Evidence map›Paper›PMID 31355000›Full record

ArticleEmergency medicine international2019

A Multicenter Observational Prospective Cohort Study of Association of the Prehospital National Early Warning Score 2 and Hospital Triage with Early Mortality.

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

Abstract read
In one paragraph

Article in Emergency medicine international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Implementation of the National Early Warning Score in patients with suspicion of sepsis: evaluation of a system-wide quality improvement project.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
    Article
  11. Association between National Early Warning Scores in primary care and clinical outcomes: an observational study in UK primary and secondary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Francisco Martín-RodríguezAdvanced Clinical Simulation Center, Faculty of Medicine, Universidad de Valladolid, Avda. Ramón y Cajal, 7, 47005 Valladolid, Spain.ORCID https://orcid.org/0000-0002-1773-2860
Raúl López-IzquierdoAdvanced Clinical Simulation Center, Faculty of Medicine, Universidad de Valladolid, Avda. Ramón y Cajal, 7, 47005 Valladolid, Spain.ORCID https://orcid.org/0000-0001-5092-4138
Carlos Del Pozo VegasEmergency Department, Hospital Clínico Universitario, Avda. Ramón y Cajal, 3, 47003 Valladolid, Spain.
Juan F Delgado-BenitoAdvanced Medical Life Support, Gerencia de Emergencias Sanitarias de Castilla y León, P° Hospital Militar, 24, 47007 Valladolid, Spain.
Carmen Del Pozo PérezAdvanced Medical Life Support, Gerencia de Emergencias Sanitarias de Castilla y León, P° Hospital Militar, 24, 47007 Valladolid, Spain.
Virginia Carbajosa RodríguezEmergency Department, Hospital Universitario Rio Hortega, C/ Dulzaina 2, 47012 Valladolid, Spain.
Agustín Mayo IscarDepartment of Statistics and Operative Research & IMUVA, Faculty of Medicine, Universidad de Valladolid, Avda. Ramón y Cajal, 7, 47005 Valladolid, Spain.
José Luis Martín-ContyFaculty of Occupational Therapy, Speech Therapy and Nursing, Castilla la Mancha University, Avda. Real Fábrica de Seda, s/n, 45600 Talavera de la Reina, Toledo, Spain.ORCID https://orcid.org/0000-0001-8579-2323
Carlos Escudero CuadrilleroAdvanced Medical Life Support, Gerencia de Emergencias Sanitarias de Castilla y León, P° Hospital Militar, 24, 47007 Valladolid, Spain.
Miguel A Castro-VillamorAdvanced Clinical Simulation Center, Faculty of Medicine, Universidad de Valladolid, Avda. Ramón y Cajal, 7, 47005 Valladolid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aim of the studyTo 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.

methodsThis 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.

resultsBetween 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.

conclusionsThe 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.

Identifiers

PMID31355000
PMCPMC6633971

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.