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      Calc Function

    • Calcs that help predict probability of a diseaseDiagnosis
    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
    • Disease is diagnosed: prognosticate to guide treatmentPrognosis
    • Numerical inputs and outputsFormula
    • Med treatment and moreTreatment
    • Suggested protocolsAlgorithm

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    Patent Pending

    National Early Warning Score (NEWS)

    Determines the degree of illness of a patient and prompts critical care intervention.

    IMPORTANT

    We launched a COVID-19 Resource Center, including a critical review of recommended calcs.

    INSTRUCTIONS

    The NEWS2 Score is endorsed by the NHS (UK) as an updated version of the original NEWS. 

    When to Use
    Pearls/Pitfalls
    Why Use

    The NEWS can be used on all hospitalized patients to allow for the early detection of clinical deterioration and potential need for higher level of care.

    • The National Early Warning Score (NEWS) was developed to standardize the approach to detection of clinical deterioration in acutely ill patients in the United Kingdom.
    • This new standard has still not been fully embraced by the medical community in the UK or elsewhere.
    • It is hoped that adopting a single early warning score system will facilitate and standardize training in their use.
    • NEWS should not be used in patients under 16 years of age, and pregnant women.
    • The physiological parameters of the NEWS score were derived from existing early warning systems and agreed on by members of the NEWSDIG group.
    • The NEWS was retrospectively validated against other EWS and found to be more sensitive than most earlier scores. This validation has not yet been published.
    • Patients with low NEWS can continue receiving their usual care and observation.
    • Patients with high NEWS should be watched more attentively and considered for transfer to a higher care unit such as an ICU.
    ≤8
    +3
    9-11
    +1
    12-20
    0
    21-24
    +2
    ≥25
    +3
    ≤91%
    +3
    92-93%
    +2
    94-95%
    +1
    ≥96%
    0
    No
    0
    Yes
    +2
    ≤35°C / 95°F
    +3
    35.1-36°C / 95.1-96.8°F
    +1
    36.1-38°C / 96.9-100.4°F
    0
    38.1-39°C / 100.5-102.2°F
    +1
    ≥39.1 °C / 102.3°F
    +2
    <90
    +3
    91-100
    +2
    101-110
    +1
    111-219
    0
    ≥220
    +3
    ≤40
    +3
    41-50
    +1
    51-90
    0
    91-110
    +1
    111-130
    +2
    ≥131
    +3
    A
    0
    V, P or U
    +3
    Confirmed positive
    Suspected
    Unlikely
    Confirmed negative

    Result:

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    Next Steps
    Evidence
    Creator Insights
    Dr. Gary B. Smith

    About the Creator

    Gary B. Smith, Cert Med, FRCA, FRCP, is a visiting professor at the School of Health & Social Care, University of Bournemouth, UK. He is director of the UK Deteriorating Hospital Patient conference and co-director of the International Conferences on Rapid Response Systems. Professor Smith co-developed RSVP (Reason-Story-Vital Signs-Plan), for communicating patient deterioration and the Chain of Prevention, a paradigm for preventing patient deterioration.

    To view Dr. Gary B. Smith's publications, visit PubMed

    Are you Dr. Gary B. Smith? Send us a message to review your photo and bio, and find out how to submit Creator Insights!
    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
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