Department of Pediatrics, Nantong First People's Hospital, Nantong, Jiangsu, China.
Medicine (Baltimore). 2023 Mar 10;102(10):e33197. doi: 10.1097/MD.0000000000033197.
To observe the effect of the Pediatric Early Warning System (PEWS) score combined with the situation-background-assessment-recommendation (SBAR) shift communication system in neonates with severe pneumonia in the pediatric intensive care unit. A total of 230 neonates admitted to the pediatric intensive care unit of our hospital from January 2018 to January 2021 were enrolled in this study. Participants were divided into an experimental group (110 patients, PEWS score combined with SBAR shift communication system) and a control group (120 patients, routine diagnosis and treatment and shift change). The early recognition rate, incidence of handover problems, and prognosis of critically ill children in the 2 groups were analyzed. Compared to the control group, the correct recognition rate of disease observation and early recognition rate of critically ill children in the experimental group were significantly higher, and the incidence of handover problems was significantly lower (P < .05). There was no significant difference in the incidence of asphyxia, heart failure, and toxic encephalopathy between both groups. The application of the PEWS score combined with the SBAR shift communication system can facilitate timely identification of deterioration of the condition of children with severe pneumonia, reduce handover problems, and help to implement interventions or rescue according to the changes in a patient's condition, which may be beneficial in improving the patient's prognosis.
观察儿科预警评分（PEWS）联合情景-背景-评估-建议（SBAR）交班沟通系统在儿科重症监护病房（PICU）中对重症肺炎患儿的应用效果。选取我院 PICU 2018 年 1 月至 2021 年 1 月收治的 230 例患儿，将其分为实验组（110 例，PEWS 评分联合 SBAR 交班沟通系统）和对照组（120 例，常规诊疗及交接班），分析两组患儿的早期识别率、交接班问题发生率及预后。与对照组比较，实验组患儿对疾病观察的正确识别率及危重症早期识别率均明显升高，交接班问题发生率明显降低（P＜0.05）；两组患儿的窒息、心力衰竭、中毒性脑病发生率比较，差异无统计学意义。PEWS 评分联合 SBAR 交班沟通系统的应用能及时识别重症肺炎患儿病情变化，减少交接班问题，有助于根据患者病情变化实施干预或抢救，可能有利于改善患儿预后。
