Performance of Modified Pediatric Early Warning Score in General Medical Conditions and Disease Subgroups

Abstract

Numerous existing Pediatric Early Warning Scores (PEWs) have varying degrees of reliability and validity, which are used in variety diseases of patients. This study is a prospective diagnosis study which involved the pediatric nurse evaluation of patient status using modified Pediatric Early Warning Score (NU-PEWS) until the patient was discharged or transferred to PICU. A total of 824 pediatric patients were admitted, 407 participants were enrolled in this study. The NU-PEWS demonstrated the most accurate cut-off point at greater than 3, with 90.5% sensitivity and 89.1% specificity. The receiver operating characteristic (ROC) indicated positive results in the general medical condition (ROC 0.958), gastrointestinal, respiratory, and hematologic diseases (ROC 0.94-0.97) whereas lowest in neurological disease (ROC 0.843). This study validated that NU-PEWS has good performance in detecting deteriorating patients, and that prediction utilizations are good in almost every subgroup of disease, with the exception of neurological disease.

Emergency Profile of Pediatric Patients Based on Pediatric Early Warning Score in the Emergency Department of the Adam Malik Hospital

“…The knowledge and skills of health workers in the clinical assessment of patients will facilitate the treatment of those experiencing rapid deterioration [5]. The clinical deterioration of hospitalized pediatric patients is associated with a mortality rate of approximately 5% to 15% [6]. Various scoring systems have been developed to assist clinicians in identifying patients experiencing clinical deterioration, such as the Pediatric Observation Priority Score (POPS), Pediatric Early Warning Score (PEWS), and Pediatric Approach Triangle (PAT) [7].…”