Comparison of Three Acute Care Pediatric Early Warning Scoring Tools

• Published in: Journal of pediatric nursing Vol. 28; no. 6; pp. e33 - e41
• Main Authors: Robson, Mary-Ann J., Cooper, Carole L., Medicus, Lori A., Quintero, Mary J., Zuniga, Stephen A.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.11.2013; W.B. Saunders Company/JNL
• Subjects: Acute services; Adolescent; Cardio-pulmonary arrest; Child; Child, Hospitalized; Child, Preschool; Children & youth; Comparative analysis; Deterioration; Early warning; Early warnings; Failure to rescue; Health care; Health Status Indicators; Heart Arrest - diagnosis; Heart Arrest - nursing; Hospital Rapid Response Team; Hospitalization; Humans; Infant; Infant, Newborn; Medical personnel; Myocardial infarction; Nursing; Nursing Assessment - methods; Paediatrics; Pediatric; Pediatrics; Rapid response team; Retrospective Studies; Risk Assessment; Sensitivity and Specificity; Early warning; Failure to rescue; Pediatric; Cardio-pulmonary arrest; Rapid response team
• ISSN: 0882-5963; 1532-8449
• DOI: 10.1016/j.pedn.2012.12.002

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.