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NEWS 2 - too little evidence to implement?

NEWS 2 - too little evidence to implement?
NEWS 2 - too little evidence to implement?

The Royal College of Physicians (RCP) recently published the National Early Warning Score 2 (NEWS2), aiming to improve safety for patients with hypercapnic respiratory failure by suggesting a separate oxygen saturation (SpO 2 ) parameter scoring system for such patients. A previously published study of patients (n?2,361 admissions) with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) demonstrated alternative scoring systems at admission did not outperform the original NEWS. Applying NEWS2 SpO 2 parameters to this previously described cohort would have resulted in 44% (n?27/62) of patients who scored =7 points on the original NEWS and subsequently died being placed in a lower call-out threshold. NEWS2 loses the benefits of a unified, standardised scoring system and we suggest prospective research in this area before applying this adjustment.

Chronic obstructive pulmonary disease, National Early Warning Score 2, Validation study
1470-2118
371-373
Hodgson, Luke E.
202f8157-7783-471c-b629-3f1451b2e442
Congleton, Jo
2de95859-1912-4294-b909-7f32e7162f34
Venn, Richard
adc24ece-fb8d-4c1e-969b-026ca62db4ec
Forni, Lui G.
e9ca402c-ea28-4d1a-8c4f-7fbaf205bad8
Roderick, Paul J.
dbb3cd11-4c51-4844-982b-0eb30ad5085a
Hodgson, Luke E.
202f8157-7783-471c-b629-3f1451b2e442
Congleton, Jo
2de95859-1912-4294-b909-7f32e7162f34
Venn, Richard
adc24ece-fb8d-4c1e-969b-026ca62db4ec
Forni, Lui G.
e9ca402c-ea28-4d1a-8c4f-7fbaf205bad8
Roderick, Paul J.
dbb3cd11-4c51-4844-982b-0eb30ad5085a

Hodgson, Luke E., Congleton, Jo, Venn, Richard, Forni, Lui G. and Roderick, Paul J. (2018) NEWS 2 - too little evidence to implement? Clinical Medicine, Journal of the Royal College of Physicians of London, 18 (5), 371-373.

Record type: Article

Abstract

The Royal College of Physicians (RCP) recently published the National Early Warning Score 2 (NEWS2), aiming to improve safety for patients with hypercapnic respiratory failure by suggesting a separate oxygen saturation (SpO 2 ) parameter scoring system for such patients. A previously published study of patients (n?2,361 admissions) with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) demonstrated alternative scoring systems at admission did not outperform the original NEWS. Applying NEWS2 SpO 2 parameters to this previously described cohort would have resulted in 44% (n?27/62) of patients who scored =7 points on the original NEWS and subsequently died being placed in a lower call-out threshold. NEWS2 loses the benefits of a unified, standardised scoring system and we suggest prospective research in this area before applying this adjustment.

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More information

e-pub ahead of print date: 1 October 2018
Keywords: Chronic obstructive pulmonary disease, National Early Warning Score 2, Validation study

Identifiers

Local EPrints ID: 426617
URI: http://eprints.soton.ac.uk/id/eprint/426617
ISSN: 1470-2118
PURE UUID: 0e18a6f9-866a-4a95-b6ae-e13649a49c93
ORCID for Paul J. Roderick: ORCID iD orcid.org/0000-0001-9475-6850

Catalogue record

Date deposited: 05 Dec 2018 17:30
Last modified: 26 Nov 2021 05:21

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Contributors

Author: Luke E. Hodgson
Author: Jo Congleton
Author: Richard Venn
Author: Lui G. Forni

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