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Chasing the Holy Grail - Predicting Pediatric Inpatient Deterioration Using a Vitals Risk Index

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Delayed recognition of hospitalized pediatric patients deteriorating outside the ICU increases morbidity and mortality. Pediatric early warning systems (PEWS), which include a subjective assessment, have been studied with varying detection… Click to show full abstract

Delayed recognition of hospitalized pediatric patients deteriorating outside the ICU increases morbidity and mortality. Pediatric early warning systems (PEWS), which include a subjective assessment, have been studied with varying detection success The study institution has used Monaghan’s PEWS to evaluate non-ICU patients in efforts to eliminate emergency transfers and preventable codes outside the ICU. Utilizing a threshold of PEWS ≥ 5, the ability to predict inpatient deterioration has been inconsistent with detection rates of codes outside the ICU less than 33%. This study aimed to develop an automated real-time risk stratification model based solely on vital sign …

Keywords: inpatient deterioration; risk; deterioration; chasing holy; outside icu; holy grail

Journal Title: Pediatrics
Year Published: 2018

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