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Titre : | Validation of the Children's Hospital Early Warning System for Critical Deterioration Recognition (2017) |
Auteurs : | MAry C. McLellan ; Kimberlee Gauvreau ; Jean Anne Connor |
Type de document : | Article |
Dans : | Journal of Pediatric Nursing (Vol. 32, January/February 2017) |
Article en page(s) : | p. 52-58 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Arrêt cardiaque ; Équipe soignante ; Études de cohortes ; Pédiatrie ; Reactivite ; Recherche scientifique ; Sécurité |
Mots-clés: | Validation ; Système d'alerte précoce |
Résumé : |
Abstract
Objective Early warning scores, such as the Children's Hospital Early Warning Score (CHEWS), are used by hospitals to identify patients at risk for critical deterioration and trigger clinicians to intervene and prevent further deterioration. This study's objectives were to validate the CHEWS and to compare the CHEWS to the previously validated Brighton Pediatric Early Warning Score (PEWS) for early detection of critical deterioration in hospitalized, non-cardiac patients at a pediatric hospital. Design and Methods A retrospective cohort study reviewed medical and surgical patients at a quaternary academic pediatric hospital. CHEWS scores and abstracted PEWS scores were obtained on cases (n = 360) and a randomly selected comparison sample (n = 776). Specificity, sensitivity, area under the receiver-operating characteristic curves (AUROC) and early warning times were calculated for both scoring tools. Results The AUROC for CHEWS was 0.902 compared to 0.798 for PEWS (p Conclusion The CHEWS system demonstrated higher discrimination, higher sensitivity and longer early warning time than the PEWS for identifying children at risk for critical deterioration. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
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REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |