Cardiovascular Program Inpatient Unit, Boston Children's Hospital, Boston, MA, USA.
J Pediatr Nurs. 2013 Apr;28(2):171-8. doi: 10.1016/j.pedn.2012.07.009. Epub 2012 Aug 15.
Inpatient pediatric cardiovascular patients have higher rates of cardiopulmonary arrests than other hospitalized children. Pediatric early warning scoring tools have helped to provide early identification and treatment to hospitalized children experiencing deterioration thus preventing arrests from occurring. However, the tools have rarely been used and have not been validated in the pediatric cardiac population. This paper describes the modification of a pediatric early warning scoring system for cardiovascular patients, the implementation of the tool, and its companion escalation of care algorithm on an inpatient pediatric cardiovascular unit.
住院儿科心血管病患者心肺骤停的发生率高于其他住院儿童。儿科早期预警评分工具有助于对病情恶化的住院儿童进行早期识别和治疗，从而防止发生骤停。然而，这些工具很少被使用，也没有在儿科心脏人群中得到验证。本文描述了一种心血管病患儿的儿科早期预警评分系统的改良，该工具的实施及其在住院儿科心血管病房的配套升级护理算法。
