• J Spec Pediatr Nurs · Apr 2009

    Prospective evaluation of a pediatric inpatient early warning scoring system.

    • Karen M Tucker, Tracy L Brewer, Rachel B Baker, Brenda Demeritt, and Michael T Vossmeyer.
    • Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. karen.tucker@cchmc.org
    • J Spec Pediatr Nurs. 2009 Apr 1;14(2):79-85.

    PurposeThe present study evaluated the use of the Pediatric Early Warning Score (PEWS) for detecting clinical deterioration among hospitalized children.Design/MethodsA prospective, descriptive study design was used. The tool was used to score 2,979 patients admitted to a single medical unit of a pediatric hospital over a 12-month period.ResultsPEWS discriminated between children who required transfer to the pediatric intensive care unit and those who did not require transfer (area under the curve = 0.89, 95% CI = 0.84-0.94, p < .001).ImplicationsThe PEWS tool was found to be a reliable and valid scoring system to identify children at risk for clinical deterioration.

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