ArticleBMC public health2019
Using the National Early Warning Score (NEWS/NEWS 2) in different Intensive Care Units (ICUs) to predict the discharge location of patients.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Advancing Psychiatric Safety With the Predictive Risk Identification for Mental Health Events Tool: Retrospective Cohort Study.JMIR mental health · 2026Article
- Improving the Predictive Accuracy of the National Early Warning Score 2: Protocol for Algorithm Refinement.JMIR research protocols · 2025Article
- Feasibility study of the use of a wearable vital sign patch in an intensive care unit setting.Journal of clinical monitoring and computing · 2025Article
- Observational
- Heart/breathing rate ratio (HBR) as a predictor of mortality in critically ill patients.Heliyon · 2024Article
- Predicting Mortality for COVID-19 Patients Admitted to an Emergency Department Using Early Warning Scores in Poland.Healthcare (Basel, Switzerland) · 2024Article
- A Machine Learning Based Discharge Prediction of Cardiovascular Diseases Patients in Intensive Care Units.Healthcare (Basel, Switzerland) · 2022Article
- Article
- Association between serum phosphate and mortality in critically ill patients: a large retrospective cohort study.BMJ open · 2021Article
- Prolonged QT predicts prognosis in COVID-19.Pacing and clinical electrophysiology : PACE · 2021Article
- Importance of the National Early Warning Score (NEWS) at the time of discharge from the intensive care unitTurkish journal of medical sciences · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe National Early Warning Score (NEWS/NEWS 2) has been adopted across the National Health Service (NHS) in the U.K. as a method of escalating care for deteriorating patients. Intensive Care Unit (ICU) resources are limited and in high demand, with patient discharge a focal point for managing resources effectively. There are currently no universally accepted methods for assessing discharge of patients from an ICU, which can cause premature discharges and put patients at risk of subsequent deterioration, readmission to ICU or death.
methodsWe tested the ability of the NEWS to discriminate patients within 24h of admission to an ICU in a U.S. hospital during 2001-2012, by their end discharge location: home; hospital ward; nursing facility; hospice and death. The NEWS performance was compared across five different ICU specialties, using the area under the receiver operating characteristic (AUROC) curve and a large vital signs database (n=2,723,055) collected from 28,523 critical care admissions.
resultsThe NEWS AUROC (95% CI) at 24h following admission: all patients 0.727 (0.709-0.745); Coronary Care Unit (CCU) 0.829 (0.821-0.837); Cardiac Surgery Recovery Unit (CSRU) 0.844 (0.838-0.850); Medical Intensive Care Unit (MICU) 0.778 (0.767-0.791); Surgical Intensive Care Unit (SICU) 0.775 (0.762-0.788); Trauma Surgical Intensive Care Unit (TSICU) 0.765 (0.751-0.773).
conclusionsThe NEWS has reasonable discrimination for any ICU patient's discharge location. The NEWS has greater ability to discriminate patients in the Coronary Care Unit (CCU) and Cardiac Surgery Recovery Unit (CSRU) compared to other ICU specialties. The NEWS has the real potential to be applied within a universal discharge planning tool for ICU, improving patient safety at the point of discharge.
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