儿科住院患者早期预警评分系统的前瞻性评估
Prospective evaluation of a pediatric inpatient early warning scoring system.
作者信息
Tucker Karen M, Brewer Tracy L, Baker Rachel B, Demeritt Brenda, Vossmeyer Michael T
机构信息
Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
出版信息
J Spec Pediatr Nurs. 2009 Apr;14(2):79-85. doi: 10.1111/j.1744-6155.2008.00178.x.
PURPOSE
The present study evaluated the use of the Pediatric Early Warning Score (PEWS) for detecting clinical deterioration among hospitalized children.
DESIGN/METHODS: A prospective, descriptive study design was used. The tool was used to score 2,979 patients admitted to a single medical unit of a pediatric hospital over a 12-month period.
RESULTS
PEWS discriminated between children who required transfer to the pediatric intensive care unit and those who did not require transfer (area under the curve = 0.89, 95% CI = 0.84-0.94, p < .001).
IMPLICATIONS
The PEWS tool was found to be a reliable and valid scoring system to identify children at risk for clinical deterioration.
目的
本研究评估了小儿早期预警评分（PEWS）在检测住院儿童临床病情恶化方面的应用。
设计/方法：采用前瞻性描述性研究设计。该工具用于对一家儿童医院单个医疗单元在12个月期间收治的2979例患者进行评分。
结果
PEWS能够区分需要转入儿科重症监护病房的儿童和不需要转入的儿童（曲线下面积=0.89，95%可信区间=0.84 - 0.94，p < 0.001）。
启示
发现PEWS工具是一种可靠且有效的评分系统，可用于识别有临床病情恶化风险的儿童。
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