National Early Warning Score (NEWS) at ICU discharge can predict early clinical deterioration after ICU transfer

Abstract

Among critically ill patients who were discharged from ICU, a NEWS>7 showed the best sensitivity and specificity to detect early clinical deterioration 24h after ICU discharge.

Post‐intensive care unit respiratory failure in older patients liberated from intensive care unit and ventilator: The predictive value of the National Early Warning Score on intensive care unit discharge

“…PIRF is a serious post‐ICU event indicating clinical deterioration in patients just discharged from ICU . For older ICU patients, alarm scores are usually assessed for predicting mortality, but no studies have specifically investigated potential predictors of PIRF in an older adult population with ICUmv‐lib .…”

“…We recorded biomarkers and various ICU events, and particularly, we calculated disease severity scores including systemic inflammatory response syndrome criteria, sequential organ failure assessment (SOFA) score, quick SOFA score and the National Early Warning Score (NEWS) on ICU discharge. The NEWS, which ranges from 0 to 20, was calculated by summation of scores from six physiological parameters, including consciousness level, systolic blood pressure, pulse rate, temperature, respiratory rate and oxygen saturation with or without supplemental oxygen . The detailed scoring system of the NEWS is presented in the Table S1 …”

“…However, for older patients with MV use and successful liberation from MV and ICU (ICUmv‐lib), the information on their post‐ICU in‐hospital mortality remains scant. Furthermore, as a marker of clinical deterioration, the incidence of post‐ICU respiratory failure (PIRF) and its impact on mortality in older patients with ICUmv‐lib is unclear . Despite the knowledge of predictors of weaning from MV in the ICU, no studies have reported the risk factors of reinstitution of MV in older patients with ICUmv‐lib .…”

Vital-SCOPE: Design and Evaluation of a Smart Vital Sign Monitor for Simultaneous Measurement of Pulse Rate, Respiratory Rate, and Body Temperature for Patient Monitoring

“…The NEWS score was introduced by the Royal College of Physicians in London; the score parameters include respiratory rate, oxygen saturation level, body temperature, blood pressure, and heart rate. The higher score indicates higher risk and significant clinical deterioration [17]. To this time, our system only measures three parameters of NEWS score; we will add other vital signs such as blood pressure and oxygen saturation in our next work.…”

Post‐intensive care unit respiratory failure in older patients: Can we predict intensive care unit discharge properly?

“…First, the authors investigated the predictive value of the National Early Warning Score (NEWS) as a predictor of post‐ICU respiratory failure in this very old cohort of patients. The NEWS score is largely used to predict prehospital, in‐hospital and at ICU discharge early clinical deterioration, but its use should be considered with caution in patients with risk factors for hypercapnic respiratory failure . Two major risk factors of developing acute hypercapnic respiratory failure are chronic respiratory disease and neurological diseases .…”