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NEWS2 to assess suspected COVID-19 in the community : a service evaluation of a primary care assessment centre
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Zaman, Imran, Beevers, Zachary C. R., Lasserson, Daniel and Knight, Thomas (2021) NEWS2 to assess suspected COVID-19 in the community : a service evaluation of a primary care assessment centre. Family Practice, 38 (Supplement 1). i3-i8. doi:10.1093/fampra/cmab016 ISSN 0263-2136.
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WRAP-NEWS2-assess-suspected-COVID-19-community-service-evaluation-primary-care-assessment-centre-Lasserson-2021.pdf - Accepted Version - Requires a PDF viewer. Download (1778Kb) | Preview |
Official URL: https://doi.org/10.1093/fampra/cmab016
Abstract
Background
Primary care has played a central role in the community response to the coronavirus disease-19 (COVID-19) pandemic. The use of the National Early Warning Score 2 (NEWS2) has been advocated as a tool to guide escalation decisions in the community. The performance of this tool applied in this context is unclear.
Aim
To evaluate the process of escalation of care to the hospital within a primary care assessment centre (PCAC) designed to assess patients with suspected COVID-19 in the community.
Design and setting
A retrospective service evaluation of all adult patients assessed between 30 March and 22 April 2020 within a COVID-19 primary care assessment centre within Sandwell West Birmingham CCG.
Method
A database of patient demographics, healthcare interactions and physiological observations was constructed. NEWS2 and CRB65 scores were calculated retrospectively. The proportion of patients escalated was within risk groups defined by NHSE guidelines in place during the evaluation period was determined.
Results
A total of 150 patients were identified. Following assessment 13.3% (n = 20) patients were deemed to require escalation. The proportion of patients escalated with a NEWS2 greater than or equal to 3 was 46.9% (95% CI 30.8–63.6%). The proportion of patients escalated to secondary care using NHSE defined risk thresholds was 0% in the green group, 22% (n = 4) in the amber group, and 81.3% (n = 13) in the red group.
Conclusion
Clinical decisions to escalate care to the hospital did not follow initial guidance written for the COVID-19 outbreak but were demonstrated to be safe.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RA Public aspects of medicine | ||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | COVID-19 (Disease), Primary care (Medicine) -- Great Britain, Community health services -- Great Britain, Health risk assessment, COVID-19 (Disease) -- Government policy, Medical policy -- Great Britain | ||||||||
| Journal or Publication Title: | Family Practice | ||||||||
| Publisher: | Oxford University Press | ||||||||
| ISSN: | 0263-2136 | ||||||||
| Official Date: | September 2021 | ||||||||
| Dates: |
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| Volume: | 38 | ||||||||
| Number: | Supplement 1 | ||||||||
| Page Range: | i3-i8 | ||||||||
| DOI: | 10.1093/fampra/cmab016 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Reuse Statement (publisher, data, author rights): | This is a pre-copyedited, author-produced version of an article accepted for publication in Family Practice following peer review. The version of record Imran Zaman, Zachary C R Beevers, Ridwan Ahmed, Daniel Lasserson, Thomas Knight, NEWS2 to assess suspected COVID-19 in the community: a service evaluation of a primary care assessment centre, Family Practice, Volume 38, Issue Supplement_1, September 2021, Pages i3–i8, is available online at: https://doi.org/10.1093/fampra/cmab016 | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
| Date of first compliant deposit: | 16 March 2021 | ||||||||
| Date of first compliant Open Access: | 27 August 2022 | ||||||||
| RIOXX Funder/Project Grant: |
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