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National Early Warning Score 2 – Brazilian version: predictive validity for adults with COVID-19

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DOI:

https://doi.org/10.5902/2179769273803

Keywords:

Clinical Deterioration, Early Warning Score, COVID-19, Validation Study, Hospital Mortality

Abstract

Objective: perform the predictive validity of National Early Warning Score 2 – Brazilian version (NEWS 2 – BR) in discharge and death outcomes in patients with COVID-19. Method: cross-sectional study with predictive validity analysis. Social-demographical and clinical variables, outcomes and the score components were collected with an electronic health record and analyzed through descriptive and inferential statistics. Outcomes: 400 patients were included, with median age of 61 years. The score, at the moment of admission, had a median of 5 points, with a range from 0 to 21. There is an association between the highest scores and the death outcome and the lowest scores and the discharge outcome. The predictive validity of NEWS 2 – BR for death was established by the analysis of the ROC curve and the most accurate cut-off point was six points. Conclusion: The Brazilian version of NEWS 2 is a valid score to assess patients with COVID-19.

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Author Biographies

Ana Paula Amestoy de Oliveira, Pontifícia Universidade Católica do Rio Grande do Sul

Enfermeira doutoranda em Gerontologia Biomédica pela PUCRS, mestre pelo Programa de Mestrado Profissional em Ensino na Saúde - PPGENSAU - UFCSPA. Atualmente no cargo de Coordenadora dos Programas de Residência Multiprofissional e em Área Profissional da Saúde ? RMS do Grupo Hospitalar Conceição. Empresária, proprietária e diretora administrativa da Oral Sin Implantes de Parobé. Especialista em Urgência e Emergência pelo Programa de Residência Multiprofissional em Saúde (PREMUS) - Hospital São Lucas da PUCRS. Possui graduação em Enfermagem pela Universidade Federal de Ciências da Saúde de Porto Alegre (2013). Experiência na atuação como Enfermeira Assistencial no Grupo Hospitalar Conceição, Hospital de Clínicas de Porto Alegre, Hospital Mãe de Deus e Hospital São Lucas da PUCRS, nas áreas de Emergência, Unidade de Terapia Intensiva e Controle de Infecção Hospitalar. Atuou como preceptora do Programa de Residência Multiprofissional em Saúde (Atenção ao Paciente Crítico) e como enfermeira responsável pelo gerenciamento do Protocolo de Sepse do Hospital São Lucas da PUCRS. Bolsista durante o período de graduação do programa PET-Saúde (2011-2013) e iniciação científica pela UFRGS. Possui interesse em áreas de cuidado ao paciente crítico, segurança do paciente, sepse, humanização da assistência em saúde e ensino em saúde.

Andressa Golembieski Machado, Pontifícia Universidade Católica do Rio Grande do Sul

Enfermeira, formada pela Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS). Integrante do Grupo Interdisciplinar de Pesquisa em Segurança do Paciente (GIPESP) vinculado à Escola de Ciências da Saúde e da Vida da PUCRS.

Giovana Rossi Usevicius, Pontifícia Universidade Católica do Rio Grande do Sul

Enfermeira, com experiência durante a graduação como bolsista de iniciação científica, estagiária na empresa Happy Saúde do Grupo ATS Hospitalar e estagiária no Núcleo Hospitalar de Epidemiologia do Hospital Nossa Senhora da Conceição. Atualmente, Enfermeira Pesquisadora atuando na orientação, na coleta e na análise de dados envolvidos no projeto. Já realizei diversas apresentações em eventos científicos, sendo destaque em um deles.

Janete de Souza Urbanetto, Pontifícia Universidade Católica do Rio Grande do Sul

Graduada em Enfermagem pela Universidade Federal de Santa Maria. Mestre em Enfermagem pela Universidade Federal de Santa Catarina e Doutora em Ciências da Saúde pela PUCRS. Professora do Curso de Enfermagem da Escola de Ciências da Saúde e da Vida (ECSV) da PUCRS e também integra o quadro de professores permanentes do Programa de Pós-Graduação em Gerontologia Biomédica (Escola de Medicina-PUCRS). Líder do Grupo Interdisciplinar de Pesquisa em Segurança do Paciente (GIPESP) da Escola de Ciências da Saúde da PUCRS e pesquisadora do Grupo de Inteligência Artificial em Saúde (GIAS), da Escola Politécnica da PUCRS. Pesquisa nas linhas Segurança do Paciente e Saúde do Trabalhador. Membro fundador da REBRAENSP- Polo RS. Coordenadora do Laboratório de Simulação Realística de Enfermagem da ECSV/PUCRS e do Laboratório de Engenharia de Usabilidade de Produtos para a Saúde -IDEIA/PROPESQ/PUCRS.

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Published

2023-04-18 — Updated on 2023-11-30

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How to Cite

Oliveira, A. P. A. de, Machado, A. G., Usevicius, G. R., & Urbanetto, J. de S. (2023). National Early Warning Score 2 – Brazilian version: predictive validity for adults with COVID-19. Revista De Enfermagem Da UFSM, 13, e14. https://doi.org/10.5902/2179769273803 (Original work published April 18, 2023)

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Vol. 13 (2023): Artigos do volume 13

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Artigos Originais

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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