Performance of the combined models of Pediatric Risk of Admission scores I and II, and C-reactive protein for prediction of hospitalization in febrile children who visited the emergency department
Purpose To study the performance of the combined models of Pediatric Risk of Admission (PRISA) scores I and II and C-reactive protein (CRP) for prediction of hospitalization in febrile children who visited the emergency department. Methods We reviewed febrile children aged 4 months - 17 years who vi...
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| Format: | Article |
| Language: | English |
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Korean Society of Pediatric Emergency Medicine
2019-12-01
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| Series: | Pediatric Emergency Medicine Journal |
| Subjects: | |
| Online Access: | http://pemj.org/upload/pdf/pemj-2019-00073.pdf |
| _version_ | 1797852251273822208 |
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| author | Jin Seok Jeong Taeyun Kim Dong Hoon Kim Chang Woo Kang Soo Hoon Lee Jin Hee Jeong Sang Bong Lee |
| author_facet | Jin Seok Jeong Taeyun Kim Dong Hoon Kim Chang Woo Kang Soo Hoon Lee Jin Hee Jeong Sang Bong Lee |
| author_sort | Jin Seok Jeong |
| collection | DOAJ |
| description | Purpose To study the performance of the combined models of Pediatric Risk of Admission (PRISA) scores I and II and C-reactive protein (CRP) for prediction of hospitalization in febrile children who visited the emergency department. Methods We reviewed febrile children aged 4 months - 17 years who visited a tertiary hospital emergency department between January and December 2017. White blood cell count, CRP concentration, the PRISA scores, and systemic inflammatory response syndrome score were calculated. We compared areas under the curves (AUCs) of the admission decision support tools for hospitalization using receiver operating characteristic curve analysis. Results Of 1,032 enrolled children, 423 (41.0%) were hospitalized. CRP and the PRISA scores were significantly higher in the hospitalization group than in the discharge group (all P < 0.001). Among the individual tools, CRP showed the highest AUC (0.69; 95% confidence interval [CI], 0.66-0.72). AUC was 0.71 (95% CI, 0.69-0.74) for the combined model of the PRISA I score and CRP, and 0.71 (95% CI, 0.68-0.74) for that of the PRISA II score and CRP. The AUC of PRISA score I and CRP combined was significantly higher than that of isolated CRP (P=0.048). Conclusion The combined model of the PRISA I score and CRP may be useful in predicting hospitalization of febrile children in emergency departments. |
| first_indexed | 2024-04-09T19:31:01Z |
| format | Article |
| id | doaj.art-732b2a4aa1804c398cdd0539b1e18b0c |
| institution | Directory Open Access Journal |
| issn | 2383-4897 2508-5506 |
| language | English |
| last_indexed | 2024-04-09T19:31:01Z |
| publishDate | 2019-12-01 |
| publisher | Korean Society of Pediatric Emergency Medicine |
| record_format | Article |
| series | Pediatric Emergency Medicine Journal |
| spelling | doaj.art-732b2a4aa1804c398cdd0539b1e18b0c2023-04-04T23:49:08ZengKorean Society of Pediatric Emergency MedicinePediatric Emergency Medicine Journal2383-48972508-55062019-12-0162697610.22470/pemj.2019.0007385Performance of the combined models of Pediatric Risk of Admission scores I and II, and C-reactive protein for prediction of hospitalization in febrile children who visited the emergency departmentJin Seok Jeong0Taeyun Kim1Dong Hoon Kim2Chang Woo Kang3Soo Hoon Lee4Jin Hee Jeong5Sang Bong Lee6Department of Emergency Medicine, Gyeongsang National University Hospital, Jinju, KoreaDepartment of Emergency Medicine, Gyeongsang National University Hospital, Jinju, KoreaDepartment of Emergency Medicine, Gyeongsang National University Hospital, Jinju, KoreaDepartment of Emergency Medicine, Gyeongsang National University Hospital, Jinju, KoreaDepartment of Emergency Medicine, Gyeongsang National University Hospital, Jinju, KoreaDepartment of Emergency Medicine, Gyeongsang National University Hospital, Jinju, KoreaDepartment of Emergency Medicine, Gyeongsang National University Hospital, Jinju, KoreaPurpose To study the performance of the combined models of Pediatric Risk of Admission (PRISA) scores I and II and C-reactive protein (CRP) for prediction of hospitalization in febrile children who visited the emergency department. Methods We reviewed febrile children aged 4 months - 17 years who visited a tertiary hospital emergency department between January and December 2017. White blood cell count, CRP concentration, the PRISA scores, and systemic inflammatory response syndrome score were calculated. We compared areas under the curves (AUCs) of the admission decision support tools for hospitalization using receiver operating characteristic curve analysis. Results Of 1,032 enrolled children, 423 (41.0%) were hospitalized. CRP and the PRISA scores were significantly higher in the hospitalization group than in the discharge group (all P < 0.001). Among the individual tools, CRP showed the highest AUC (0.69; 95% confidence interval [CI], 0.66-0.72). AUC was 0.71 (95% CI, 0.69-0.74) for the combined model of the PRISA I score and CRP, and 0.71 (95% CI, 0.68-0.74) for that of the PRISA II score and CRP. The AUC of PRISA score I and CRP combined was significantly higher than that of isolated CRP (P=0.048). Conclusion The combined model of the PRISA I score and CRP may be useful in predicting hospitalization of febrile children in emergency departments.http://pemj.org/upload/pdf/pemj-2019-00073.pdfarea under curvec-reactive proteindecision support techniquesfeverpatient admission |
| spellingShingle | Jin Seok Jeong Taeyun Kim Dong Hoon Kim Chang Woo Kang Soo Hoon Lee Jin Hee Jeong Sang Bong Lee Performance of the combined models of Pediatric Risk of Admission scores I and II, and C-reactive protein for prediction of hospitalization in febrile children who visited the emergency department Pediatric Emergency Medicine Journal area under curve c-reactive protein decision support techniques fever patient admission |
| title | Performance of the combined models of Pediatric Risk of Admission scores I and II, and C-reactive protein for prediction of hospitalization in febrile children who visited the emergency department |
| title_full | Performance of the combined models of Pediatric Risk of Admission scores I and II, and C-reactive protein for prediction of hospitalization in febrile children who visited the emergency department |
| title_fullStr | Performance of the combined models of Pediatric Risk of Admission scores I and II, and C-reactive protein for prediction of hospitalization in febrile children who visited the emergency department |
| title_full_unstemmed | Performance of the combined models of Pediatric Risk of Admission scores I and II, and C-reactive protein for prediction of hospitalization in febrile children who visited the emergency department |
| title_short | Performance of the combined models of Pediatric Risk of Admission scores I and II, and C-reactive protein for prediction of hospitalization in febrile children who visited the emergency department |
| title_sort | performance of the combined models of pediatric risk of admission scores i and ii and c reactive protein for prediction of hospitalization in febrile children who visited the emergency department |
| topic | area under curve c-reactive protein decision support techniques fever patient admission |
| url | http://pemj.org/upload/pdf/pemj-2019-00073.pdf |
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