Observational studyThe British journal of general practice : the journal of the Royal College of General Practitioners2020
Association between National Early Warning Scores in primary care and clinical outcomes: an observational study in UK primary and secondary care.
Observational study in The British journal of general practice : the journal of the Royal College of General Practitioners, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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The trial behind it
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Who cites it
20 citing papers in PubMed.
- The National Early Warning Score 2 versus the New-Poisoning Mortality Score System for Predicting Clinical Outcomes After Acute Aluminum Phosphide Poisoning.Toxicology research · 2025Article
- Be-SNAP: the Belgian Sepsis National Action Plan.Frontiers in public health · 2025Article
- NEWS-2 Accuracy in Predicting Mortality and Severe Morbidity Among Hospitalized COVID-19 Patients: A Prospective Cohort Study.Journal of clinical medicine · 2024Article
- Prediction model of in-hospital mortality in intensive care unit patients with cardiac arrest: a retrospective analysis of MIMIC -IV database based on machine learning.BMC anesthesiology · 2023Article
- NEWS2 in out-of-hospital settings, the ambulance and the emergency department.Clinical medicine (London, England) · 2022Review
- Using NEWS2: an essential component of reliable clinical assessment.Clinical medicine (London, England) · 2022Article
- Comparing the prehospital NEWS with in-hospital ESI in predicting 30-day severe outcomes in emergency patients.BMC emergency medicine · 2022Observational
- An observational cohort study of the performance of the REDS score compared to the SIRS criteria, NEWS2, CURB65, SOFA, MEDS and PIRO scores to risk-stratify emergency department suspected sepsis.Annals of medicine · 2021Observational
- National Early Warning Scores and COVID-19 deaths in care homes: an ecological time-series study.BMJ open · 2021Article
- NEWS2 to assess suspected COVID-19 in the community: a service evaluation of a primary care assessment centre.Family practice · 2021Article
- National Early Warning Score 2 and laboratory predictors correlate with clinical deterioration in hospitalized patients with COVID-19.Biomarkers in medicine · 2021Article
- Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practices.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
- Article
- Evaluation and improvement of the National Early Warning Score (NEWS2) for COVID-19: a multi-hospital study.BMC medicine · 2021Article
- Inflammatory phenotyping predicts clinical outcome in COVID-19.Respiratory research · 2020Article
- Telemonitoring for Patients With COVID-19: Recommendations for Design and Implementation.Journal of medical Internet research · 2020Article
- Using National Early Warning Score (NEWS) 2 to help manage medical emergencies in the dental practice.British dental journal · 2020Article
- 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 · 2020Article
- What's behind the NEWS? National Early Warning Scores in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
- Viewpoint: What's the NEWS? Supporting the identification of the deteriorating patient.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNHS England has mandated use of the National Early Warning Score (NEWS), more recently NEWS2, in acute settings, and suggested its use in primary care. However, there is reluctance from GPs to adopt NEWS/NEWS2.
aimTo assess whether NEWS calculated at the point of GP referral into hospital is associated with outcomes in secondary care. DESIGN AND
settingAn observational study using routinely collected data from primary and secondary care.
methodNEWS values were prospectively collected for 13 047 GP referrals into acute care between July 2017 and December 2018. NEWS values were examined and multivariate linear and logistic regression used to assess associations with process measures and clinical outcomes.
resultsHigher NEWS values were associated with faster conveyance for patients travelling by ambulance, for example, median 94 minutes (interquartile range [IQR] 69-139) for NEWS ≥7; median 132 minutes, (IQR 84-236) for NEWS = 0 to 2); faster time from hospital arrival to medical review (54 minutes [IQR 25-114] for NEWS ≥7; 78 minutes [IQR 34-158] for NEWS = 0 to 2); as well as increased length of stay (5 days [IQR 2-11] versus 1 day [IQR 0-5]); intensive care unit admissions (2.0% versus 0.5%); sepsis diagnosis (11.7% versus 2.5%); and mortality, for example, 30-day mortality 12.0% versus 4.1% for NEWS ≥7 versus NEWS = 0 to 2, respectively. On average, for patients referred without a NEWS value (NEWS = NR), most clinical outcomes were comparable with patients with NEWS = 3 to 4, but ambulance conveyance time and time to medical review were comparable with patients with NEWS = 0 to 2.
conclusionThis study has demonstrated that higher NEWS values calculated at GP referral into hospital are associated with a faster medical review and poorer clinical outcomes.
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