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| Application Value of Modified PEWS Score in the Assessment and Prognosis of Children in Pediatric Emergencies |
| ZHENG Xin, LIN Yanxun, CHEN Yue, et al |
| Huizhou Central People's Hospital, Guangdong Huizhou 516000, China |
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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.
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2022, Vol. 28 
