{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T23:18:32Z","timestamp":1768000712967,"version":"3.49.0"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"Supplement_1","license":[{"start":{"date-parts":[[2021,8,27]],"date-time":"2021-08-27T00:00:00Z","timestamp":1630022400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Applied Research Collaboration"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,8,27]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Primary care has played a central role in the community response to the coronavirus disease-19 (COVID-19) pandemic. The use of the National Early Warning Score 2 (NEWS2) has been advocated as a tool to guide escalation decisions in the community. The performance of this tool applied in this context is unclear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate the process of escalation of care to the hospital within a primary care assessment centre (PCAC) designed to assess patients with suspected COVID-19 in the community.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and setting<\/jats:title><jats:p>A retrospective service evaluation of all adult patients assessed between 30 March and 22 April 2020 within a COVID-19 primary care assessment centre within Sandwell West Birmingham CCG.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A database of patient demographics, healthcare interactions and physiological observations was constructed. NEWS2 and CRB65 scores were calculated retrospectively. The proportion of patients escalated was within risk groups defined by NHSE guidelines in place during the evaluation period was determined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 150 patients were identified. Following assessment 13.3% (n = 20) patients were deemed to require escalation. The proportion of patients escalated with a NEWS2 greater than or equal to 3 was 46.9% (95% CI 30.8\u201363.6%). The proportion of patients escalated to secondary care using NHSE defined risk thresholds was 0% in the green group, 22% (n = 4) in the amber group, and 81.3% (n = 13) in the red group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Clinical decisions to escalate care to the hospital did not follow initial guidance written for the COVID-19 outbreak but were demonstrated to be safe.<\/jats:p><\/jats:sec>","DOI":"10.1093\/fampra\/cmab016","type":"journal-article","created":{"date-parts":[[2021,2,16]],"date-time":"2021-02-16T21:26:38Z","timestamp":1613510798000},"page":"i3-i8","source":"Crossref","is-referenced-by-count":5,"title":["NEWS2 to assess suspected COVID-19 in the community: a service evaluation of a primary care assessment centre"],"prefix":"10.1093","volume":"38","author":[{"given":"Imran","family":"Zaman","sequence":"first","affiliation":[{"name":"Aston Medical School, Birmingham, UK"},{"name":"Heath Street Health Centre, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0232-6851","authenticated-orcid":false,"given":"Zachary C R","family":"Beevers","sequence":"additional","affiliation":[{"name":"School of Medicine University of Leeds, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ridwan","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Aston Pride Community Health Centre, Sandwell and West Birmingham Clinical Commissioning Group, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Lasserson","sequence":"additional","affiliation":[{"name":"University of Warwick, Warwick, UK"},{"name":"Sandwell and West Birmingham NHS Trust, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Knight","sequence":"additional","affiliation":[{"name":"Sandwell and West Birmingham NHS Trust, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,8,27]]},"reference":[{"key":"2021082709443161300_CIT0001","doi-asserted-by":"crossref","first-page":"m1985","DOI":"10.1136\/bmj.m1985","article-title":"Features of 20\u2009133 UK patients in hospital with covid-19 using the ISARIC WHO Clinical Characterisation Protocol: prospective observational cohort study","volume":"369","author":"Docherty","year":"2020","journal-title":"BMJ"},{"key":"2021082709443161300_CIT0002","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1038\/s41586-020-2521-4","article-title":"OpenSAFELY: factors associated with COVID-19 death in 17 million patients","volume":"584","author":"Williamson","year":"2020","journal-title":"Nature"},{"key":"2021082709443161300_CIT0003","author":"Public Health England"},{"key":"2021082709443161300_CIT0004","doi-asserted-by":"crossref","first-page":"m998","DOI":"10.1136\/bmj.m998","article-title":"Video consultations for COVID-19","volume":"368","author":"Greenhalgh","year":"2020","journal-title":"BMJ"},{"key":"2021082709443161300_CIT0005","author":"NHS","year":"2020"},{"issue":"1","key":"2021082709443161300_CIT0006","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1111\/j.1365-2796.2006.01657.x","article-title":"CAPNETZ Study Group. CRB-65 predicts death from community-acquired pneumonia","volume":"260","author":"Bauer","year":"2006","journal-title":"J Intern Med"},{"key":"2021082709443161300_CIT0007","author":"NHS England"},{"key":"2021082709443161300_CIT0008","author":"Royal College of Physicians"},{"key":"2021082709443161300_CIT0009","author":"Royal College of Physicians"},{"key":"2021082709443161300_CIT0010","author":"Public Health England"},{"issue":"10","key":"2021082709443161300_CIT0011","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1093\/qjmed\/94.10.521","article-title":"Validation of a modified early warning score in medical admissions","volume":"94","author":"Subbe","year":"2001","journal-title":"QJM"},{"key":"2021082709443161300_CIT0012","author":"NHS Improvement"},{"issue":"695","key":"2021082709443161300_CIT0013","doi-asserted-by":"crossref","first-page":"e374","DOI":"10.3399\/bjgp20X709337","article-title":"Association between National Early Warning Scores in primary care and clinical outcomes: an observational study in UK primary and secondary care","volume":"70","author":"Scott","year":"2020","journal-title":"Br J Gen Pract"},{"issue":"2","key":"2021082709443161300_CIT0014","doi-asserted-by":"crossref","first-page":"e374","DOI":"10.3399\/bjgpopen20X101071","article-title":"The prognostic value of National Early Warning Scores (NEWS) during transfer of care from community settings to hospital: a retrospective service evaluation","volume":"4","author":"Inada-Kim","year":"2020","journal-title":"BJGP Open"},{"key":"2021082709443161300_CIT0015","doi-asserted-by":"crossref","first-page":"k1743","DOI":"10.1136\/bmj.k1743","article-title":"NEWS 2 sepsis score is not validated in primary care","volume":"361","author":"Burns","year":"2018","journal-title":"BMJ"},{"key":"2021082709443161300_CIT0016","article-title":"Sepsis: recognition, diagnosis and early management"},{"issue":"5","key":"2021082709443161300_CIT0017","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1136\/emermed-2019-209069","article-title":"Are referrals to hospital from out-of-hours primary care associated with National Early Warning Scores?","volume":"37","author":"Finnikin","year":"2020","journal-title":"Emerg Med J"}],"container-title":["Family Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/fampra\/article-pdf\/38\/Supplement_1\/i3\/40038343\/cmab016.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/fampra\/article-pdf\/38\/Supplement_1\/i3\/40038343\/cmab016.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,24]],"date-time":"2024-08-24T08:42:26Z","timestamp":1724488946000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/fampra\/article\/38\/Supplement_1\/i3\/6358433"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,27]]},"references-count":17,"journal-issue":{"issue":"Supplement_1","published-online":{"date-parts":[[2021,8,27]]},"published-print":{"date-parts":[[2021,8,27]]}},"URL":"https:\/\/doi.org\/10.1093\/fampra\/cmab016","relation":{},"ISSN":["1460-2229"],"issn-type":[{"value":"1460-2229","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,9,1]]},"published":{"date-parts":[[2021,8,27]]}}}