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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...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6633971/ https://www.ncbi.nlm.nih.gov/pubmed/31355000 http://dx.doi.org/10.1155/2019/5147808 |
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author | Martín-Rodríguez, Francisco López-Izquierdo, Raúl del Pozo Vegas, Carlos Delgado-Benito, Juan F. del Pozo Pérez, Carmen Carbajosa Rodríguez, Virginia Mayo Iscar, Agustín Martín-Conty, José Luis Escudero Cuadrillero, Carlos Castro-Villamor, Miguel A. |
author_facet | Martín-Rodríguez, Francisco López-Izquierdo, Raúl del Pozo Vegas, Carlos Delgado-Benito, Juan F. del Pozo Pérez, Carmen Carbajosa Rodríguez, Virginia Mayo Iscar, Agustín Martín-Conty, José Luis Escudero Cuadrillero, Carlos Castro-Villamor, Miguel A. |
author_sort | Martín-Rodríguez, Francisco |
collection | PubMed |
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 | Online Article Text |
id | pubmed-6633971 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-66339712019-07-28 A Multicenter Observational Prospective Cohort Study of Association of the Prehospital National Early Warning Score 2 and Hospital Triage with Early Mortality Martín-Rodríguez, Francisco López-Izquierdo, Raúl del Pozo Vegas, Carlos Delgado-Benito, Juan F. del Pozo Pérez, Carmen Carbajosa Rodríguez, Virginia Mayo Iscar, Agustín Martín-Conty, José Luis Escudero Cuadrillero, Carlos Castro-Villamor, Miguel A. Emerg Med Int Research Article 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. Hindawi 2019-07-01 /pmc/articles/PMC6633971/ /pubmed/31355000 http://dx.doi.org/10.1155/2019/5147808 Text en Copyright © 2019 Francisco Martín-Rodríguez et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Martín-Rodríguez, Francisco López-Izquierdo, Raúl del Pozo Vegas, Carlos Delgado-Benito, Juan F. del Pozo Pérez, Carmen Carbajosa Rodríguez, Virginia Mayo Iscar, Agustín Martín-Conty, José Luis Escudero Cuadrillero, Carlos Castro-Villamor, Miguel A. A Multicenter Observational Prospective Cohort Study of Association of the Prehospital National Early Warning Score 2 and Hospital Triage with Early Mortality |
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 |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6633971/ https://www.ncbi.nlm.nih.gov/pubmed/31355000 http://dx.doi.org/10.1155/2019/5147808 |
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