Abstract：Objective: To explore the application value of modified pediatric early warning score (PEWS) in the assessment and prognosis of children in pediatric emergencies. Methods: A total of 126 critically ill children admitted to the Department of Paediatrics of Huizhou Central People's Hospital in Guangdong Province from January 2021 to December 2021 were selected to be included in the observation group, and another 126 critically ill children admitted to the Department of Paediatrics of our hospital from January 2020 to December 2020 were selected to be included in the control group. In the control group, the PEWS score was used to assess the children's condition on admission, while in the observation group, the modified PEWS score was used to assess the children's condition on admission, and the children in the observation group were followed up for 6 months to record their survival. The prognosis of children with different modified PEWS scores in paediatric emergencies was compared, and the value of the modified PEWS scoring system in assessing condition and prognosis was analysed by using Spearman's rank correlation. Results: The early disease recognition rate and disease observation recognition rate of children in the observation group were 15.07% and 91.27%, which were higher than those of the control group (3.17% and 72.22%) (P<0.05); Spearman's rank correlation analysis showed a negative correlation between the modified PEWS score and disease classification (rs=-0.642, P<0.001). The AUC of the modified PEWS score on the prognosis of children with acute disease was 0.782 (P<0.05) in the ROC analysis. The AUC for predicting the condition of children with acute illness was 0.782 (P<0.05); 27 (21.43%) of the children in the observation group died at 6 months of follow-up, and there was a statistically significant difference (P<0.05) when comparing the mortality rates of children with different modified PEWS scores; ROC analysis showed that the AUC of the modified PEWS score for predicting death in children with paediatric emergencies was 0.775 (P<0.05). Conclusion: Modified PEWS score has high value in the assessment and prognosis of children in paediatric emergencies.
郑欣, 林彦勋, 陈岳, 彭洁, 张景欣, 刘秀芳. 改良PEWS评分在儿科急诊患儿病情评估及预后预测的应用价值[J]. 河北医学, 2022, 28(5): 809-812.
ZHENG Xin, LIN Yanxun, CHEN Yue, et al. Application Value of Modified PEWS Score in the Assessment and Prognosis of Children in Pediatric Emergencies. HeBei Med, 2022, 28(5): 809-812.
[1] 黄湘晖,庄德义,李婉婷.智能化辅助决策在儿科急诊五级分诊中的应用研究[J].中国小儿急救医学,2019,26(12):907~911. [2] Chapman SM,Maconochie IK.Early warning scores in paediatrics:an overview[J].Arch Dis Child,2019,104(4):395~399. [3] Studnek JR,Browne LR,Shah MI,et al.Validity of the pediatric early warning score and the bedside pediatric early warning score in classifying patients who require the resources of a higher level pediatric hospital[J].Prehosp Emerg Care,2020,24(3):341~348. [4] Umar A,Ameh CA,Muriithi F,Mathai M.Early warning systems in obstetrics:a systematic literature review[J].PLoS One,2019,31(5):21~24. [5] 承菊芳,朱雪凤,何勇.儿童早期预警评分在急诊患儿转运中的应用[J].中国急救复苏与灾害医学杂志,2019,14(6):578~579. [6] Branes H,Solevag AL,Solberg MT.Pediatric early warning score versus a paediatric triage tool in the emergency department:a reliability study[J].Nurs Open,2021,8(2):702~708. [7] Kowalski RL,Lee L,Spaeder MC,et al.Accuracy and monitoring of pediatric early warning score (PEWS) scores prior to emergent pediatric intensive care Unit (ICU) transfer:retrospective analysis[J].JMIR Pediatr Parent,2021,22(1):25~26. [8] 李会娜,安红,高洁林,等.改良儿童早期预警评分在病毒性脑炎患儿病情判断中的有效性[J].临床与病理杂志,2020,40(7):1740~1743. [9] 周麟永,陈建丽,凌萍,等.儿童早期预警评分对急诊收入重症监护室患儿病情判断的有效性[J].中华实用儿科临床杂志,2019,34(18):1394~1397. [10] Trubey R,Huang C,Lugg-Widger FV,et al.Validity and effectiveness of paediatric early warning systems and track and trigger tools for identifying and reducing clinical deterioration in hospitalised children:a systematic review[J].BMJ Open,2019,5(5):22~25. [11] 施春柳,王丽芳,宋卓华,等.儿童早期预警评分在儿科重症监护病房患儿病情及预后评估中的应用价值[J].广西医学,2019,41(20):2667~2669.
2022, Vol. 28 
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