Correlation of Bedside Pediatric Early Warning System Score to Interventions During Peritransport Period.

Title

Correlation of Bedside Pediatric Early Warning System Score to Interventions During Peritransport Period.

Creator

Page-Goertz Christopher K; Dasgupta Mahua; Hoffmann Raymond G; Parshuram Christopher; Forbes Michael L; Meyer Michael T

Publisher

Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies

Date

2018
2018-11

Description

BACKGROUND: The Bedside Pediatric Early Warning System score is a validated measure of severity of illness in acute care inpatient settings. Its potential as a remote assessment tool for interfacility transport has not been evaluated. We hypothesized that the Bedside Pediatric Early Warning System score was associated with need for intervention during the peritransport period and patient disposition. METHODS: We retrospectively evaluated children transported by a regional pediatric team during a 6-month period. Bedside Pediatric Early Warning System scores were calculated at the triage phone call, the transport team arrival, and at transfer of care to the hospital team. The primary outcome was the receipt of significant intervention during the peritransport period, with additional outcomes of destination (ICU, ward, emergency department) in the regional hospital. Scores are presented as median values (interquartile range). RESULTS: There were 564 children who underwent transport; 139 (25%) received interventions; and 205 (36%) were transferred to the PICU, 231 (41%) to the ward, and 127 (23%) to the emergency department. Scores were 2 (1-5; median interquartile range) in children receiving no in-transport interventions, 8 (5-11) in children receiving any intervention (p \textless 0.001), and 10 (7-14) in children receiving more than one intervention. Children transferred to the PICU had higher scores 6 (3-10), than children transferred to a ward 3 (1-6) or the emergency department 2 (1-3) (p \textless 0.001). CONCLUSIONS: The Bedside Pediatric Early Warning System score at the time of initial referral is a useful measure of severity of illness reflected by the subsequent provision of significant peritransport intervention and the transfer destination.

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

e618–e626

Issue

11

Volume

19

Citation

Page-Goertz Christopher K; Dasgupta Mahua; Hoffmann Raymond G; Parshuram Christopher; Forbes Michael L; Meyer Michael T, “Correlation of Bedside Pediatric Early Warning System Score to Interventions During Peritransport Period.,” NEOMED Bibliography Database, accessed December 8, 2021, https://neomed.omeka.net/items/show/4385.

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