PURPOSE: To correlate PEWS and clinical deterioration among children aged 0-18 years old admitted in a private tertiary hospital from May 1, 2009-August 31, 2009.
METHODS: A prospective, descriptive study design with analytical component was used.The study was done in a private tertiary hospital in Cebu City. A total of 2,036 patients were included in the study. Upon admission at the emergency department (ED), patients were given a PEW score by the admitting pediatric resident. The age, sex, area of patient during their hospital stay, and the outcome upon discharge were noted. Interrater reliability was assessed. Clinical deterioration used the following outcome measures: PICU (Pediatric Intensive care Unit)/ ICU (Intensive Care Unit) set-up admission and mortality. For qualitative data, proportions/percentages were computed. For quantitative data, means and standard deviation were used. To determine the correlation between the PEW scores and clinical deterioration, Chi-square test of association was done at α = 0.05 (5%). An interrater reliability analysis using the intraclass correlation coefficient was performed to determine consistency among PEWS raters.
RESULTS: There is a statistically significant correlation between PEWS and clinical deterioration. PEWS of >4 is correlated with PICU/ICU set-up admission and mortality.
CONCLUSIONS: The PEWS scoring system is a simple and reliable tool that will help identify pediatric patients at risk for clinical deterioration.
CLINICAL IMPLICATIONS: In the setting of the unselected medical take, it might help to identify some of those patients at risk of clinical deterioration to prevent death and ultimately increase the survival in the pediatric age group.
DISCLOSURE: The following authors have nothing to disclose: Maria Niña Banque, Doris Louise Obra
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