title: Comparison of three acute care pediatric early warning scoring tools.
abstract: 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.
authors.affiliation: Clinical Education and Informatics, Children's Hospital Central California, Madera, CA. Electronic address: mary-ann_robson@sbcglobal.net.
authors.forename: Mary-Ann J
authors.initials: MA
authors.lastname: Robson
authors.forename: Carole L
authors.initials: CL
authors.lastname: Cooper
authors.forename: Lori A
authors.initials: LA
authors.lastname: Medicus
authors.forename: Mary J
authors.initials: MJ
authors.lastname: Quintero
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Zuniga
mesh_terms: D000293:Adolescent; D002648:Child; D002673:Child, Hospitalized; D002675:Child, Preschool; D006305:Health Status Indicators; D006323:Heart Arrest / Q000175:diagnosis* / Q000451:nursing; D057209:Hospital Rapid Response Team; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D009730:Nursing Assessment / Q000379:methods*; D012189:Retrospective Studies; D018570:Risk Assessment; D012680:Sensitivity and Specificity
keywords: Cardio-pulmonary arrest; Early warning; Failure to rescue; Pediatric; Rapid response team