Center, Faculty of Medicine, Universidad de Valladolid, Avda. Ramón y Cajal, 7, 47005 Valladolid, SpainEmergency Department, Hospital Clínico Universitario, Avda. Ramón y Cajal, 3, 47003 Valladolid, SpainAdvanced Medical Life Support, Gerencia de Emergencias Sanitarias de Castilla y León, P° Hospital Militar, 24, 47007 Valladolid, SpainAdvanced Medical Life Support, Gerencia de Emergencias Sanitarias de Castilla y León, P° Hospital Militar, 24, 47007 Valladolid, SpainEmergency Department, Hospital Universitario Rio Hortega, C/ Dulzaina 2, 47012 Valladolid, SpainDepartment of Statistics and Operative Research & IMUVA, Faculty of Medicine, Universidad de Valladolid, Avda. Ramón y Cajal, 7, 47005 Valladolid, SpainFaculty of Occupational Therapy, Speech Therapy and Nursing, Castilla la Mancha University, Avda. Real Fábrica de Seda, s/n, 45600 Talavera de la Reina, Toledo, SpainAdvanced Medical Life Support, Gerencia de Emergencias Sanitarias de Castilla y León, P° Hospital Militar, 24, 47007 Valladolid, SpainAdvanced Clinical Simulation Center, Faculty of Medicine, Universidad de Valladolid, Avda. Ramón y Cajal, 7, 47005 Valladolid, SpainAim of the Study. To evaluate the ability of the prehospital National Early Warning Score 2 scale (NEWS2) to predict early mortality (within 48 hours) after the index event based on the triage priority assigned for any cause in the emergency department. Methods. This is a multicenter longitudinal observational cohort study on patients attending Advanced Life Support units and transferred to the emergency department of their reference hospital. We collected demographic, physiological, and clinical variables, main diagnosis, and hospital triage level as well as mortality. The main outcome variable was mortality from any cause within two days of the index event. Results. Between April 1 and November 30, 2018, a total of 1054 patients were included in our study. Early mortality within the first 48 hours after the index event affected 55 patients (5.2%), of which 23 cases (41.8%) had causes of cardiovascular origin. In the stratification by triage levels, the AUC of the NEWS2 obtained for short-term mortality varied between 0.77 (95% CI: 0.65-0.89) for level I and 0.94 (95% CI: 0.79-1) for level III. Conclusions. The Prehospital Emergency Medical Services should evaluate the implementation of the NEWS2 as a routine evaluation, which, together with the structured hospital triage system, effectively serves to predict early mortality and detect high-risk patients.http://dx.doi.org/10.1155/2019/5147808 |
| spellingShingle | Francisco Martín-Rodríguez Raúl López-Izquierdo Carlos del Pozo Vegas Juan F. Delgado-Benito Carmen del Pozo Pérez Virginia Carbajosa Rodríguez Agustín Mayo Iscar José Luis Martín-Conty Carlos Escudero Cuadrillero Miguel A. Castro-Villamor A Multicenter Observational Prospective Cohort Study of Association of the Prehospital National Early Warning Score 2 and Hospital Triage with Early Mortality Emergency Medicine International |
| title | A Multicenter Observational Prospective Cohort Study of Association of the Prehospital National Early Warning Score 2 and Hospital Triage with Early Mortality |
| title_full | A Multicenter Observational Prospective Cohort Study of Association of the Prehospital National Early Warning Score 2 and Hospital Triage with Early Mortality |
| title_fullStr | A Multicenter Observational Prospective Cohort Study of Association of the Prehospital National Early Warning Score 2 and Hospital Triage with Early Mortality |
| title_full_unstemmed | A Multicenter Observational Prospective Cohort Study of Association of the Prehospital National Early Warning Score 2 and Hospital Triage with Early Mortality |
| title_short | A Multicenter Observational Prospective Cohort Study of Association of the Prehospital National Early Warning Score 2 and Hospital Triage with Early Mortality |
| title_sort | multicenter observational prospective cohort study of association of the prehospital national early warning score 2 and hospital triage with early mortality |
| url | http://dx.doi.org/10.1155/2019/5147808 |
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