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Gazeta Médica
Print version ISSN 2183-8135On-line version ISSN 2184-0628
Abstract
PAIVA PEREIRA, Miguel; POCAO, Paula and DE CASTRO FARIA, Hugo. Pediatric Early Warning System in the Short Stay Unit. Gaz Med [online]. 2023, vol.10, n.3, pp.188-195. Epub Sep 30, 2023. ISSN 2183-8135. https://doi.org/10.29315/gm.v1i1.539.
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.
Keywords : Child; Clinical Deterioration; Early Warning Score; Emergency Service, Hospital.
