Comparison of Emergency Severity Index Version 4 and Modified Pediatric Early Warning Score as Triage Models in the Pediatric Emergency of a Tertiary Care Public Sector Hospital.
Indian Pediatr
; 60(11): 917-921, 2023 Nov 15.
Article
em En
| MEDLINE
| ID: mdl-37950465
ABSTRACT
OBJECTIVE:
To identify the sensitivity of emergency severity index (ESI) version 4 and modified pediatric early warning score (PEWS) in identifying high urgency patients.METHODS:
This cross-sectional study was conducted between November, 2019 and October, 2021 in the pediatric emergency department of tertiary hospital in Delhi. 250 patients aged 0-12 years coming to pediatric emergency on pre-decided days for health-related complaints were enrolled. These were assessed with both triage systems within 30 minutes of their arrival by a single researcher. 'High urgency' patients were defined as the ones who either required admission in pediatric ICU or died or had critical value of vital parameters as per institution protocol.RESULTS:
ESI version 4 had a sensitivity of 95.5%, specificity of 80.3%, with AUC of 0.879 (95%CI 0.834-0.925) in identifying high urgency patients at levels 1 and 2. Modified PEWS had comparatively lower sensitivity of 79.1%, specificity of 97.8%, with AUC of 0.885 (95%CI 0.825-0.994) in identifying high urgency patients at score of ≥3. The ESI version 4 was found to be a better predictor of admission than the modified PEWS, with a sensitivity of 98.2%. Both the scores were able to identify patients at risk of mortality with a sensitivity of 100%.CONCLUSION:
ESI version 4 is a better triage tool than modified PEWS in pediatric population in a tertiary care public hospital setting in this region.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Escore de Alerta Precoce
Limite:
Child
/
Humans
Idioma:
En
Revista:
Indian Pediatr
Ano de publicação:
2023
Tipo de documento:
Article