评估国家早期预警评分在不同诊断组的表现
Connor Price1, David Prytherch1, Ina Kostakis2
1Centre for Healthcare Modelling & Informatics, University of Portsmouth, Portsmouth, UK.
Resuscitation
|November 6, 2023
概括
国家早期预警分数 (NEWS) 能够有效地检测不同群体患者的病情恶化. 这项研究证实了NEWS 2的说法.
科学领域:
- 临床评估工具 临床评估工具
- 患者监测系统 患者监测系统
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 国家早期预警分数 (NEWS) 是英国医院广泛采用的工具,用于识别患者病情恶化.
- 关于特定患者群体的NEWS表现存在有限的研究.
- 在不同的临床环境中验证NEWS对于确保公平的患者护理至关重要.
研究的目的:
- 评估国家早期预警分数 (NEWS) 与其他36个早期预警分数的性能.
- 评估NEWS在24小时内在123个不同的患者群体中区分关键结果的有效性.
- 为了确定与替代评分系统相比,NEWS是否使特定患者队列处于不利地位.
主要方法:
- 使用收音机操作特征 (AUROC) 曲线下的面积技术进行性能评估.
- 在123个患者组中比较了37个早期预警分数.
- 分析了关键结果的歧视:死亡,ICU入院或24小时内死亡/ICU入院的组合.
主要成果:
- 国家早期预警评分2 (NEWS 2) 在123个患者组中的120个中显示出最高水平的表现.
- 在3组患者中,NEWS 2在预测意想不到的ICU入院时仅略高于其他得分.
- 新闻2在广泛的患者状况中表现出一致和强大的表现.
结论:
- NEWS 始终表现出高性能,因此适用于所有评估的诊断群体.
- 与其他评估的早期预警分数相比,使用NEWS并没有使患者处于劣势.
- 这些发现支持继续广泛应用NEWS来早期检测患者病情恶化.
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