Respiratory National Early Warning Score for 28-day mortality prediction in suspected sepsis patients in the emergency department
Kiattichai Daorattanachai, Sasimanee Maithong, Pariwat Phungoen, Sinee Weschawalit, Winchana Srivilaithon · 2025
Read Respiratory National Early Warning Score for 28-day mortality prediction in suspected sepsis patients in the emergency department by Kiattichai Daorattanachai, Sasimanee Maithong, Pariwat Phungoen, Sinee Weschawalit, Winchana Srivilaithon (2025) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-12817781.txt.
Description
Early warning scores flag patients who may die soon, but the standard ones were built on mixed hospital populations, not on sepsis in the emergency department. In sepsis the breathing rate often climbs early, so the five authors built a respiratory-weighted variant, R-NEWS, from a prospective cohort of 1,348 suspected sepsis patients at a Thai university hospital. Five predictors survived modeling: respiratory rate, oxygen need, systolic pressure, heart rate, and coma scale.
Twenty-eight-day mortality was 13.4 percent. The new score discriminated better than NEWS, qSOFA, and SIRS, with an area under the curve of 0.72 at 28 days and 0.76 at 7 days. Patients scoring 7 or more died at 28.9 percent, against 3.9 percent for scores of 3 or less. The authors back the score alongside clinical judgment, pending outside validation.
Catalog record
| CREATOR | Kiattichai Daorattanachai, Sasimanee Maithong, Pariwat Phungoen, Sinee Weschawalit, Winchana Srivilaithon |
|---|---|
| YEAR | 2025 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 44 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |