Role of national early warning score (NEWS) in prediction of ICU mortality : A comparative retrospective observational study / Karim Alaaeldin Wagdi Tawfik ; Supervised Amany Saeed Mahmoud Arafa , Sahar Sayed Ismael Badawy , Hany Mohammed Elhadi Shoukat

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Karim Alaaeldin Wagdi Tawfik

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TextLanguage: English Publication details: Cairo : Karim Alaaeldin Wagdi Tawfik , 2017Description: 80 P. ; 25cmOther title:

دور الحرز التحذيرى القومى المبكر فى التنبؤ بمعدلات الوفاة بوحدة الرعاية المركزة الجراحية : دراسة وصفية استرجاعية مقارنة [Added title page title]

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Dissertation note: Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Anaesthesia Summary: 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

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Holdings
Item type	Current library	Home library	Call number	Copy number	Status	Date due	Barcode
Thesis	قاعة الرسائل الجامعية - الدور الاول	المكتبة المركزبة الجديدة - جامعة القاهرة	Cai01.11.01.M.Sc.2017.Ka.R (Browse shelf(Opens below))		Not for loan		01010110073393000
CD - Rom	مخـــزن الرســائل الجـــامعية - البدروم	المكتبة المركزبة الجديدة - جامعة القاهرة	Cai01.11.01.M.Sc.2017.Ka.R (Browse shelf(Opens below))	73393.CD	Not for loan		01020110073393000

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

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