COVID-19: association of the National Early Warning Score with triage categories, severity and outcomes.

IF 1.2 Q3 NURSING
Revista Brasileira De Enfermagem Pub Date : 2025-08-08 eCollection Date: 2025-01-01 DOI:10.1590/0034-7167-2024-0069
Luiz Humberto Vieri Piacezzi, Jaine Novaes da Silva, Rui Carlos Negrão Baptista, Karina Aparecida Lopes da Costa, Maria Carolina Barbosa Teixeira Lopes, Ruth Ester Assayag Batista, Cássia Regina Vancini Campanharo
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引用次数: 0

Abstract

Objectives: to identify the association of the National Early Warning Score (NEWS2) and NEWS Age with risk categories, severity markers and outcomes in the emergency department.

Methods: retrospective cohort study, conducted in a high-complexity hospital, with 356 hospitalized patients (mean age 59.4; ±14.4 years) with COVID-19, from April to August 2020. To verify the association between risk categories and alert scores, the chi-square, Kruskal-Wallis and likelihood ratio tests (p<0.05) were used.

Results: patients stratified in the red category had higher NEWS2 and NEWS Age (<0.0001) than the others. Clinical risk categorized by scores was associated with clinical deterioration (p<0.0001), orotracheal intubation (p<0.0001) and death (NEWS - p=0.0098/NEWS Age - p<0.0001).

Conclusions: scores ≥ 7 were associated with red/orange risk stratification, clinical deterioration and occurrence of death.

COVID-19:国家预警评分与分类类别、严重程度和结果的关联
目的:确定国家早期预警评分(NEWS2)和新闻年龄与急诊科风险类别、严重程度标记和结果的关系。方法:回顾性队列研究,在一家高复杂性医院进行,356例住院患者(平均年龄59.4;±14.4年),从2020年4月至8月。为验证危险分类与预警评分之间的相关性,采用卡方检验、Kruskal-Wallis检验和似然比检验(结果:红色分类患者的NEWS2和NEWS Age较高)。结论:评分≥7分与红色/橙色危险分层、临床恶化和死亡发生相关。
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来源期刊
CiteScore
2.30
自引率
7.70%
发文量
477
审稿时长
21 weeks
期刊介绍: The Revista Brasileira de Enfermagem created in 1932, March 20 is the official publication of the Associação Brasileira de Enfermagem (Brazilian Nursing Association) has as purpose to disseminate the scientific production from different nursing interest areas of knowledge, including those which express the political project of the Association. The Revista Brasileira de Enfermagem is the oldest journal of the Brazilian nursing. Its first title was "Annaes de Enfermagem" from 1932 to 1941, being entitled Anais de Enfermagem" until 1955, when its title was changed to the current.
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