Comparing the Prognostic Value of the Latest Version of the National Early Warning Score (NEWS-2) and the Quick Sequential Organ Failure Assessment Score (qSOFA) in the Prediction of the Mortality Rate of Septic Patients | ||||
| ARCADEs of MEDICINE | ||||
| Articles in Press, Accepted Manuscript, Available Online from 14 June 2025 | ||||
| Document Type: Original Research | ||||
| DOI: 10.21608/arcmed.2025.375056.1112 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Ahmed Nader El sayed  1; Amr mohamed El said Kamel2; Ghada Elhadari 3; basant elsayed moussa4
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| 1. Armed Forces College of Medicine, Cairo,Egypt | ||||
| 2Chairman of ICU department ,AFCM & professor ICU and Anesthesia ,Ain Shams University,Egypt | ||||
| 3Yale University Suez Canal University | ||||
| 41. Armed Forces College of Medicine, Egypt 2. Emergency Medicine Department, Suez Canal University, Egypt | ||||
| Abstract | ||||
| Background: Sepsis is the leading mortality cause from different infectious disorders globally. The incidence and mortality rates of sepsis differ greatly between regions, with around 85.0% of these cases and fatalities occurring in low- and middle-income nations worldwide. Aim and objectives; To evaluate and compare the predictive abilities of the most recent version of the National Early Warning Score (NEWS-2) and the Quick Sequential Organ Failure Assessment Score (qSOFA) in determining death rates among septic patients. Methods: A prospective observational study was conducted in emergency department at El Galaa Military Medical Complex in 2023. it enrolled 69 patients. 55 patients were identified with septic shock, and the mortality was observed in 14 patients. Results: At 24-hour interval, the mean NEWS2 score for those who didn't survive was statistically significant high (6.71) compared to those who survived (2.71). Similarly, a higher percentage of non-survivors (64.3%) scored ≥5 on the NEWS2 scale, a considerable difference from survivors (7.3%). By the 168th hour, the data continued to reflect a significant divergence between the two groups, with non-survivors having consistently higher NEWS2 scores and a larger proportion with scores ≥5. The correlation analysis between NEWS2 and qSOFA scores at specific time points in our study revealed interesting relationships between these scoring systems. At 24 hours, there was a significant positive correlation (r value = 0.374, p = 0.002) between NEWS2 and qSOFA scores. Conclusion: the NEWS-2 is more sensitive than qSOFA in predicting mortality rates among septic patients, with significant positive correlation among them. | ||||
| Keywords | ||||
| National Early Warning Score (NEWS-2); Quick Sequential OrganFailure Assessment Score (qSOFA); Septic Patients | ||||
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