TY - JOUR
T1 - National early warning score (NEWS) 2 predicts hospital mortality from COVID-19 patients
AU - Wibisono, Eric
AU - Hadi, Usman
AU - Bramantono,
AU - Arfijanto, Muhammad Vitanata
AU - Rusli, Musofa
AU - Rahman, Brian Eka
AU - Asmarawati, Tri Pudy
AU - Choirunnisa, Miftahani Leo
AU - Rahayu, Dwi Retno Puji
N1 - Publisher Copyright:
© 2022 The Authors
PY - 2022/4
Y1 - 2022/4
N2 - Background: COVID-19 has a high risk of mortality, especially in patients with comorbid diseases such as cardiac disease, type 2 diabetes mellitus, chronic kidney disease, and hypertension. The National Early Warning Score (NEWS) is a tool that helps in identifying changes in patient conditions that require intensive treatment. Objective: Analyzing NEWS-2 to identify the risk of death in COVID-19 patients. Methods: This research was conducted from June to July 2020 by using quota sampling. The number of participants in this study was 112 participants (case group = 56 participants and control group = 56 participants). Participants were assessed for NEWS-2 and evaluated for their treatment outcomes. The analysis used in this study was the Chi-squared test and logistic regression with p < 0.05. Results: 45 participants died of having NEWS-2 score >5, and as many as 50 participants showed an improvement in their condition by having NEWS-2 score 5 (OR = 34.091; p < 0.001). The accuracy of NEWS-2's assessment of mortality of COVID-19 patients had a sensitivity of 80.4% and a specificity of 89.3%. There were several comorbid diseases that had a significant relationship on mortality of COVID-19 patients such as cardiac disease (β = 5.907; 1.107–31.527 95% CI; p = 0.038), T2DM (β = 3.143; 1.269–7.783 95% CI; p = 0.013), CKD (β = 3.851; 1.195–12.416 95% CI; p = 0.024), and hypertension (β = 2.820; 1.075–7.399 95% CI; p = 0.035). Conclusion: The NEWS-2 can be used to identify the risk of death of COVID-19 patients.
AB - Background: COVID-19 has a high risk of mortality, especially in patients with comorbid diseases such as cardiac disease, type 2 diabetes mellitus, chronic kidney disease, and hypertension. The National Early Warning Score (NEWS) is a tool that helps in identifying changes in patient conditions that require intensive treatment. Objective: Analyzing NEWS-2 to identify the risk of death in COVID-19 patients. Methods: This research was conducted from June to July 2020 by using quota sampling. The number of participants in this study was 112 participants (case group = 56 participants and control group = 56 participants). Participants were assessed for NEWS-2 and evaluated for their treatment outcomes. The analysis used in this study was the Chi-squared test and logistic regression with p < 0.05. Results: 45 participants died of having NEWS-2 score >5, and as many as 50 participants showed an improvement in their condition by having NEWS-2 score 5 (OR = 34.091; p < 0.001). The accuracy of NEWS-2's assessment of mortality of COVID-19 patients had a sensitivity of 80.4% and a specificity of 89.3%. There were several comorbid diseases that had a significant relationship on mortality of COVID-19 patients such as cardiac disease (β = 5.907; 1.107–31.527 95% CI; p = 0.038), T2DM (β = 3.143; 1.269–7.783 95% CI; p = 0.013), CKD (β = 3.851; 1.195–12.416 95% CI; p = 0.024), and hypertension (β = 2.820; 1.075–7.399 95% CI; p = 0.035). Conclusion: The NEWS-2 can be used to identify the risk of death of COVID-19 patients.
KW - COVID-19
KW - Comorbid disease
KW - Mortality
KW - National early warning score
UR - http://www.scopus.com/inward/record.url?scp=85125935541&partnerID=8YFLogxK
U2 - 10.1016/j.amsu.2022.103462
DO - 10.1016/j.amsu.2022.103462
M3 - Article
AN - SCOPUS:85125935541
SN - 2049-0801
VL - 76
JO - Annals of Medicine and Surgery
JF - Annals of Medicine and Surgery
M1 - 103462
ER -
