Perioperative medicine & outcomes

Evaluating the performance of the National Early Warning Score in different diagnostic groups

ResuscitationPublished Diagnostic accuracy study

Authors' conclusion

Consistently high performance indicates that NEWS is a suitable early warning score to use for all diagnostic groups considered by this analysis, and patients are not disadvantaged through use of NEWS in comparison to any of the other evaluated Early Warning Scores.

Study context

Population
Hospital patients in 123 patient groups with specific conditions, UK123 patient groups
Comparison
National Early Warning Score (NEWS) vs 36 other Early Warning Scores
Outcome
Discrimination (area under the receiver operating characteristic (AUROC)) of death, ICU admission, or combined death or ICU admission
Follow-up
Within 24 hours of an observation set

Performance

As reported in the abstract

Discrimination (AUROC) of death, ICU admission or combined outcome · within 24 hours
  • NEWS 2 performs best or joint best within 120 of the 123 patient groups
  • Only outperformed in prediction of unanticipated ICU admission; in the remaining 3 patient groups the performance difference was marginal

Original publication

Evaluating the performance of the National Early Warning Score in different diagnostic groups. Resuscitation. Published 4 November 2023. doi:10.1016/j.resuscitation.2023.110032

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