Modifications to the National Early Warning Score: a scoping review protocol
Introduction The National Early Warning Score (NEWS/2) system was developed to enable the detection and early intervention of patients at risk of clinical deterioration. It has demonstrated good accuracy in identifying imminent critical outcomes but has limitations in its applicability to various pa...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-10-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/10/e089061.full |
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| author | Chris Plummer Edward Meinert Ananya Ananthakrishnan Madison Milne-Ives Victoria Riccalton Lynsey Threlfall Cen Cong |
| author_facet | Chris Plummer Edward Meinert Ananya Ananthakrishnan Madison Milne-Ives Victoria Riccalton Lynsey Threlfall Cen Cong |
| author_sort | Chris Plummer |
| collection | DOAJ |
| description | Introduction The National Early Warning Score (NEWS/2) system was developed to enable the detection and early intervention of patients at risk of clinical deterioration. It has demonstrated good accuracy in identifying imminent critical outcomes but has limitations in its applicability to various patient types and its ability to predict upcoming deterioration beyond 24 hours. Various studies have attempted to improve its predictive accuracy and clinical utility by modifying or adding variables to the standard NEWS/2 system. The purpose of this scoping review is to identify modifications to the NEWS and NEWS2 systems (eg, the inclusion of additional patient demographic, physiological or other characteristics) and how those modifications influence predictive accuracy to provide an evidence base for subsequent improvement of the system.Methods and analysis The review will be structured using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews and the Population, Intervention, Comparator, Outcome, and Study frameworks. Six databases (PubMed, ScienceDirect, Embase, CINAHL, Web of Science and Cochrane Library) will be searched in April 2024 for articles published in English. Article screening and data extraction will be conducted by two independent reviewers, with any conflicts resolved by discussion. The analysis will be descriptive to provide a summary of modifications identified and their influence on the predictive accuracy of NEWS/NEWS 2.Ethics and dissemination Ethical approval is not required as data will be obtained from already published sources. Findings from this study will be disseminated via publication in a peer-reviewed journal. |
| format | Article |
| id | doaj-art-f32f529eb4ff440692984dfd2e6fc9ae |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-f32f529eb4ff440692984dfd2e6fc9ae2025-08-20T03:48:31ZengBMJ Publishing GroupBMJ Open2044-60552024-10-01141010.1136/bmjopen-2024-089061Modifications to the National Early Warning Score: a scoping review protocolChris Plummer0Edward Meinert1Ananya Ananthakrishnan2Madison Milne-Ives3Victoria Riccalton4Lynsey Threlfall5Cen Cong6Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK6 Faculty of Life Sciences and Medicine, King’s College London, London, UKTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, NE1 7RU, UKTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, NE1 7RU, UKTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, NE1 7RU, UKTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, NE1 7RU, UKTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, NE1 7RU, UKIntroduction The National Early Warning Score (NEWS/2) system was developed to enable the detection and early intervention of patients at risk of clinical deterioration. It has demonstrated good accuracy in identifying imminent critical outcomes but has limitations in its applicability to various patient types and its ability to predict upcoming deterioration beyond 24 hours. Various studies have attempted to improve its predictive accuracy and clinical utility by modifying or adding variables to the standard NEWS/2 system. The purpose of this scoping review is to identify modifications to the NEWS and NEWS2 systems (eg, the inclusion of additional patient demographic, physiological or other characteristics) and how those modifications influence predictive accuracy to provide an evidence base for subsequent improvement of the system.Methods and analysis The review will be structured using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews and the Population, Intervention, Comparator, Outcome, and Study frameworks. Six databases (PubMed, ScienceDirect, Embase, CINAHL, Web of Science and Cochrane Library) will be searched in April 2024 for articles published in English. Article screening and data extraction will be conducted by two independent reviewers, with any conflicts resolved by discussion. The analysis will be descriptive to provide a summary of modifications identified and their influence on the predictive accuracy of NEWS/NEWS 2.Ethics and dissemination Ethical approval is not required as data will be obtained from already published sources. Findings from this study will be disseminated via publication in a peer-reviewed journal.https://bmjopen.bmj.com/content/14/10/e089061.full |
| spellingShingle | Chris Plummer Edward Meinert Ananya Ananthakrishnan Madison Milne-Ives Victoria Riccalton Lynsey Threlfall Cen Cong Modifications to the National Early Warning Score: a scoping review protocol BMJ Open |
| title | Modifications to the National Early Warning Score: a scoping review protocol |
| title_full | Modifications to the National Early Warning Score: a scoping review protocol |
| title_fullStr | Modifications to the National Early Warning Score: a scoping review protocol |
| title_full_unstemmed | Modifications to the National Early Warning Score: a scoping review protocol |
| title_short | Modifications to the National Early Warning Score: a scoping review protocol |
| title_sort | modifications to the national early warning score a scoping review protocol |
| url | https://bmjopen.bmj.com/content/14/10/e089061.full |
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