Karen M. Tucker, MSN, RN, is a Clinical Director; Tracy L. Brewer, DNPc, MSN, RNC, is an Education Specialist; Rachel B. Baker, PhD, RN, is an Outcomes Manager; and Brenda Demeritt, BSN, RN, is a Clinical Manager, Patient Services, Cincinnati Children's Hospital Medical Center; and Michael T. Vossmeyer, MD, is Medical Director, Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Prospective Evaluation of a Pediatric Inpatient Early Warning Scoring System
Article first published online: 1 DEC 2008
© (2008), The Authors. Journal Compilation © (2008), Wiley Periodicals, Inc
Journal for Specialists in Pediatric Nursing
Volume 14, Issue 2, pages 79–85, April 2009
How to Cite
Tucker, Karen M. ., Brewer, Tracy L. ., Baker, Rachel B. ., Demeritt, B. and Vossmeyer, Michael T. . (2009), Prospective Evaluation of a Pediatric Inpatient Early Warning Scoring System. Journal for Specialists in Pediatric Nursing, 14: 79–85. doi: 10.1111/j.1744-6155.2008.00178.x
- Issue published online: 1 APR 2009
- Article first published online: 1 DEC 2008
- First received April 21, 2008; Revision received August 6, 2008; Accepted for publication August 6, 2008.
- Clinical deterioration;
- early warning score;
- intensive care transfer;
PURPOSE. The present study evaluated the use of the Pediatric Early Warning Score (PEWS) for detecting clinical deterioration among hospitalized children.
DESIGN/METHODS. A 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.
RESULTS. PEWS 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).
IMPLICATIONS. The PEWS tool was found to be a reliable and valid scoring system to identify children at risk for clinical deterioration.