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NEWS 2 - too little evidence to implement?

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

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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 (SpO2) 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 SpO2 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.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Biosciences and Medicine
Authors :
Hodgson, L.E.
Congleton, J.
Venn, R.
Roderick, P.J.
Date : 1 October 2018
DOI : 10.7861/clinmedicine.18-5-371
Copyright Disclaimer : © Royal College of Physicians 2018. All rights reserved.
Uncontrolled Keywords : Chronic obstructive pulmonary disease; Validation study; National Early Warning Score 2
Depositing User : Diane Maxfield
Date Deposited : 25 Oct 2019 14:15
Last Modified : 25 Oct 2019 14:15

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