Comparison of National Early Warning Score (NEWS) & Sepsis Patient Evaluation in the Emergency Department (SPEED) for The Early Identification of Sepsis in the Emergency Department
Hassan Mostafa Abdellah, M., Ahmed Abdelaal, F., Sayed Moussa, B. (2025). Comparison of National Early Warning Score (NEWS) & Sepsis Patient Evaluation in the Emergency Department (SPEED) for The Early Identification of Sepsis in the Emergency Department. EKB Journal Management System, 10(4), 179-188. doi: 10.21608/jcmrp.2025.371168.1283
Mostafa Hassan Mostafa Abdellah; Fatma Ahmed Abdelaal; Bassant Sayed Moussa. "Comparison of National Early Warning Score (NEWS) & Sepsis Patient Evaluation in the Emergency Department (SPEED) for The Early Identification of Sepsis in the Emergency Department". EKB Journal Management System, 10, 4, 2025, 179-188. doi: 10.21608/jcmrp.2025.371168.1283
Hassan Mostafa Abdellah, M., Ahmed Abdelaal, F., Sayed Moussa, B. (2025). 'Comparison of National Early Warning Score (NEWS) & Sepsis Patient Evaluation in the Emergency Department (SPEED) for The Early Identification of Sepsis in the Emergency Department', EKB Journal Management System, 10(4), pp. 179-188. doi: 10.21608/jcmrp.2025.371168.1283
Hassan Mostafa Abdellah, M., Ahmed Abdelaal, F., Sayed Moussa, B. Comparison of National Early Warning Score (NEWS) & Sepsis Patient Evaluation in the Emergency Department (SPEED) for The Early Identification of Sepsis in the Emergency Department. EKB Journal Management System, 2025; 10(4): 179-188. doi: 10.21608/jcmrp.2025.371168.1283

Comparison of National Early Warning Score (NEWS) & Sepsis Patient Evaluation in the Emergency Department (SPEED) for The Early Identification of Sepsis in the Emergency Department

Journal of Current Medical Research and Practice
Volume 10, Issue 4, October 2025, Pages 179-188    PDF (642.76 K)
Document Type: Letters to the editor.
DOI: 10.21608/jcmrp.2025.371168.1283
Authors
Mostafa Hassan Mostafa Abdellah* 1; Fatma Ahmed Abdelaal2; Bassant Sayed Moussa3
1Emergency Demonstrator at Emergency Unit, Faculty of Medicine, Assiut University, Assiut, Egypt.
2Anesthesiology and ICU, Faculty of Medicine, Assiut University, Assiut, Egypt.
3Emergency Medicine, Faculty of Medicine, Suez Canal University, Egypt.
Abstract
Abstract:
Background: Sepsis, a multifaceted syndrome initiated by infection, is defined by pathophysiological and biochemical disturbances.
Aims and Objectives: Evaluate the comparative capabilities of the National Early Warning Score (NEWS)  and the Sepsis Patient Evaluation in the Emergency Department (SPEED) to identify patients at risk of in-hospital mortality and other adverse outcomes as Primary (main) outcome: Mortality during the 30-day follow-up & secondary outcomes: Hospital admission, ICU/HDU admission or readmission in the emergency department ED in Assiut & Suez canal Universities.
Patients and Methods: This prospective observational analytical cross-sectional study was conducted on 120 patients who entered the ER.
Result: The Total NEWS score had higher sensitivity (76%) than the total SPEED score. There is no difference between the total NEWS and SPEED scores in specificity for the mortality prediction. Area under the curve (AUC) of the total NEWS score was higher than the total SPEED score in predicting mortality.
Conclusion: The SPEED score predicts 30-day mortality in septic patients. It is simple, useful, and accurate, and its predictive value is comparable to that of other scoring systems. The NEWS was immediately available as it does not require laboratories. However, scoring the NEWS may be more suitable for computerized assessment.
 
Keywords
Keywords: National Early Warning Score (NEWS); Sepsis Patient Evaluation in the Emergency Department (SPEED), The Early Identification of Sepsis; Emergency Department
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