@article{ajnr20208311,
author={{Mahran, Ghada Shalaby Khalaf and Mehany, Mogedda Mohamed and Tolba, Asmaa Atiaa},
title={The Role of National Early Warning Score in Detecting and Decreasing Cardiorespiratory Arrest amongst Patients with Acute Coronary Syndrome},
journal={American Journal of Nursing Research},
volume={8},
number={3},
pages={406--411},
year={2020},
url={http://pubs.sciepub.com/ajnr/8/3/11},
issn={2378-5586},
abstract={<b>Background:</b> National early warning score (NEWS) is consider the simplest system of physiological scoring attempts to identify deteriorating patients¡¯ early so timely interventions can occur thus reducing serious adverse events. We <b>aimed</b> to evaluate the role of National early warning score in detecting and decreasing cardiorespiratory arrest amongst patients with acute coronary syndrome. <b>Materials and Methods: </b>a retrospective cohort study was undertaken on 60 patients with Acute Coronary Syndrome (ACS) at Coronary Care Unit (CCU). Data collection occurred over 3 phases. Phase I (Pre-NEWS data collection); physiological parameters were extracted retrospectively between 1 May 2019 and 30 July 2019 using Electronic Health Intelligence System (HIS). Phase II: one-month (1st -30th August, 2019); introduction and training of critical care nurses and doctors in CCU about NEWS. Phase III: Post NEWS data collection; physiological parameters were collected directly from the patients with ACS between 1 September 2019 and 30 November 2019. <b>Results: </b>the mean of NEWS, was 1.42 and 5.52 for the Post NEWS and Pre NEWS groups respectively with a statistically significant difference between them (p&lt;0.001). It was noticed that a significant decrease in cardiorespiratory arrest and death in Post NEWS group (36.6%, 20%) versus Pre NEWS group (66.7%, 56.7%) respectively. <b>Conclusion: </b>The NEWS was significantly effective in decreasing occurrence of cardiorespiratory arrest and death. So, the NEWS is a useful tool to identify patients with ACS at greatest risk of cardiorespiratory arrest. Therefore, applying the NEWS as a part of routine nursing assessment for all patients with ACS is highly recommended.},
doi={10.12691/ajnr-8-3-11}
publisher={Science and Education Publishing}
}