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首页> 外文期刊>Journal of critical care >The Pediatric Early Warning System score: a severity of illness score to predict urgent medical need in hospitalized children.
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The Pediatric Early Warning System score: a severity of illness score to predict urgent medical need in hospitalized children.

机译：儿科预警系统评分：疾病的严重程度评分，用于预测住院儿童的紧急医疗需求。

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PURPOSE: We developed and performed the initial retrospective validation of a pediatric severity of illness score. The score is to preemptively identify hospitalized children who are likely to require resuscitation to treat cardiopulmonary arrest. MATERIALS AND METHODS: The Pediatric Early Warning System (PEWS) score was developed using expert opinion. The score generated contained 20 items, 16 of which were able to be retrospectively abstracted. Validation used a case-control study design in a Canadian university-affiliated pediatric hospital. Eligible patients were younger than 18 years, were admitted to a hospital ward, and had no level-of-care restrictions. Case patients had a code blue called to obtain immediate assistance for treatment of impending or actual cardiopulmonary arrest. Control patients had no code blue event and were not urgently admitted to the intensive care unit within 48 hours of study. A total of 128 controls and 87 cases were compared. RESULTS: The PEWS score area under the receiver operating characteristic curve was 0.90. The sensitivity was 78% and the specificity was 95% at a score of 5. CONCLUSIONS: Application of the score may have identified more than 3 quarters of code blue calls in our hospital with at least an hour's warning. After further refinement and validation, the PEWS score has great potential to increase the efficiency of care delivery and to improve the outcomes of care provided to hospitalized children.
机译：目的：我们开发并进行了儿童病情严重程度评分的初步回顾性验证。该分数是为了抢先识别可能需要复苏以治疗心肺骤停的住院儿童。材料与方法：儿科预警系统（PEWS）评分是根据专家意见得出的。生成的分数包含20个项目，其中16个可以追溯提取。验证使用了加拿大大学附属儿科医院的病例对照研究设计。符合条件的患者未满18岁，被送往医院病房，且无医疗级别限制。案例患者的蓝色代码要求立即获得援助，以治疗即将发生的或实际的心肺骤停。对照患者没有蓝色代码事件，并且在研究的48小时内没有被紧急送入重症监护室。共比较了128例对照和87例。结果：受试者工作特征曲线下方的PEWS得分区域为0.90。分数为5时，灵敏度为78％，特异性为95％。结论：分数的应用可能已经在我们医院识别出超过四分之三的蓝色代码呼叫，并带有至少一个小时的警告。经过进一步完善和验证后，PEWS评分具有极大的潜力，可以提高护理服务的效率并改善为住院儿童提供的护理效果。

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