دورية أكاديمية
The National Early Warning Score 2 with Age and Body Mass Index (NEWS2 Plus) to Determine Patients with Severe COVID-19 Pneumonia
| العنوان: | The National Early Warning Score 2 with Age and Body Mass Index (NEWS2 Plus) to Determine Patients with Severe COVID-19 Pneumonia |
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| المؤلفون: | Konlawij Trongtrakul, Pattraporn Tajarernmuang, Atikun Limsukon, Theerakorn Theerakittikul, Nutchanok Niyatiwatchanchai, Karjbundid Surasit, Pimpimok Glunriangsang, Chalerm Liwsrisakun, Chaiwat Bumroongkit, Chaicharn Pothirat, Juthamas Inchai, Warawut Chaiwong, Panida Chanayat, Athavudh Deesomchok |
| المصدر: | Journal of Clinical Medicine, Vol 13, Iss 1, p 298 (2024) |
| بيانات النشر: | MDPI AG, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | severe COVID-19 pneumonia, critical COVID-19 illness, early determination, severity prediction score, National Early Warning Score 2 (NEWS2), NEWS2 Plus, Medicine |
| الوصف: | (1) Background: Early identification of severe coronavirus disease 2019 (COVID-19) pneumonia at the initial phase of hospitalization is very crucial. To address this, we validated and updated the National Early Warning Score 2 (NEWS2) for this purpose. (2) Methods: We conducted a study on adult patients with COVID-19 infection in Chiang Mai, Thailand, between May 2021 and October 2021. (3) Results: From a total of 725 COVID-19 adult patients, 350 (48.3%) patients suffered severe COVID-19 pneumonia. In determining severe COVID-19 pneumonia, NEWS2 and NEWS2 + Age + BMI (NEWS2 Plus) showed the C-statistic values of 0.798 (95% CI, 0.767–0.830) and 0.821 (95% CI, 0.791–0.850), respectively. The C-statistic values of NEWS2 Plus were significantly improved compared to those of NEWS2 alone (p = 0.012). Utilizing a cut-off point of five, NEWS2 Plus exhibited better sensitivity and negative predictive value than the traditional NEWS2, with values of 99.7% vs. 83.7% and 98.9% vs. 80.7%, respectively. (4) Conclusions: The incorporation of age and BMI into the traditional NEWS2 score enhanced the efficacy of determining severe COVID-19 pneumonia. Physicians can rely on NEWS2 Plus (NEWS2 + Age + BMI) as a more effective decision-making tool for triaging COVID-19 patients during early hospitalization. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 13010298 2077-0383 |
| Relation: | https://www.mdpi.com/2077-0383/13/1/298; https://doaj.org/toc/2077-0383 |
| DOI: | 10.3390/jcm13010298 |
| URL الوصول: | https://doaj.org/article/a802c0e23705456f9455960a2f8b88b9 |
| رقم الأكسشن: | edsdoj.802c0e23705456f9455960a2f8b88b9 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 13010298 20770383 |
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| DOI: | 10.3390/jcm13010298 |