Validation of the Turkish version of the pediatric early warning score

Authors : Sevda AKDENİZ, Hatice SELÇUK KUŞDERCİ, Şenay CANİKLİ ADIGÜZEL, Pınar OZBUDAK, Serkan DOGRU, Ekrem AKDENİZ, Gökçen BAŞARANOĞLU, Mustafa SÜREN

Pages : 514-518

Doi:10.18663/tjcl.1343952

View : 44 | Download : 36

Publication Date : 2023-09-30

Article Type : Research Paper

Abstract :Aim: The pediatric early warning score insert ignore into journalissuearticles values(PEWS); identifies pediatric patients at risk for clinical deterioration and can helpless-experienced providers get a sense of which patients may need escalation of care. The purpose of the study was to adapt the PEWS into Turkish and evaluate its validity in pediatric patients admitted to the emergency. Material and Methods: This study was conducted between May and October 2022 on 228 patients aged 17 and under in the pediatric emergency department of a tertiary care hospital. In the pilot phase of the study, scoring of the first 30 patients was performed by three nurses in the emergency department. In the second phase, the validity of the PEWS scale was evaluated. Validity of the scoring system in predicting admission was assessed using area under the receiver operating characteristics insert ignore into journalissuearticles values(ROC); curve insert ignore into journalissuearticles values(AUC);, sensitivity, and specificity, positive predictive value insert ignore into journalissuearticles values(PPV); and negative predictive value insert ignore into journalissuearticles values(NPV);. Results: The mean age of the children was 6.37 ± 4.72 years. Phase I demonstrated good inter-rater reliability insert ignore into journalissuearticles values(kappa = 0.75);. In phase II, 22 patients insert ignore into journalissuearticles values(9.6%); were admitted to the intensive care unit insert ignore into journalissuearticles values(ICU); during the study period. AUC for predicting was 0.948 insert ignore into journalissuearticles values(95% CI: 0.915–0.981);. According to ROC curve analysis, a cut-off value for PEWS score was found to be 4 insert ignore into journalissuearticles values(PEWS >4); for admitted to the ICU. Sensitivity and specificity in predicting ICU admission with the cut-off PEWS ≥4 was 86.36% and 90.78%, respectively insert ignore into journalissuearticles values(PPV, 50%; NPV, 90.48%);. The sensitivity and specificity in predicting admission with a cut-off of PEWS ≥1 was 100% and 59.22%, respectively insert ignore into journalissuearticles values(PPV, 20.75%; NPV, 100%);. Conclusion: The Turkish version of PEWS can be helpful in assessing patient status in pediatric emergency department with acceptable validity and can serve as a potentially screening tool for prediction of ICU admission.
Keywords : Children, emergency room, PEWS, reliability, validity