Evaluating the Efficacy of the National Early Warning Score in Predicting the Mortality of Stroke Patients Admitted to Intensive Care Units

doi:10.5812/aapm-116358

. 2022 Apr 18;12(2):e116358.

doi: 10.5812/aapm-116358. eCollection 2022 Apr.

Evaluating the Efficacy of the National Early Warning Score in Predicting the Mortality of Stroke Patients Admitted to Intensive Care Units

Ali Mohammadian Erdi¹, Mahzad Yousefian¹, Khatereh Isazadehfar², Fatemeh Badamchi³

Affiliations

¹ Department of Anesthesiology, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.
² Social Determinants of Health Research Center (SDH), Ardabil University of Medical Sciences, Ardabil, Iran.
³ School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.

PMID: 35991775
PMCID: PMC9375957
DOI: 10.5812/aapm-116358

Evaluating the Efficacy of the National Early Warning Score in Predicting the Mortality of Stroke Patients Admitted to Intensive Care Units

Ali Mohammadian Erdi et al. Anesth Pain Med. 2022.

. 2022 Apr 18;12(2):e116358.

doi: 10.5812/aapm-116358. eCollection 2022 Apr.

Authors

Ali Mohammadian Erdi¹, Mahzad Yousefian¹, Khatereh Isazadehfar², Fatemeh Badamchi³

Affiliations

¹ Department of Anesthesiology, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.
² Social Determinants of Health Research Center (SDH), Ardabil University of Medical Sciences, Ardabil, Iran.
³ School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.

PMID: 35991775
PMCID: PMC9375957
DOI: 10.5812/aapm-116358

Abstract

Background: National Early Warning Score (NEWS) is a tool used to identify patients at risk. Scores are based on initial clinical observations, including heart rate, respiration rate, systolic blood pressure, oxygen saturation, level of consciousness, body temperature, and oxygen support. To date, few studies have been conducted on NEWS evaluation worldwide, and no study has been conducted in Iran.

Objectives: This study aims to evaluate the efficacy of the NEWS in predicting the mortality of stroke patients admitted to intensive care units (ICU).

Methods: The present cross-sectional study included 90 patients with a definitive diagnosis of cerebrovascular accident (CVA) based on symptoms and para-clinical evidence. At the beginning of admission to the ICU and up to first 24 hours of admission, all NEWS parameters were measured and evaluated.

Results: There was a significant relationship between systolic blood pressure, respiratory support, heart rate, and level of consciousness with patients' discharge status. Also, there was no significant relationship between age, sex, respiratory rate, SPO2, and fever with discharge status. In addition, there was a significant relationship between clinical risk based on NEWS scoring system and patients' status.

Conclusions: Our results showed a significant relationship between clinical risk based on NEWS scoring and patients' discharge status so that there was a significant increase in mortality in patients with higher NEWS.

Keywords: Intensive Care Unit; National Early Warning Score; Stroke.

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Conflict of interest statement

Conflict of Interests: The authors declare that they have no conflict of interest.

Figures

**Figure 1.. The ROC for detecting the relationship between NEWS and mortality of patients in ICU**

See this image and copyright information in PMC

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References

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1. Yousefian M, Ghazi A, Amani F, Movaffagh B. Mortality rate in patients admitted to the ICU based on LODS, APACHE IV, TRIOS, SAPS II‎. J Adv Pharm Educ Res. 2022;12(1):56–62. doi: 10.51847/CgHzosuz9x. - DOI
1. Smith HJ, Pasko DN, Haygood CLW, Boone JD, Harper LM, Straughn JJ. Early warning score: An indicator of adverse outcomes in postoperative patients on a gynecologic oncology service. Gynecol Oncol. 2016;143(1):105–8. doi: 10.1016/j.ygyno.2016.08.153. - DOI - PubMed
1. Lee YS, Choi JW, Park YH, Chung C, Park DI, Lee JE, et al. Evaluation of the efficacy of the National Early Warning Score in predicting in-hospital mortality via the risk stratification. J Crit Care. 2018;47:222–6. doi: 10.1016/j.jcrc.2018.07.011. - DOI - PubMed
1. Olapour A, Rashidi M, Javaher Foroush F, Akhoondzadeh R, Hosseini N. Effect of Nebulized Heparin on Weaning off Intubated Patients with Acute Respiratory Distress Syndrome (ARDS) Admitted to Intensive Care Unit (ICU): A Randomized Clinical Trial. Anesth Pain Med. 2021;11(5):e115938. doi: 10.5812/aapm.115938. - DOI - PMC - PubMed

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[1] Yousefian M, Sadegi SRGP, Sakaki M. Vitamin D supplements’ effect on expediting the weaning process in patients with the stroke. Electron J Gen Med. 2019;16(2):em133. doi: 10.29333/ejgm/94224. - DOI

[2] Yousefian M, Sadegi SRGP, Sakaki M. Vitamin D supplements’ effect on expediting the weaning process in patients with the stroke. Electron J Gen Med. 2019;16(2):em133. doi: 10.29333/ejgm/94224. - DOI

[3] Yousefian M, Ghazi A, Amani F, Movaffagh B. Mortality rate in patients admitted to the ICU based on LODS, APACHE IV, TRIOS, SAPS II‎. J Adv Pharm Educ Res. 2022;12(1):56–62. doi: 10.51847/CgHzosuz9x. - DOI

[4] Yousefian M, Ghazi A, Amani F, Movaffagh B. Mortality rate in patients admitted to the ICU based on LODS, APACHE IV, TRIOS, SAPS II‎. J Adv Pharm Educ Res. 2022;12(1):56–62. doi: 10.51847/CgHzosuz9x. - DOI

[5] Smith HJ, Pasko DN, Haygood CLW, Boone JD, Harper LM, Straughn JJ. Early warning score: An indicator of adverse outcomes in postoperative patients on a gynecologic oncology service. Gynecol Oncol. 2016;143(1):105–8. doi: 10.1016/j.ygyno.2016.08.153. - DOI - PubMed

[6] Smith HJ, Pasko DN, Haygood CLW, Boone JD, Harper LM, Straughn JJ. Early warning score: An indicator of adverse outcomes in postoperative patients on a gynecologic oncology service. Gynecol Oncol. 2016;143(1):105–8. doi: 10.1016/j.ygyno.2016.08.153. - DOI - PubMed

[7] Lee YS, Choi JW, Park YH, Chung C, Park DI, Lee JE, et al. Evaluation of the efficacy of the National Early Warning Score in predicting in-hospital mortality via the risk stratification. J Crit Care. 2018;47:222–6. doi: 10.1016/j.jcrc.2018.07.011. - DOI - PubMed

[8] Lee YS, Choi JW, Park YH, Chung C, Park DI, Lee JE, et al. Evaluation of the efficacy of the National Early Warning Score in predicting in-hospital mortality via the risk stratification. J Crit Care. 2018;47:222–6. doi: 10.1016/j.jcrc.2018.07.011. - DOI - PubMed

[9] Olapour A, Rashidi M, Javaher Foroush F, Akhoondzadeh R, Hosseini N. Effect of Nebulized Heparin on Weaning off Intubated Patients with Acute Respiratory Distress Syndrome (ARDS) Admitted to Intensive Care Unit (ICU): A Randomized Clinical Trial. Anesth Pain Med. 2021;11(5):e115938. doi: 10.5812/aapm.115938. - DOI - PMC - PubMed

[10] Olapour A, Rashidi M, Javaher Foroush F, Akhoondzadeh R, Hosseini N. Effect of Nebulized Heparin on Weaning off Intubated Patients with Acute Respiratory Distress Syndrome (ARDS) Admitted to Intensive Care Unit (ICU): A Randomized Clinical Trial. Anesth Pain Med. 2021;11(5):e115938. doi: 10.5812/aapm.115938. - DOI - PMC - PubMed

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Evaluating the Efficacy of the National Early Warning Score in Predicting the Mortality of Stroke Patients Admitted to Intensive Care Units

Affiliations

Evaluating the Efficacy of the National Early Warning Score in Predicting the Mortality of Stroke Patients Admitted to Intensive Care Units

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Affiliations

Abstract

Conflict of interest statement

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