M28 FROM NEWS TO CREWS: THE CHRONIC RESPIRATORY EARLY WARNING SCORE FOR PATIENTS WITH CHRONIC HYPOXAEMIA

摘要: Introduction In patients with respiratory conditions associated chronic hypoxaemia such as COPD, use of the National Early Warning Score (NEWS)[1] leads to a high number triggers. We designed simple variant NEWS for hypoxaemia. Methods Data was collected from wards at two hospitals in North Wales over three-month period. Patients were categorised into those (CH, target oxygen saturations 88–92%) and others (O, 94–98%). Vital signs recorded on admission hospital, peak score during admission, period stability/at discharge. Results 196 admissions included analysis. 98 (50%) male, 91 had 26 received long-term therapy. Mean age 70 (range 19–102). 78 88–92% (CH patients). The mean all 5 (SD 3), 7 median hospital length stay 10 days (IQR 6:17). 23 died within 30 days; 12 CH. Of these, CH scored 6 + using compared 9/11 O patients. When stable/at discharge, 32% (Welsh trigger) 50% (RCP trigger). By recalibrated scoring system (CREWS, table 1), triggering discharge reduced 14% (5 8% (6 All who subsequently still triggered CREWS scores. Conclusion have altered baseline parameters that lead reduces triggers, which may reduce unnecessary reviews alarm fatigue, without compromising safety. Reference Royal College Physicians. (NEWS): Standardising assessment acute illness severity NHS. Report working party. London: RCP, 2012.