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NEWS2 and the older person
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Vardy, E., Lasserson, D. S., Barker, R. O. and Hanratty, B. (2022) NEWS2 and the older person. Clinical Medicine, 22 (6). pp. 522-524. doi:10.7861/clinmed.2022-0426
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Official URL: https://doi.org/10.7861/clinmed.2022-0426
Abstract
The National Early Warning Score (NEWS) (published in 2012) made no specific adjustments for older people. The updated NEWS2 (2017) incorporated new confusion as a category for consciousness. In this article we consider the role of NEWS2 in detection of acute clinical deterioration in older people and how the score may be used to inform care, highlighting the additional aspects such as care escalation decisions that may ensue. We consider the evidence of NEWS and NEWS2 in assessment of the older person in different settings, including the potential benefits and limitations for care home residents. We suggest that NEWS2 may need adaptation for older people in future iterations, and that it should be used in conjunction with other clinical assessments such as the clinical frailty scale and the 4’A’s test (4AT) for delirium.
Item Type: | Journal Item | ||||||
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Subjects: | R Medicine > RA Public aspects of medicine | ||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||
Library of Congress Subject Headings (LCSH): | Medical care -- Great Britain -- Evaluation, Older people -- Hospital care -- Evaluation, Health Care Evaluation Mechanisms -- standards, Older people | ||||||
Journal or Publication Title: | Clinical Medicine | ||||||
Publisher: | Royal College of Physicians | ||||||
ISSN: | 1470-2118 | ||||||
Official Date: | 25 November 2022 | ||||||
Dates: |
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Volume: | 22 | ||||||
Number: | 6 | ||||||
Page Range: | pp. 522-524 | ||||||
DOI: | 10.7861/clinmed.2022-0426 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||
Copyright Holders: | Royal College of Physicians | ||||||
Date of first compliant deposit: | 15 November 2022 | ||||||
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