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

Ali Mohammadian Erdi; Mahzad Yousefian; Khatereh Isazadehfar; Fatemeh Badamchi

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

Anesth Pain Med. 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.

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.