Calculator NEWS2 — Evaluarea Severității Bolii Acute
Evaluarea standardizată a severității bolii acute și a riscului de deteriorare clinică
Hypercapnic respiratory failure
Confirmed on blood gas analysis on either a prior or current hospital admission.
Respiratory rate
Tap to select
SpO2
Tap to select
On room air or supplemental O2.
Room air or supplemental O₂
Tap to select
Systolic blood pressure
Tap to select
Pulse
Tap to select
Consciousness
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Temperature
Tap to select
Answer all questions to see the result
Informații suplimentare
Avertizare
Acest instrument este destinat exclusiv scopurilor educaționale și nu constituie consultație de specialitate sau substitut pentru consultațiile de specialitate. Instrumentul nu trebuie folosit pentru diagnosticarea medicală și/sau acordarea tratamentului medical corespunzător.
General description
National Early Warning Score (NEWS) 2 is used to help standardize the assessment of acute-illness severity when patients present acutely to hospital and in prehospital assessment, i.e. by the ambulance services. It has proven to be a strong indicator of increased risk of serious clinical deterioration and mortality in patients with sepsis and a variety of acute medical illnesses, surgical patients and patients with acute trauma.
The NEWS is based on a simple aggregate scoring system in which a score is allocated to physiological measurements, already recorded in routine practice. Six simple physiological parameters form the basis of the scoring system: respiration rate, oxygen saturation, systolic blood pressure, pulse rate, temperature and level of consciousness or new confusion. Higher aggregated scores indicate higher risk of clinical deterioration. Scores 0–4 are classified as low risk, score 3 in any individual parameter is low-medium risk, scores 5–6 are medium risk and score ≥ 7 is classified as high risk.
Depending on the NEW score, recommendations for the: frequency of clinical monitoring, the urgency of clinical review, and the competency requirements of the clinical team needed to undertake that review and respond, are provided.
The NEWS has been validated in many settings within the NHS and internationally, including emergency departments and in the prehospital setting.
National Early Warning Score (NEWS) 2 is used to help standardize the assessment of acute-illness severity when patients present acutely to hospital and in prehospital assessment, i.e. by the ambulance services. It has proven to be a strong indicator of increased risk of serious clinical deterioration and mortality in patients with sepsis and a variety of acute medical illnesses, surgical patients and patients with acute trauma.
The NEWS is based on a simple aggregate scoring system in which a score is allocated to physiological measurements, already recorded in routine practice. Six simple physiological parameters form the basis of the scoring system: respiration rate, oxygen saturation, systolic blood pressure, pulse rate, temperature and level of consciousness or new confusion. Higher aggregated scores indicate higher risk of clinical deterioration. Scores 0–4 are classified as low risk, score 3 in any individual parameter is low-medium risk, scores 5–6 are medium risk and score ≥ 7 is classified as high risk.
Depending on the NEW score, recommendations for the: frequency of clinical monitoring, the urgency of clinical review, and the competency requirements of the clinical team needed to undertake that review and respond, are provided.
The NEWS has been validated in many settings within the NHS and internationally, including emergency departments and in the prehospital setting.
Result ranges
Low risk
0–4Low-medium risk
Score 3*Medium risk
5–6High risk
≥ 7* in any individual parameter
References
Royal College of Physicians. "National Early Warning Score (NEWS) 2: standardising the assessment of acute-illness severity in the NHS. Updated report of a working party 2017." (2021).
Versiune
1
Despre acest instrument
National Early Warning Score (NEWS) 2 is used to help standardize the assessment of acute-illness severity when patients present acutely to hospital and in prehospital assessment, i.e. by the ambulance services. It has proven to be a strong indicator of increased risk of serious clinical deterioration and mortality in patients with sepsis and a variety of acute medical illnesses, surgical patients and patients with acute trauma.
The NEWS is based on a simple aggregate scoring system in which a score is allocated to physiological measurements, already recorded in routine practice. Six simple physiological parameters form the basis of the scoring system: respiration rate, oxygen saturation, systolic blood pressure, pulse rate, temperature and level of consciousness or new confusion. Higher aggregated scores indicate higher risk of clinical deterioration. Scores 0–4 are classified as low risk, score 3 in any individual parameter is low-medium risk, scores 5–6 are medium risk and score ≥ 7 is classified as high risk.
Depending on the NEW score, recommendations for the: frequency of clinical monitoring, the urgency of clinical review, and the competency requirements of the clinical team needed to undertake that review and respond, are provided.
The NEWS has been validated in many settings within the NHS and internationally, including emergency departments and in the prehospital setting.
The NEWS is based on a simple aggregate scoring system in which a score is allocated to physiological measurements, already recorded in routine practice. Six simple physiological parameters form the basis of the scoring system: respiration rate, oxygen saturation, systolic blood pressure, pulse rate, temperature and level of consciousness or new confusion. Higher aggregated scores indicate higher risk of clinical deterioration. Scores 0–4 are classified as low risk, score 3 in any individual parameter is low-medium risk, scores 5–6 are medium risk and score ≥ 7 is classified as high risk.
Depending on the NEW score, recommendations for the: frequency of clinical monitoring, the urgency of clinical review, and the competency requirements of the clinical team needed to undertake that review and respond, are provided.
The NEWS has been validated in many settings within the NHS and internationally, including emergency departments and in the prehospital setting.
