Cardiac arrest & resuscitation

Comparison of the Aotearoa New Zealand Early Warning Score and National Early Warning Score to predict adverse inpatient events in a vital sign dataset

AnaesthesiaPublished Retrospective cohort study

Authors' conclusion

Our study is the first validation of the New Zealand EWS in predicting serious adverse events in a broad dataset and supports previous work showing the UK EWS has superior predictive performance in surgical rather than medical patients.

Study context

Population
Adult hospital admissions to six hospitals within the Canterbury District Health Board, New Zealand's South Island
Participants
102,394 admissions
Exposure
New Zealand Early Warning Score (EWS) vs UK National Early Warning Score
Outcome
Prediction of serious adverse events (cardiac arrest, death and/or unanticipated ICU admission), AUC
Methodological detailsvital sign dataset, six hospitals
  • Vital sign dataset
  • Six hospitals

Main finding

As reported in the abstract

Any adverse outcome
GroupAUC
New Zealand EWS0.874 (95%CI 0.871-0.878)
UK EWS0.874 (95%CI 0.870-0.877)

AUC

New Zealand EWS0.874 (95%CI 0.871-0.878)
UK EWS0.874 (95%CI 0.870-0.877)

Observational data: associations, not effects.

Further findings

Cardiac arrest and/or death, surgical vs medical specialties (subgroup)

Both EWSs showed superior predictive value in surgical rather than medical patients

Original publication

Comparison of the Aotearoa New Zealand Early Warning Score and National Early Warning Score to predict adverse inpatient events in a vital sign dataset. Anaesthesia. Published 29 March 2023. doi:10.1111/anae.16007

Composed by AI from the published abstract and checked against it. How Briefs are made →

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