Comparison of Pediatric Early Warning Score to Physician Opinion for Deteriorating Patients

Hospital Pediatrics
J B FenixNathan Dean

Abstract

This study compares a Pediatric Early Warning Score (PEWS) to physician opinion in identifying patients at risk for deterioration. Maximum PEWS recorded during each admission was retrospectively ascertained from electronic medical record data. Physician opinion regarding risk of subsequent deterioration was determined by assignment to an institutional "senior sign-out" (SSO) list that highlights patients whom senior pediatric residents have identified as at risk. Deterioration events were defined as intubation, initiation of high flow nasal cannula, inotropes, noninvasive mechanical ventilation, or aggressive fluid resuscitation within 12 hours of transfer to the PICU. We assessed the relationships of sociodemographic variables, PEWS, and SSO assignment with subsequent deterioration events using multivariate regression analysis to control for a number of covariates. There were 97 patients with nonelective transfers to the PICU who were eligible for placement on the SSO lists before transfer, 51 of whom experienced qualifying deterioration events. Maximum recorded PEWS was significantly higher for patients with a subsequent deterioration event during the first 12 hours after transfer, compared with those who were transferred but...Continue Reading

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Citations

Apr 20, 2016·Revista de calidad asistencial : organo de la Sociedad Española de Calidad Asistencial·M J Rivero-MartínM M Ballesteros-García
Apr 27, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Brianna McKelvieAnna-Theresa Lobos
May 10, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Meral M PatelJocelyn R Grunwell
Jul 19, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Justin Robison, Nicholas B Slamon
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Jul 9, 2021·Hospital Pediatrics·Nicole NadeauMark I Neuman
Oct 1, 2016·Pediatrics·Derek J WilliamsKathryn M Edwards
Mar 3, 2019·Pediatrics·Jay G BerryLynne Ferrari

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