Int J Intern Emerg Med | Volume 4, Issue 2 | Research Article | Open Access

NEWS-2 Score Assessment of Inpatient Referral during the COVID-19 Epidemic

Valérie Faure^1*, Marc Souris², Arnaud Wilmet³, Franck Baudino³, Albert Brizo⁴, Christopher Malhaire¹, François-Xavier Peccaud¹ and Jean-Paul Gonzalez^5,6

¹Department of Emergency, Private Hospital of the Vert Galant Groupe Ramsay, France
²Joint Research Unit « Unit of Emerging Viruses (UVE) », Aix-Marseille Univ-IRD, INSERM, France ³Health for Development (H4D), France
⁴Emergency Mobile Service (SMUR), Delafontaine Hospital, France
⁵Department of Microbiology & Immunology, Georgetown University, USA
⁶Centaurus Biotech LLC, USA

^*Correspondance to: Valérie Faure 

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Abstract

Aim: To manage patients with suspected Coronavirus Disease (COVID-19) when they arrive at the hospital Emergency Department (ED), a clinical severity score is required to quickly identify patients requiring immediate hospital admission and close monitoring. The aim of this study was to evaluate, within the context of the pandemic, the performance of National Early Warning Score 2 (NEWS-2) to anticipate the admission of patients with suspected COVID-19 to a specialized emergency care unit. Methods: This retrospective study was conducted on patients presenting at the COVID-19 entrance of the ED of the Vert-Galant Private Hospital (Paris, France) during the first national pandemic peak from March 20th to April 20th, 2020. All patients completed a questionnaire and clinical data and vital signs were recorded. Statistical analysis and modeling were used to estimate the ability of different scores (NEWS-2, qSOFA, CRB-65) to predict hospital emergency admission and/or early COVID-19 diagnosis. Results: NEWS-2, with a cut off value of 5, predicted hospital admission with 82% sensitivity, 98% specificity and an Area under the Curve (AUC) of 96%. NEWS-2 was superior to qSOFA and CRB- 65 scores for predicting hospital admission of COVID-19 patients. Multilinear or logistic regression analysis of clinical data did not improve this result. Conclusion: NEWS-2 is an excellent score to predict hospital admission of COVID-19 patients.

Keywords:

COVID-19; NEWS-2; Hospital admission; Epidemic; Intensive care unit; Telemedicine booth

Citation:

Faure V, Souris M, Wilmet A, Baudino F, Brizo A, Malhaire C, et al. NEWS-2 Score Assessment of Inpatient Referral during the COVID-19 Epidemic. Int J Intern Emerg Med. 2021; 4(2): 1044.