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 Faure1*, Marc Souris2, Arnaud Wilmet3, Franck Baudino3, Albert Brizo4, Christopher Malhaire1, François-Xavier Peccaud1 and Jean-Paul Gonzalez5,6

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: ValĂ©rie Faure 

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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.


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


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.

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