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J Pediatr Nurs. 2013 Nov-Dec;28(6):e33-41. doi: 10.1016/j.pedn.2012.12.002. Epub 2012 Dec 28.

Comparison of three acute care pediatric early warning scoring tools.

Author information

1
Clinical Education and Informatics, Children's Hospital Central California, Madera, CA. Electronic address: mary-ann_robson@sbcglobal.net.

Abstract

Pediatric Early Warning (PEW) scoring tools effectively identify hospitalized children at risk for clinical deterioration. The study compared the predictability of three previously validated PEW scoring tools. A retrospective case-control design was used that identified the PEW System Score (H. Duncan, J. Hutchison, & C. Parshuram, 2006) as a stronger predictor of cardiopulmonary arrest (CPA) than either the PEW Tool (C. Haines, M. Perrott, & P. Weir, 2006) or the Bedside PEW System Score (C. Parshuram, J. Hutchison, & K. Middaugh, 2009). The PEW System Score (H. Duncan, J. Hutchison, & C. Parshuram, 2006) demonstrated a greater sensitivity (86.6%) and specificity (72.9%) at a score of five. The PEW System Score (H. Duncan, J. Hutchison, & C. Parshuram, 2006) could benefit healthcare providers in potentially averting CPA.

KEYWORDS:

Cardio-pulmonary arrest; Early warning; Failure to rescue; Pediatric; Rapid response team

PMID:
23276507
DOI:
10.1016/j.pedn.2012.12.002
[Indexed for MEDLINE]

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