PMID- 32196014
OWN - NLM
STAT- MEDLINE
DCOM- 20210609
LR  - 20210609
IS  - 1538-067X (Electronic)
IS  - 1092-1095 (Linking)
VI  - 24
IP  - 2
DP  - 2020 Apr 1
TI  - NEWS Scoring System: Use in Hematologic Malignancies and Cellular Therapeutics 
      Patient Populations.
PG  - E21-E27
LID - 10.1188/20.CJON.E21-E27 [doi]
AB  - BACKGROUND: Systemic inflammatory response syndrome (SIRS) criteria can be overly 
      sensitive in detecting clinical deterioration in hematologic malignancies and 
      cellular therapeutics (HMCT) populations. This may create inconsistency in 
      activation of a rapid response team (RRT) with patient decline. OBJECTIVES: The 
      aim is to evaluate the implementation and use of the National Early Warning Score 
      (NEWS) scoring system in the HMCT population. METHODS: Retrospective data 
      collection from 2016 to 2017 was used. NEWS scores were calculated every 4 hours 
      for the 24 hours prior to RRT activation. The difference between the time of the 
      first NEWS score of 5 or greater and the RRT activation time mean and median 
      values were calculated for the pre- and postimplementation time frames. FINDINGS: 
      A statistically significant decrease in the mean time between patients meeting a 
      NEWS score of 5 or greater and RRT activation was noted in the postimplementation 
      group. An increase in frequency of escalation of care to the intensive care unit 
      for patients with multiple RRT activations during admission was statistically 
      significant.
FAU - Suhr, Kelsey
AU  - Suhr K
AD  - University of Kansas Health System.
FAU - Steen, Cyndy
AU  - Steen C
AD  - University of Kansas Health System.
FAU - Albrecht-Thompson, Robin
AU  - Albrecht-Thompson R
AD  - University of Kansas Health System.
FAU - Williams, Jennifer
AU  - Williams J
AD  - University of Kansas Health System.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Clin J Oncol Nurs
JT  - Clinical journal of oncology nursing
JID - 9705336
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - Hematologic Neoplasms/*epidemiology
MH  - Hospital Mortality
MH  - Hospital Rapid Response Team/*standards/statistics & numerical data
MH  - Humans
MH  - Intensive Care Units/*standards
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Transplantation
OTO - NOTNLM
OT  - cellular therapies
OT  - hematologic malignancies
OT  - sepsis
OT  - transplantation
EDAT- 2020/03/21 06:00
MHDA- 2021/06/10 06:00
CRDT- 2020/03/21 06:00
PHST- 2020/03/21 06:00 [entrez]
PHST- 2020/03/21 06:00 [pubmed]
PHST- 2021/06/10 06:00 [medline]
AID - 10.1188/20.CJON.E21-E27 [doi]
PST - ppublish
SO  - Clin J Oncol Nurs. 2020 Apr 1;24(2):E21-E27. doi: 10.1188/20.CJON.E21-E27.