Pediatric early warning score as a prognostic indicator in critically ill children - a prospective study
Journal Title: Pediatric Review: International Journal of Pediatric Research - Year 2018, Vol 5, Issue 2
Abstract
Introduction: The early identification of patients at risk of clinical deterioration and matching the severity of illness to the appropriate level of care are integral components of high-quality medical care. Aconcept for identifying early signs of deterioration is the use of an early warning score tool that combines clinical parameters into a single score. The rationale for using early warning scoring systems is that signs of deterioration have been shown to be present and detectable in many patients several hours before undergoing a serious life-threatening event. Methods: A prospective observational study was conducted in the Department of Pediatrics G.M.C. Bhopal, M.P. A total of 257 patients (1 month – 14 years) withan acute problem, who were admitted in PICU,were included. At 0-hourof admission Pediatric Early Warning Score (PEWS) was calculated in different domains - behavioural, respiratory and the cardiovascular. Then sensitivity and specificity were calculated fora specific score. Results: Specificity was 92.0% at PEWS Score of 3 and declines to 54.55% at PEWS Score of 7. Sensitivity was 31.28% at PEWS score of 3 and rises to 99.05 at PEWS Score of 7. Conclusion: PEWS is highly sensitive and specific in predicting the mortality, differentially against the various PEWS scores.
Authors and Affiliations
Sharmila Ramteke, Rajesh Tikkas, Ankit Jain
Keywords
Related Articles
- EP ID EP335550
- DOI 10.17511/ijpr.2018.2.05.
- Views 165
- Downloads 0
Early predictors of significant hyper bilirubinemia in ABO incompatible newborns
ABO incompatibility have been singularly reported to be strong risk factors in the development of significant hyper bilirubinemia in newborns but usually a combination of these are seen to co-exist in the clinical scenar...
Anemia in children: Major Public health Issue
Anemia in children is most prevalent morbidity along with malnutrition. Anemia not only reduces work capacity of a child but it also affects cognitive function.
Formative assessment on documentation of pediatric history taking skills by undergraduate medical students
Introduction: Documenting pediatric history taking is an important competency required of a medical undergraduate student. Feedback is a powerful tool if provided while students are in the process of learning to document...
Clinical profile and outcome of dengue among hospitalized children - a single centre prospective study
Introduction: Dengue is the most rapidly spreading mosquito-borne viral disease in the world.In India, there is increased proportion of Dengue cases with severe disease. Early recognition and prompt initiation of appropr...
Neonatal Intensive Care Unit (NICU) status survey in and around Hyderabad, Telangana
Introduction: Neonatal mortality rate (NMR) is considered a global burden. To decrease the NMR is a challenge, there are specific programs of maternal and child health focusing on reduction of neonatal mortality launched...