dc.contributor.author | Klepstad, Pia Katrin | |
dc.contributor.author | Nordseth, Trond | |
dc.contributor.author | Sikora, Normunds | |
dc.contributor.author | Klepstad, Pål | |
dc.date.accessioned | 2019-10-01T06:35:14Z | |
dc.date.available | 2019-10-01T06:35:14Z | |
dc.date.created | 2019-07-01T23:04:38Z | |
dc.date.issued | 2019 | |
dc.identifier.citation | Therapeutics and Clinical Risk Management. 2019, 15 315-322. | nb_NO |
dc.identifier.issn | 1176-6336 | |
dc.identifier.uri | http://hdl.handle.net/11250/2619469 | |
dc.description.abstract | Purpose: Patients transferred from an intensive care unit (ICU) to a general ward are at risk for clinical deterioration. The aim of the study was to determine if an increase in National Early Warning Score (NEWS) value predicted worse outcomes in surgical ward patients previously treated in the ICU.
Patients and methods: A retrospective observational study was conducted in a cohort of gastrointestinal surgery patients after transfer from an ICU/high dependency unit (HDU). NEWS values were collected throughout the ward admission. Clinical deterioration was defined by ICU readmission or death. The ability of NEWS to predict clinical deterioration was determined using a linear mixed effect model.
Results: We included 124 patients, age 65.9±14.5, 60% males with an ICU Simplified Acute Physiology Score II 33.8±12.7. No patients died unexpectedly at the ward and 20 were readmitted to an ICU/HDU. The NEWS values increased by a mean of 0.15 points per hour (intercept 3.7, P<0.001) before ICU/HDU readmission according to the linear mixed effect model. NEWS at transfer from ICU was the only factor that predicted readmission (OR 1.32; 95% CI 1.01–1.72; P=0.04) at the time of admission to the ward.
Conclusion: Clinical deterioration of surgical patients was preceded by an increase in NEWS. | nb_NO |
dc.language.iso | eng | nb_NO |
dc.publisher | Dovepress | nb_NO |
dc.rights | Navngivelse-Ikkekommersiell 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/deed.no | * |
dc.title | Use of national early warning score for observation for increased risk for clinical deterioration during post-ICU care at a surgical ward | nb_NO |
dc.type | Journal article | nb_NO |
dc.type | Peer reviewed | nb_NO |
dc.description.version | publishedVersion | nb_NO |
dc.source.pagenumber | 315-322 | nb_NO |
dc.source.volume | 15 | nb_NO |
dc.source.journal | Therapeutics and Clinical Risk Management | nb_NO |
dc.identifier.doi | 10.2147/TCRM.S192630 | |
dc.identifier.cristin | 1709168 | |
dc.description.localcode | Open Access. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms. | nb_NO |
cristin.unitcode | 1920,28,0,0 | |
cristin.unitcode | 194,65,25,0 | |
cristin.unitname | Klinikk for anestesi og intensivmedisin | |
cristin.unitname | Institutt for sirkulasjon og bildediagnostikk | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |