Role of national early warning score (NEWS) in prediction of ICU mortality : A comparative retrospective observational study /
Karim Alaaeldin Wagdi Tawfik
Role of national early warning score (NEWS) in prediction of ICU mortality : A comparative retrospective observational study / دور الحرز التحذيرى القومى المبكر فى التنبؤ بمعدلات الوفاة بوحدة الرعاية المركزة الجراحية : دراسة وصفية استرجاعية مقارنة Karim Alaaeldin Wagdi Tawfik ; Supervised Amany Saeed Mahmoud Arafa , Sahar Sayed Ismael Badawy , Hany Mohammed Elhadi Shoukat - Cairo : Karim Alaaeldin Wagdi Tawfik , 2017 - 80 P. ; 25cm
Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Anaesthesia
Objectives: The aim of this study was to assess the prognostic accuracy of NEWS in predicting mortality of surgical ICU patients in comparison to APACHE II scoring system. Patients and methods: This descriptive retrospective observational study was conducted on all surgical patients, aged >18 years, admitted to surgical intensive care unit (SICU) at Kasr Alainy hospital, Cairo university for > 48 hours in the period from January 2015 through December 2015. Predictive mortality of APACHE II and NEWS was calculated. Calibration and discrimination were used for validity of each score. Results: A total number of 353 patients were included in the study in the period from January 2015 through December 2015. 139(39.4%) patients were females, while 214 (60.6%) patients were males. Patients were meanly aged (45.72±16.22) years. The mean length of stay in ICU was (11.73±12.22) days. The average APACHE II scores were higher in non-survivors (24.60±6.57) in comparison with survivors (16.26±7.22) with statistically significant p value (<0.001). The average NEWS scores were higher in non-survivors (7.43±2.17) compared to survivors (4.91±2.12) with statistically significant p value (<0.001). This study showed that the correlation coefficient between values of NEWS and APACHE II was (+0.563) and this means that there is a direct significant correlation between NEWS and APACHE II (p value <0.001). Discriminative power was assessed by area under the ROC (Receiver operator curve) which was (0.797) in APACHE II while in NEWS 0.798
ICU NEWS SICU
Role of national early warning score (NEWS) in prediction of ICU mortality : A comparative retrospective observational study / دور الحرز التحذيرى القومى المبكر فى التنبؤ بمعدلات الوفاة بوحدة الرعاية المركزة الجراحية : دراسة وصفية استرجاعية مقارنة Karim Alaaeldin Wagdi Tawfik ; Supervised Amany Saeed Mahmoud Arafa , Sahar Sayed Ismael Badawy , Hany Mohammed Elhadi Shoukat - Cairo : Karim Alaaeldin Wagdi Tawfik , 2017 - 80 P. ; 25cm
Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Anaesthesia
Objectives: The aim of this study was to assess the prognostic accuracy of NEWS in predicting mortality of surgical ICU patients in comparison to APACHE II scoring system. Patients and methods: This descriptive retrospective observational study was conducted on all surgical patients, aged >18 years, admitted to surgical intensive care unit (SICU) at Kasr Alainy hospital, Cairo university for > 48 hours in the period from January 2015 through December 2015. Predictive mortality of APACHE II and NEWS was calculated. Calibration and discrimination were used for validity of each score. Results: A total number of 353 patients were included in the study in the period from January 2015 through December 2015. 139(39.4%) patients were females, while 214 (60.6%) patients were males. Patients were meanly aged (45.72±16.22) years. The mean length of stay in ICU was (11.73±12.22) days. The average APACHE II scores were higher in non-survivors (24.60±6.57) in comparison with survivors (16.26±7.22) with statistically significant p value (<0.001). The average NEWS scores were higher in non-survivors (7.43±2.17) compared to survivors (4.91±2.12) with statistically significant p value (<0.001). This study showed that the correlation coefficient between values of NEWS and APACHE II was (+0.563) and this means that there is a direct significant correlation between NEWS and APACHE II (p value <0.001). Discriminative power was assessed by area under the ROC (Receiver operator curve) which was (0.797) in APACHE II while in NEWS 0.798
ICU NEWS SICU