Improving triage for children with comorbidity using the ED-PEWS: an observational study
- Zachariasse, J.M.
- Espina, P.R.
- Borensztajn, D.M.
- Nieboer, D.
- Maconochie, I.K.
- Steyerberg, E.W.
- Lei, J. van der
- Greber-Platzer, S.
- Moll, H.A.
DOIAbstract
Objective To assess the value of the Emergency Department-Pediatric Early Warning Score (ED-PEWS) for triage of children with comorbidity.Design Secondary analysis of a prospective cohort.Setting and patients 53 829 consecutive ED visits of children <16 years in three European hospitals (Netherlands, UK and Austria) participating in the TrIAGE (Triage Improvements Across General Emergency departments) project in different periods (2012-2015).Intervention ED-PEWS, a score consisting of age and six physiological parameters.Main outcome measure A three-category reference standard as proxy for true patient urgency. We assessed discrimination and calibration of the ED-PEWS for children with comorbidity (complex and non-complex) and without comor...
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