Validation of the Emergency Department-Paediatric Early Warning Score (ED-PEWS) for use in low- and middle-income countries: A multicentre observational study

Naomi Kemps, Natanael Holband, Navin P Boeddha, Abdoulie Faal, Amadu E Juliana, Godfrey A Kavishe, Kristina Keitel, Kevin H van ‘t Kruys, Elizabeth V Ledger, Henriëtte A Moll, Andrew M Prentice, Fatou Secka, Rainer Tan, Effua Usuf, Stefan A Unger, Joany M Zachariasse and on behalf of VITaLs (VItal signs and Triage in Low- and middle income countries) study group

PLOS Global Public Health, 2024, vol. 4, issue 3, 1-12

Abstract: Early recognition of children at risk of serious illness is essential in preventing morbidity and mortality, particularly in low- and middle-income countries (LMICs). This study aimed to validate the Emergency Department-Paediatric Early Warning Score (ED-PEWS) for use in acute care settings in LMICs. This observational study is based on previously collected clinical data from consecutive children attending four diverse settings in LMICs. Inclusion criteria and study periods (2010–2021) varied. We simulated the ED-PEWS, consisting of patient age, consciousness, work of breathing, respiratory rate, oxygen saturation, heart rate, and capillary refill time, based on the first available parameters. Discrimination was assessed by the area under the curve (AUC), sensitivity and specificity (previously defined cut-offs

Date: 2024
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pgph00:0002716

DOI: 10.1371/journal.pgph.0002716

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