Comparison of three acute care pediatric early warning scoring tools

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

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.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Child, Hospitalized*
  • Child, Preschool
  • Health Status Indicators
  • Heart Arrest / diagnosis*
  • Heart Arrest / nursing
  • Hospital Rapid Response Team
  • Humans
  • Infant
  • Infant, Newborn
  • Nursing Assessment / methods*
  • Retrospective Studies
  • Risk Assessment
  • Sensitivity and Specificity