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Abstract O-55: THE APPLICATION OF PEDIATRIC EARLY WARNING SCORE(PEWS) IN EMERGENCY OBSERVATION ROOM

Cheng, Y.1; Lu, G.2

Pediatric Critical Care Medicine: June 2018 - Volume 19 - Issue 6S - p 24
doi: 10.1097/01.pcc.0000537397.55107.52
Oral Abstracts
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1Children’ Hospital of Fudan University, PICU, Shanghai, China

2Children’ Hospital of Fudan University, Pediatric Emergency Medicine and Critical Care Medicine, Shanghai, China

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Aims & Objectives:

To assess the ability of pediatric early warning scoring system (PEWS) to recognize the critically ill children in emergency observation room

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Methods

We collected those patients’ general information (including gender, age, disease diagnosis), and different points of PEWS(admission, the highest, discharge), and different outcomes, and prognosis(survival or death of those admitted in PICU)

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Results

A total of 4744 children(male 62.9%) were enrolled and categorized into 4 groups according to their different outcomes namely, discharged group(G1, n=2320), specialized ward group(G2, n=2128), ICU group(G3, n=269), and spontaneous discharge group(G4, n=27). The diagnosis of those patients was divided into 17 categories. There was no significant difference in gender between four groups. Children in G4 were younger and those who had tumor diseases had the highest proportion of admission to PICU. The different PEWS scores were statistically significant among the four different groups (P < 0.001). Neither the first scores nor the highest ones had significant difference between G1 and G2, but contrarily between G1 and G3, as well as G2 and G3. The discharge scores were different between any two groups. We use AUROC curve to predict the possibility of PICU admission and the corresponding death, and the values were 0.698, 0.878, 0.974 and 0.709, 0.883, 0.951, respectively. Their corresponding cut-off values were 2.5, 3.5, 3.5 and 1.5, 3.5, 3.5, respectively. The discharge scores had the strongest prediction ability and highest specificity and sensitivity.

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Conclusions

PEWS can be used for early identification of critically ill children or potential ones

©2018The Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies