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Short National Early Warning Score-
Developing a Modified Early Warning Score
Leandro Luis, Carla Nunes
Aust Crit Care 2017
JOURNAL READING
Stephanie Sutrisno, dr.
Pendahuluan
Background
• The use of EWS-> for early recognition and
response to patient clinical deterioration
• There are more than 100 EWS system available
• Some studies some EWS time
consuming,increase number variables in EWS
lead to increase risk of error
• Simples EWS with less variable reduce risk of
error, and less time
• Main Goal develop simpler EWS
Method
• Prospective cohort study, with retrospective analysis in Lisbon Central
Hospital (2 Medic Ward, 3 Surgical ward, and 1 Haematological ward
Inclusion Criteria:
• Base on another study by Luis
Exclusion Criteria:
• < 18 years old
• pregnant
• Preop phase for elective surgery
• In palliative care
• Incomplete Medical record
• Periode Januari 2009- Desember 2013
Outcome Survival or death/UICUA
Analysis
• Using AUROC Curve
First Phase Study
• Asses each NEWS parameter to predict outcome
Second Phase
• Develop two new scales
• Asses the two new scales capability to predict
outcome
• Compare new scales with original NEWS scale
Hasil
Hasil
(lanjutan)
Hasil
(lanjutan)
Hasil
Hasil
(lanjutan)
Kesimpulan
• Weak contribution of SBP and Temperature
parameters
• Short NEWS show discriminant and predictive
power superior to others suggested for clinical
practice
Study Limitation
• Small sampel of patients
• Short time frame

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jurnal reading Anestesi.pptx

  • 1. Short National Early Warning Score- Developing a Modified Early Warning Score Leandro Luis, Carla Nunes Aust Crit Care 2017 JOURNAL READING Stephanie Sutrisno, dr.
  • 2. Pendahuluan Background • The use of EWS-> for early recognition and response to patient clinical deterioration • There are more than 100 EWS system available • Some studies some EWS time consuming,increase number variables in EWS lead to increase risk of error • Simples EWS with less variable reduce risk of error, and less time • Main Goal develop simpler EWS
  • 3. Method • Prospective cohort study, with retrospective analysis in Lisbon Central Hospital (2 Medic Ward, 3 Surgical ward, and 1 Haematological ward Inclusion Criteria: • Base on another study by Luis Exclusion Criteria: • < 18 years old • pregnant • Preop phase for elective surgery • In palliative care • Incomplete Medical record • Periode Januari 2009- Desember 2013 Outcome Survival or death/UICUA
  • 4. Analysis • Using AUROC Curve First Phase Study • Asses each NEWS parameter to predict outcome Second Phase • Develop two new scales • Asses the two new scales capability to predict outcome • Compare new scales with original NEWS scale
  • 10. Kesimpulan • Weak contribution of SBP and Temperature parameters • Short NEWS show discriminant and predictive power superior to others suggested for clinical practice
  • 11. Study Limitation • Small sampel of patients • Short time frame