三种急性儿科预警评分工具的比较。
Comparison of three acute care pediatric early warning scoring tools.
机构信息
Clinical Education and Informatics, Children's Hospital Central California, Madera, CA.
出版信息
J Pediatr Nurs. 2013 Nov-Dec;28(6):e33-41. doi: 10.1016/j.pedn.2012.12.002. Epub 2012 Dec 28.
Pediatric Early Warning (PEW) scoring tools effectively identify hospitalized children at risk for clinical deterioration. The study compared the predictability of three previously validated PEW scoring tools. A retrospective case-control design was used that identified the PEW System Score (H. Duncan, J. Hutchison, & C. Parshuram, 2006) as a stronger predictor of cardiopulmonary arrest (CPA) than either the PEW Tool (C. Haines, M. Perrott, & P. Weir, 2006) or the Bedside PEW System Score (C. Parshuram, J. Hutchison, & K. Middaugh, 2009). The PEW System Score (H. Duncan, J. Hutchison, & C. Parshuram, 2006) demonstrated a greater sensitivity (86.6%) and specificity (72.9%) at a score of five. The PEW System Score (H. Duncan, J. Hutchison, & C. Parshuram, 2006) could benefit healthcare providers in potentially averting CPA.
儿科早期预警（PEW）评分工具可有效识别有临床恶化风险的住院患儿。本研究比较了三种先前验证过的 PEW 评分工具的预测能力。采用回顾性病例对照设计，发现 PEW 系统评分（H. Duncan、J. Hutchison 和 C. Parshuram，2006）比 PEW 工具（C. Haines、M. Perrott 和 P. Weir，2006）或床边 PEW 系统评分（C. Parshuram、J. Hutchison 和 K. Middaugh，2009）更能预测心肺骤停（CPA）。PEW 系统评分（H. Duncan、J. Hutchison 和 C. Parshuram，2006）在评分为 5 分时具有更高的敏感性（86.6%）和特异性（72.9%）。PEW 系统评分（H. Duncan、J. Hutchison 和 C. Parshuram，2006）可能使医疗保健提供者受益，有助于潜在地避免 CPA。
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