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논문 기본 정보

자료유형
학술저널
저자정보
Inyong Kim (The Catholic University of Korea) Hwan Song (The Catholic University of Korea) Hyo Joon Kim (The Catholic University of Korea) 박규남 (가톨릭대학교) Soo-Hyun Kim (The Catholic University of Korea) 오상훈 (가톨릭대학교) Chun Song Youn (The Catholic University of Korea)
저널정보
대한응급의학회 Clinical and Experimental Emergency Medicine Clinical and Experimental Emergency Medicine Vol.7 No.1
발행연도
2020.1
수록면
61 - 66 (6page)

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Objective The National Early Warning Score (NEWS), based on the patients’ vital signs, detects clinical deterioration in critically ill patients and is used to reduce the incidence of in-hospital cardiac arrest. However, although mortality prediction based on vital signs may be difficult in older patients, the effectiveness of the NEWS has not yet been evaluated in this population. This study aimed to test the hypothesis that an elevated NEWS at admission increases the mortality risk in older patients admitted to the emergency department (ED). Methods We conducted a single-center retrospective study, including patients admitted to the ED between November 2016 and February 2017. We included patients aged >65 years who were admitted to the ED for any medical problem. The NEWS was calculated at the time of ED admission. The primary outcome was in-hospital mortality. Results In total, 3,169 patients were included in this study. Median age was 75 years (interquartile range [IQR], 70 to 80 years), and 1,557 (49.1%) patients were male. The in-hospital mortality rate was 5.1% (161 patients). Median NEWS was higher in non-survivors than in survivors (5 [IQR, 3–8] vs. 1 [IQR, 0–3], P<0.001). Multivariate logistic analysis showed that the NEWS was associated with in-hospital mortality, after adjusting for other confounders. The area under the curve of the NEWS for predicting in-hospital mortality was 0.820 (95% confidence interval, 0.806 to 0.833). Conclusion Our results show that the NEWS at admission is associated with in-hospital mortality among patients aged >65 years.
#Mortality #Aged #National Early Warning Score

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참고문헌 (22)

참고문헌 신청
Organization for Economic Cooperation and Development / 2016 / OECD economic surveys: Korea google schola Mion LC / 2001 / Establishing a case-finding and referral system for at-risk older individuals in the emergency department setting : the SIGNET model / J Am Geriatr Soc 49:1379~1386 google schola Roberts DC / 2008 / Increasing rates of emergency department visits for elderly patients in the United States, 1993 to 2003 / Ann Emerg Med 51:769~774 google schola Samaras N / 2010 / Older patients in the emergency department : a review / Ann Emerg Med 56:261~269 google schola Aminzadeh F / 2002 / Older adults in the emergency department: a systematic review of patterns of use, adverse outcomes, and effectiveness of interventions / Ann Emerg Med 39:238~247 google schola

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