EARLY WARNING SCORE–GUIDED PREDICTION OF CLINICAL DETERIORATION AND MORTALITY IN CRITICALLY ILL PATIENTS

Registration ID: IJNRD_328783

Published ID: IJNRD2610038

: Click Here to Get

About Hard Copy and Transparent Peer Review Report

Vellaiyan. T, Aadesh R Desai, Roshini. A, Madhu mathi D

Early warning score; NEWS2; clinical deterioration; critically ill patients; in-hospital mortality; risk stratification; prospective observational study

Background: Failure to recognise clinical deterioration in a timely manner remains a preventable contributor to adverse outcomes among hospitalised patients. Track-and-trigger early warning scores (EWS) such as the National Early Warning Score 2 (NEWS2) are widely recommended, but prospective evidence from critical-care and high-dependency settings outside high-income countries remains limited. Methods: In this prospective observational study, 200 consecutive adult patients admitted to the critical care/high-dependency unit of a tertiary-care teaching hospital had an admission NEWS2 score calculated within one hour of admission. Patients were followed to hospital discharge or death for the co-primary outcomes of clinical deterioration within 48 hours (a composite of unplanned ICU transfer, rapid-response activation or cardiac arrest) and in-hospital mortality. Discriminative performance was assessed by the area under the receiver-operating-characteristic curve (AUROC), and independent predictors of mortality were identified by multivariable logistic regression. Results: Overall in-hospital mortality was 12.0% (24/200) and 48-hour deterioration occurred in 21.5% (43/200). Mortality rose from 3.3% in the low-risk band (NEWS2 0–4) to 20.0% in the medium-risk band (5–6) and 30.2% in the high-risk band (≥7) (χ² = 24.44, p < 0.001). NEWS2 discriminated in-hospital mortality with an AUROC of 0.82 (95% CI 0.73–0.90) and 48-hour deterioration with an AUROC of 0.87 (95% CI 0.82–0.92). On multivariable analysis, each one-point increment in admission NEWS2 was independently associated with mortality (adjusted odds ratio 1.53, 95% CI 1.24–1.88, p < 0.001), independent of age and comorbidity burden. Conclusion: An admission NEWS2 score obtained at the bedside provided good discrimination for both short-term deterioration and in-hospital mortality in a critically ill cohort, supporting its use as a low-cost triage and rapid-response trigger tool in resource-limited critical care settings.

Published Paper   E-Certificate

Vellaiyan. T, Aadesh R Desai, Roshini. A, & Madhu mathi D (October-2026). EARLY WARNING SCORE–GUIDED PREDICTION OF CLINICAL DETERIORATION AND MORTALITY IN CRITICALLY ILL PATIENTS. INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT, 11(10), a336-a343. https://ijnrd.org/papers/IJNRD2610038.pdf

Volume 11 Issue 10, October-2026

Pages : a336-a343

Paper Reg. ID: IJNRD_328783

Published Paper Id: IJNRD2610038

Research Area: Health Science All

Author Type: Indian Author

Country: BANGALORE, Karnataka, India

Published Paper PDF: https://ijnrd.org/papers/IJNRD2610038.pdf

Published Paper URL: https://ijnrd.org/viewpaperforall?paper=IJNRD2610038

Journal Name: INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT(IJNRD)

UGC CARE JOURNAL PUBLICATION | ISSN: 2456-4184 | IMPACT FACTOR: 8.76 Calculated By Google Scholar | ESTD YEAR: 2016

An International UGC CARE JOURNAL PUBLICATION, Low Cost, Scholarly Open Access, Peer-Reviewed, Refereed Journal Impact Factor 8.76 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator

Publisher: IJNRD (IJ Publication) Janvi Wave | IJNRD.ORG | IJNRD.COM | IJPUB.ORG

© 2026 - Authors hold the copyright of this article. This work is licensed under a Creative Commons Attribution 4.0 International License. and The Open Definition. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0). 🛡️ Disclaimer: The content, data, and findings in this article are based on the authors’ research and have been peer-reviewed for academic purposes only. Readers are advised to verify all information before practical or commercial use. The journal and its editorial board are not liable for any errors, losses, or consequences arising from its use.

Call For Paper - Volume 11 | Issue 10 | October 2026

IJNRD is a Scholarly Open Access, Peer-Reviewed, Refereed, and UGC CARE Journal Publication with a High Impact Factor of 8.76 (calculated by Google Scholar & Semantic Scholar | AI-Powered Research Tool). It is a Multidisciplinary, Monthly, Low-Cost, and Transparent Peer Review Journal Publication that adheres to the New UGC CARE Transparent Peer-Reviewed Journal Policy and aligns with Scopus Journal Publication standards to ensure the highest level of research quality and credibility.

IJNRD offers comprehensive Journal Publication Services including indexing in all major databases and metadata repositories, Digital Object Identifier (Crossref DOI) assignment for each published article with additional fees, citation generation tools, and full Open Access visibility to enhance global research reach and citation impact.

The INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT (IJNRD) aims to advance applied, theoretical, and experimental research across diverse academic and professional fields. The journal promotes global knowledge exchange among researchers, developers, academicians, engineers, and practitioners, serving as a trusted platform for innovative, peer-reviewed journal publication and scientific collaboration.

Indexing Coverage: Google Scholar, SSRN, ResearcherID-Publons, Semantic Scholar (AI-Powered Research Tool), Microsoft Academic, Academia.edu, arXiv.org, ResearchGate, CiteSeerX, ResearcherID (Thomson Reuters), Mendeley, DocStoc, ISSUU, Scribd, and many other recognized academic repositories.

Transparent Peer Review Journal Publication: IJNRD operates a strict double-blind peer review system managed by 3000+ expert reviewers, ensuring ethical, unbiased, and high-quality review for every research paper.

For Indian Authors : Get a transparent peer review report from Scholar9.com for just ₹1000. View Sample Report

For Foreign Authors : A detailed peer review report is available through Scholar9.com for $20 USD. View Sample Report

Transparent Peer Review Journal Publication

⭐ Transparent Peer Review | 🕵️‍♂️ Double-Blind | 👨‍🏫 3000+ Expert Reviewers | 🇮🇳 Report for India Author ₹1000 | 🌐 Report for Foreign Author $20 | 📄 Sample Reports on Scholar9.com | 🌍 High Credibility | ⚖️ Ethical & Unbiased Evaluation

How to submit the paper?

By Our website

Click Here to Submit Paper Online

By Mail

Send your paper to editor@ijnrd.org

Recently, the UGC discontinued the UGC-CARE Journal List and introduced new parameters that allow publication in Transparent Peer-Reviewed (Refereed) Journals. IJNRD is Transparent Peer Review Journal Valid As per New UGC Notification.

You can now publish your research paper in IJNRD.ORG. IJNRD is a Transparent Peer-Reviewed Open Access (Refereed Journal), UGC and UGC CARE Approved, Crossref DOI, Multidisciplinary, Impact Factor calculate by Google Scholar. As an International, open-access, and online journal, Publishing with us ensures wider reach, academic credibility, and enhanced recognition for your work.

For more details, refer to the official notice: UGC Public Notice

⭐ Low Cost ₹1570 | 📚 UGC CARE Approved | 🔍 Peer-Reviewed | 🌐 Open Access | 🔗 Crossref DOI & Global Indexing | 📊 Google Scholar Impact Factor | 🧪 Multidisciplinary

Submit Paper Online  Call for Paper  About IJNRD UGC CARE Approval

Important Dates for Current issue

Paper Submission Open For: October 2026

Current Issue: Volume 11 | Issue 10 | October 2026

Impact Factor: 8.76

Last Date for Paper Submission: Till 31-Oct-2026

Notification of Review Result: Transparent peer review process - your paper is evaluated by experts, and you receive acceptance or rejection updates via email and SMS.

Publication of Paper: Once all documents are submitted, your paper is published without delay, and you can instantly download your certificate and confirmation letter online.

Frequency: Monthly (12 issue Annually).

Journal Type: IJNRD is an international open-access journal offering Low Cost Journal Publication, transparent Peer Review Journal Publication, Crossref DOI, and multidisciplinary research visibility under UGC CARE Approved Journal Publication.

Subject Category: Research Area

Approval, Licenses and Indexing: More Details

Call For Paper - Volume 11 | Issue 10 | October 2026

IJNRD.org offers low-cost journal publication starting at ₹1570 with UGC CARE Approved, refereed, peer-reviewed, open-access publishing. This multidisciplinary monthly journal, available in both online and print formats, features a strong Google Scholar-based impact factor of 8.76, Transparent Peer Review, CrossRef DOI, global indexing, fast publication, and complete metadata for maximum research visibility and citation impact across multidisciplinary domains.

Volume 11 | Issue 10 | October 2026 | IJNRD Transparent Peer Review Certificate | Submit Paper Online till 31-Oct-2026

⭐ UGC CARE Approved Refereed Journal | 🔍 Transparent Peer Review | 🌐 Open Access Publishing | 💰 Low-Cost ₹1570 | 🔗 CrossRef DOI & Global Indexing | 📊 Google Scholar Impact Factor 8.76 | 🧪 Multidisciplinary | Online & Print

Submit Paper Online