Home > Research > Publications & Outputs > Distribution of the National Early Warning Scor...

Links

Text available via DOI:

View graph of relations

Distribution of the National Early Warning Score (NEWS) in care home residents

Research output: Contribution to journalJournal articlepeer-review

Published

Standard

Distribution of the National Early Warning Score (NEWS) in care home residents. / Barker, Robert Oliver; Stocker, Rachel; Russell, Siân; Roberts, Anthony; Kingston, Andrew; Adamson, Joy; Hanratty, Barbara.

In: Age and Ageing, Vol. 49, No. 1, 01.01.2020, p. 141-145.

Research output: Contribution to journalJournal articlepeer-review

Harvard

Barker, RO, Stocker, R, Russell, S, Roberts, A, Kingston, A, Adamson, J & Hanratty, B 2020, 'Distribution of the National Early Warning Score (NEWS) in care home residents', Age and Ageing, vol. 49, no. 1, pp. 141-145. https://doi.org/10.1093/ageing/afz130

APA

Barker, R. O., Stocker, R., Russell, S., Roberts, A., Kingston, A., Adamson, J., & Hanratty, B. (2020). Distribution of the National Early Warning Score (NEWS) in care home residents. Age and Ageing, 49(1), 141-145. https://doi.org/10.1093/ageing/afz130

Vancouver

Barker RO, Stocker R, Russell S, Roberts A, Kingston A, Adamson J et al. Distribution of the National Early Warning Score (NEWS) in care home residents. Age and Ageing. 2020 Jan 1;49(1):141-145. https://doi.org/10.1093/ageing/afz130

Author

Barker, Robert Oliver ; Stocker, Rachel ; Russell, Siân ; Roberts, Anthony ; Kingston, Andrew ; Adamson, Joy ; Hanratty, Barbara. / Distribution of the National Early Warning Score (NEWS) in care home residents. In: Age and Ageing. 2020 ; Vol. 49, No. 1. pp. 141-145.

Bibtex

@article{ad4acc9b76f6480a83d0a4491572d853,
title = "Distribution of the National Early Warning Score (NEWS) in care home residents",
abstract = "BACKGROUND: the National Early Warning Score (NEWS) is a tool based on vital signs that aims to standardise detection of, and response to, clinical deterioration in adults. NEWS has been adopted in hospitals but not adapted for other settings. This study aimed to explore the feasibility of measuring the NEWS in care homes and describe the distribution of NEWS readings amongst care home residents.METHODS: descriptive analysis of all NEWS readings recorded in a 30-month period (2016-19) across 46 care homes in one Clinical Commissioning Group in England. Comparisons were made between measurements taken as a routine reading and those prompted by concern about acute illness.RESULTS: a total of 19,604 NEWS were recorded from 2,424 older adults (≥65 years; mean age 85). Median NEWS was 2. Two thirds (66%) of residents had a low NEWS (≤2), and 28% had a score of 0. Of the total NEWS readings, 6,277 (32%) were known to be routine readings and 2,256 (12%) were measured because of staff concerns. Median NEWS was 1 for routine and 2 for concern recordings. Overall, only 12% of NEWS were high (≥5), but a higher proportion were elevated when there were concerns about acute illness (18%), compared with routine recordings (7%).CONCLUSIONS: use of NEWS in care homes appears to be feasible. The majority of NEWS were not elevated, and the distribution of scores is consistent with other out-of-hospital settings. Further work is required to know if NEWS is triggering the most appropriate response and improving care home resident outcomes.",
keywords = "Aged, 80 and over, Clinical Deterioration, Early Warning Score, Female, Homes for the Aged/statistics & numerical data, Humans, Male, Nursing Homes/statistics & numerical data",
author = "Barker, {Robert Oliver} and Rachel Stocker and Si{\^a}n Russell and Anthony Roberts and Andrew Kingston and Joy Adamson and Barbara Hanratty",
year = "2020",
month = jan,
day = "1",
doi = "10.1093/ageing/afz130",
language = "English",
volume = "49",
pages = "141--145",
journal = "Age and Ageing",
issn = "0002-0729",
publisher = "OXFORD UNIV PRESS",
number = "1",

}

RIS

TY - JOUR

T1 - Distribution of the National Early Warning Score (NEWS) in care home residents

AU - Barker, Robert Oliver

AU - Stocker, Rachel

AU - Russell, Siân

AU - Roberts, Anthony

AU - Kingston, Andrew

AU - Adamson, Joy

AU - Hanratty, Barbara

PY - 2020/1/1

Y1 - 2020/1/1

N2 - BACKGROUND: the National Early Warning Score (NEWS) is a tool based on vital signs that aims to standardise detection of, and response to, clinical deterioration in adults. NEWS has been adopted in hospitals but not adapted for other settings. This study aimed to explore the feasibility of measuring the NEWS in care homes and describe the distribution of NEWS readings amongst care home residents.METHODS: descriptive analysis of all NEWS readings recorded in a 30-month period (2016-19) across 46 care homes in one Clinical Commissioning Group in England. Comparisons were made between measurements taken as a routine reading and those prompted by concern about acute illness.RESULTS: a total of 19,604 NEWS were recorded from 2,424 older adults (≥65 years; mean age 85). Median NEWS was 2. Two thirds (66%) of residents had a low NEWS (≤2), and 28% had a score of 0. Of the total NEWS readings, 6,277 (32%) were known to be routine readings and 2,256 (12%) were measured because of staff concerns. Median NEWS was 1 for routine and 2 for concern recordings. Overall, only 12% of NEWS were high (≥5), but a higher proportion were elevated when there were concerns about acute illness (18%), compared with routine recordings (7%).CONCLUSIONS: use of NEWS in care homes appears to be feasible. The majority of NEWS were not elevated, and the distribution of scores is consistent with other out-of-hospital settings. Further work is required to know if NEWS is triggering the most appropriate response and improving care home resident outcomes.

AB - BACKGROUND: the National Early Warning Score (NEWS) is a tool based on vital signs that aims to standardise detection of, and response to, clinical deterioration in adults. NEWS has been adopted in hospitals but not adapted for other settings. This study aimed to explore the feasibility of measuring the NEWS in care homes and describe the distribution of NEWS readings amongst care home residents.METHODS: descriptive analysis of all NEWS readings recorded in a 30-month period (2016-19) across 46 care homes in one Clinical Commissioning Group in England. Comparisons were made between measurements taken as a routine reading and those prompted by concern about acute illness.RESULTS: a total of 19,604 NEWS were recorded from 2,424 older adults (≥65 years; mean age 85). Median NEWS was 2. Two thirds (66%) of residents had a low NEWS (≤2), and 28% had a score of 0. Of the total NEWS readings, 6,277 (32%) were known to be routine readings and 2,256 (12%) were measured because of staff concerns. Median NEWS was 1 for routine and 2 for concern recordings. Overall, only 12% of NEWS were high (≥5), but a higher proportion were elevated when there were concerns about acute illness (18%), compared with routine recordings (7%).CONCLUSIONS: use of NEWS in care homes appears to be feasible. The majority of NEWS were not elevated, and the distribution of scores is consistent with other out-of-hospital settings. Further work is required to know if NEWS is triggering the most appropriate response and improving care home resident outcomes.

KW - Aged, 80 and over

KW - Clinical Deterioration

KW - Early Warning Score

KW - Female

KW - Homes for the Aged/statistics & numerical data

KW - Humans

KW - Male

KW - Nursing Homes/statistics & numerical data

U2 - 10.1093/ageing/afz130

DO - 10.1093/ageing/afz130

M3 - Journal article

C2 - 31813952

VL - 49

SP - 141

EP - 145

JO - Age and Ageing

JF - Age and Ageing

SN - 0002-0729

IS - 1

ER -