Pediatric Early Warning System na Unidade de Internamento de Curta Duração
INTRODUCTION: Pediatric Early Warning Scores were developed as standardized clinical aides for early recognition of clinical deterioration in children. These systems improve situational awareness among professionals. A major concern is the workload increase. After implementation in the Short Stay U...
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| Format: | Article |
| Language: | English |
| Published: |
José de Mello Saúde
2023-09-01
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| Series: | Gazeta Médica |
| Subjects: | |
| Online Access: | https://gazetamedica.pt/index.php/gazeta/article/view/539 |
| _version_ | 1827809372986671104 |
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| author | Miguel Paiva Pereira Paula Poção Hugo de Castro Faria |
| author_facet | Miguel Paiva Pereira Paula Poção Hugo de Castro Faria |
| author_sort | Miguel Paiva Pereira |
| collection | DOAJ |
| description |
INTRODUCTION: Pediatric Early Warning Scores were developed as standardized clinical aides for early recognition of clinical deterioration in children. These systems improve situational awareness among professionals. A major concern is the workload increase. After implementation in the Short Stay Unit, we intended to evaluate its effectiveness in our population.
METHODS: We reviewed medical records of children admitted to the Short Stay Unit between July 2017 and February 2020. We developed a statistical analysis to evaluate the test performance.
RESULTS: One thousand three hundred twenty-three patients were included (median age 3.07 years-old); 5.7% were considered to have clinical deterioration (maximum score median 7.00 vs 2.00) (p<0.001). The area under the ROC curve was 0.947. Defining 4 as cut-off value, the sensitivity is 97.1% (specificity 82.7%).
CONCLUSION: This score proved to be a good test for early identification of clinical deterioration in our population.
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| first_indexed | 2024-03-11T22:40:16Z |
| format | Article |
| id | doaj.art-e2a35372bc2d4f3ba04ce7c5cec082e8 |
| institution | Directory Open Access Journal |
| issn | 2183-8135 2184-0628 |
| language | English |
| last_indexed | 2024-03-11T22:40:16Z |
| publishDate | 2023-09-01 |
| publisher | José de Mello Saúde |
| record_format | Article |
| series | Gazeta Médica |
| spelling | doaj.art-e2a35372bc2d4f3ba04ce7c5cec082e82023-09-22T09:18:05ZengJosé de Mello SaúdeGazeta Médica2183-81352184-06282023-09-0111Pediatric Early Warning System na Unidade de Internamento de Curta DuraçãoMiguel Paiva Pereira0https://orcid.org/0000-0002-3783-6114Paula Poção1Hugo de Castro Faria2Centro da Criança e do Adolescente, Hospital CUF Descobertas, Lisbon, Portugal.Centro da Criança e do Adolescente, Hospital CUF Descobertas, Lisbon, Portugal.Centro da Criança e do Adolescente, Hospital CUF Descobertas, Lisbon, Portugal. INTRODUCTION: Pediatric Early Warning Scores were developed as standardized clinical aides for early recognition of clinical deterioration in children. These systems improve situational awareness among professionals. A major concern is the workload increase. After implementation in the Short Stay Unit, we intended to evaluate its effectiveness in our population. METHODS: We reviewed medical records of children admitted to the Short Stay Unit between July 2017 and February 2020. We developed a statistical analysis to evaluate the test performance. RESULTS: One thousand three hundred twenty-three patients were included (median age 3.07 years-old); 5.7% were considered to have clinical deterioration (maximum score median 7.00 vs 2.00) (p<0.001). The area under the ROC curve was 0.947. Defining 4 as cut-off value, the sensitivity is 97.1% (specificity 82.7%). CONCLUSION: This score proved to be a good test for early identification of clinical deterioration in our population. https://gazetamedica.pt/index.php/gazeta/article/view/539ChildClinical DeteriorationEarly Warning ScoreEmergency Service, Hospital |
| spellingShingle | Miguel Paiva Pereira Paula Poção Hugo de Castro Faria Pediatric Early Warning System na Unidade de Internamento de Curta Duração Gazeta Médica Child Clinical Deterioration Early Warning Score Emergency Service, Hospital |
| title | Pediatric Early Warning System na Unidade de Internamento de Curta Duração |
| title_full | Pediatric Early Warning System na Unidade de Internamento de Curta Duração |
| title_fullStr | Pediatric Early Warning System na Unidade de Internamento de Curta Duração |
| title_full_unstemmed | Pediatric Early Warning System na Unidade de Internamento de Curta Duração |
| title_short | Pediatric Early Warning System na Unidade de Internamento de Curta Duração |
| title_sort | pediatric early warning system na unidade de internamento de curta duracao |
| topic | Child Clinical Deterioration Early Warning Score Emergency Service, Hospital |
| url | https://gazetamedica.pt/index.php/gazeta/article/view/539 |
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