Performance of the combined models of Pediatric Risk of Admission scores I and II, and C-reactive protein for prediction of hospitalization in febrile children who visited the emergency department
Pediatric Emergency Medicine Journal
; : 69-76, 2019.
Article
em Ko
| WPRIM
| ID: wpr-786520
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE: To study the performance of the combined models of Pediatric Risk of Admission (PRISA) scores I and II and Creactive protein (CRP) for prediction of hospitalization in febrile children who visited the emergency department.METHODS: We reviewed febrile children aged 4 months-17 years who visited a tertiary hospital emergency department between January and December 2017. White blood cell count, CRP concentration, the PRISA scores, and systemic inflammatory response syndrome score were calculated. We compared areas under the curves (AUCs) of the admission decision support tools for hospitalization using receiver operating characteristic curve analysis.RESULTS: Of 1,032 enrolled children, 423 (41.0%) were hospitalized. CRP and the PRISA scores were significantly higher in the hospitalization group than in the discharge group (all P < 0.001). Among the individual tools, CRP showed the highest AUC (0.69; 95% confidence interval [CI], 0.66–0.72). AUC was 0.71 (95% CI, 0.69–0.74) for the combined model of the PRISA I score and CRP, and 0.71 (95% CI, 0.68–0.74) for that of the PRISA II score and CRP. The AUC of PRISA score I and CRP combined was significantly higher than that of isolated CRP (P = 0.048).CONCLUSION: The combined model of the PRISA I score and CRP may be useful in predicting hospitalization of febrile children in emergency departments.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Admissão do Paciente
/
Proteína C-Reativa
/
Curva ROC
/
Técnicas de Apoio para a Decisão
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Síndrome de Resposta Inflamatória Sistêmica
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Área Sob a Curva
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Emergências
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Serviço Hospitalar de Emergência
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Febre
/
Centros de Atenção Terciária
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
Limite:
Child
/
Humans
Idioma:
Ko
Ano de publicação:
2019
Tipo de documento:
Article