Early warning scale for identifying patients at risk of clinical deterioration

Authors

DOI:

https://doi.org/10.12957/reuerj.2024.79207

Keywords:

Nursing Care, Patient Care Team, Hospital Rapid Response Team, Clinical Deterioration, Vital Signs

Abstract

Objective: to evaluate the National Early Warning Score (NEWS) in relation to the type of outcome and profile of patients in the medical clinical ward of a hospital in Teresina, Piauí, Brazil. Method: a quantitative study conducted in a public hospital in Teresina, with 150 medical records of patients admitted to the medical clinic sector from February 2022 to December 2022, based on demographic and clinical records and scale values ​​at admission and outcome. Results: there was an association between the scale values ​​and the age group (p=0.029), length of stay (p=0.023) and type of outcome (p < 0.001). High clinical risk prevailed among male patients (13%), aged between 60 and 94 years (13%), with a stay of 21 to 57 days (19.2%), and death as an outcome (100%). Conclusion: implementation of the aforementioned scale proved to be fundamental for predicting clinical problems and improving care quality.

Author Biographies

Bruna Victória de Sousa Sá, Universidade Estadual do Piauí

Nurse. Graduated. Universidade Estadual do Piauí. Health Sciences Center. Nursing Course. Teresina, PI, Brazil.

Adriana Sousa Carvalho de Aguiar, Universidade Estadual do Piauí

Universidade Estadual do Piauí. Teresina, PI, Brazil. 

Elyrose Sousa Brito Rocha, Universidade Estadual do Piauí

Nurse. Doctorate. Professor at the Universidade Estadual da Piauí. Health Sciences Center. Nursing Course. Teresina, PI, Brazil.

Sandra Marina Gonçalves Bezerra, Universidade Estadual do PiauíUniversidade Estadual do Piauí

Nurse. Doctorate. Professor at the Universidade Estadual da Piauí. Health Sciences Center. Nursing Course. Teresina, PI, Brazil.

Paulo César de Almeida, Universidade Estadual do Ceará

Statistician. Doctorate. Professor at the Universidade Estadual do Ceará. Postgraduate Program in Clinical Care in Nursing and Health. Fortaleza, Ceará, Brazil.

References

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Published

2024-07-16

How to Cite

1.
Sá BV de S, Aguiar ASC de, Rocha ESB, Bezerra SMG, Almeida PC de. Early warning scale for identifying patients at risk of clinical deterioration. Rev. enferm. UERJ [Internet]. 2024 Jul. 16 [cited 2025 May 1];32(1):e79207. Available from: https://www.e-publicacoes.uerj.br/enfermagemuerj/article/view/79207

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Research Articles

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