A Pilot Study to Validate the Burn Center Pediatric Early Warning Score Tool in Clinical Practice

Journal of Burn Care & Research : Official Publication of the American Burn Association
Zahra H RahmanRoger W Yurt

Abstract

The pediatric early warning score (PEWS) tool helps providers to detect subtle clinical deterioration in non-intensive care unit pediatric patients and intervene early to prevent significant adverse outcomes. Although widely used in general pediatrics, limited studies report on its validation; none report on use with burn-injured patients. New York-Presbyterian/Weill Cornell Medical Center modified a general PEWS system to a burn-specific PEWS and integrated its use into standard practice. This study investigated the external validity of the PEWS process in clinical practice. Fifty cases of patients aged 0 to 15.9 years admitted between January 2012 and June 2013, whose length of stay (LOS) more than 3 days were selected for review from this cohort of n equal to 187. Demographics, total PEWS and score changes, and compliance with PEWS documentation and with resultant interventions were reviewed. Continuous variables are presented as mean ± SD, P less than 0.05. Mean age, burn size, and LOS were 3.2 ± 3.3 years, 4.8 ± 5.7%, and 9.8 ± 7.0 days; 26% required grafting, and 50% were male. No mortalities occurred. One thousand six hundred and twelve PEWS from 1745 opportunities were documented (92.4%). For all PEWS (n = 1612) and PEW...Continue Reading

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Citations

Aug 9, 2016·Resuscitation·Susan M ChapmanMark J Peters
Apr 4, 2017·Journal of Burn Care & Research : Official Publication of the American Burn Association·Radha K HolavanahalliAmy Acton
Nov 11, 2018·Archives of Disease in Childhood·Susan M Chapman, Ian K Maconochie

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