key: cord-280899-zoc1hk5g
authors: Volff, Maxime; Tonon, David; Bourenne, Jeremy; Simeone, Pierre; Velly, Lionel
title: No added value of the modified NEWS score to predict clinical deterioration in COVID-19 patients
date: 2020-07-10
journal: Anaesth Crit Care Pain Med
DOI: 10.1016/j.accpm.2020.07.008
sha: 
doc_id: 280899
cord_uid: zoc1hk5g

nan

The current international outbreak of COVID-19 respiratory illness due to SARS-CoV-2 virus results in high rates of hospitalisation and intensive care unit (ICU) admission [1] . ICU resources in Europe are limited [2] , and managing ICU-bed flow is therefore vital to ensure high quality of care to all patients.

The National Early Warning Score (NEWS) is recommended by the National Institute for Health and Care Excellence in its guidelines for predicting the risk of clinical deterioration of COVID-19 patients [3] . In this journal, Liao et al. [4] recently proposed a modified version of the NEWS score (mNEWS) for COVID-19 patients with age ≥ 65 years (score 3 points) added as an independent risk factor for survival.

However, the authors did not provide data to support this modification and we did not identify Predictive performance of the NEWS and mNEWS scores was assessed using the area under the receiver operating characteristic (ROCAUC) curve using the method described by DeLong et al. [5] Over the study period, 416 adult COVID-19 patients were hospitalised and 53 patients with withholding or withdrawing life-support were excluded from analysis. One hundred seventy-two patients 

Baseline Characteristics and Outcomes of 1591

Patients Infected With SARS-CoV-2 Admitted to ICUs of the Lombardy Region

The variability of critical care bed numbers in Europe

Novel coronavirus infection during the 2019-2020 epidemic: preparing intensive care units-the experience in Sichuan Province

Comparing the areas under two or more correlated receiver operating characteristic curves: a nonparametric approach

And we gratefully acknowledge all the health care workers on the front line and all the patients involved in the study.

The authors declare that they have no competing interests.

The authors received no funding for this work.