The Effectiveness of National Early Warning Score (News) as Predictor of Mortality in Heart Failure Patients in Emergency Department

内容摘要

Introduction: Heart failure is one of the global health problems for society characterized by a high mortalityrate, increased hospitalization and rehospitalization. National Early Warning Score (NEWS) is one whohas the EWS development of physiological parameters include pulse rate, systolic blood pressure (SBP),respiratory rate, body temperature, level of consciousness (AVPU), oxygen saturation and the use ofsupplemental oxygen in the range of 0-3 on each parameterObjective: This study aimed to analyze NEWS effectiveness as a predictor of mortality of heart failurepatients in the Emergency Department (ED)of General Hospital of Dr. Slamet Martodirdjo Pamekasan.Method: This study using observational analytic design with prospective cohort approach. The respondentsin this study were 64 patients in quota sampling. The research instrument is observation sheet. ROC analysisand multivariate used multiple logistic regression testResults: ROC test showed that NEWS has value of p=0.000 and AUC of 0.856 which describes NEWScan be a strong predictor related mortality in heart failure patients with CI of 95%, sensitivity value of 0.85(85%) and specificity of 0.818 (81.8%). Logistic regression analysis explained the SBP became independentvariables that most associated with mortality of heart failure patients with Exp(B) of 10.208 which describesthe high score of SBP has greater risk 10.208 times to death compared with a normal score of SBP aftercontrolled by SPO2.Conclusion: NEWS is an effective predictor of mortality of heart failure patients.