Accuracy of a pediatric early warning score in the recognition of clinical deterioration

Authors

  • Juliana de Oliveira Freitas Miranda Universidade Estadual de Feira de Santana; Departamento de Saúde
  • Climene Laura de Camargo Universidade Federal da Bahia; Escola de Enfermagem
  • Carlito Lopes Nascimento Sobrinho Universidade Estadual de Feira de Santana; Departamento de Saúde
  • Daniel Sales Portela Universidade Federal do Recôncavo da Bahia; Centro de Ciências da Saúde
  • Alan Monaghan University of Brighton

DOI:

https://doi.org/10.1590/1518-8345.1733.2912

Keywords:

Alert, Signs and Symptoms, Child, Hospitalized, Pediatric Nursing, Validation Studies

Abstract

Objective: to evaluate the accuracy of the version of the Brighton Pediatric Early Warning Score translated and adapted for the Brazilian context, in the recognition of clinical deterioration. Method: a diagnostic test study to measure the accuracy of the Brighton Pediatric Early Warning Score for the Brazilian context, in relation to a reference standard. The sample consisted of 271 children, aged 0 to 10 years, blindly evaluated by a nurse and a physician, specialists in pediatrics, with interval of 5 to 10 minutes between the evaluations, for the application of the Brighton Pediatric Early Warning Score for the Brazilian context and of the reference standard. The data were processed and analyzed using the Statistical Package for the Social Sciences and VassarStats.net programs. The performance of the Brighton Pediatric Early Warning Score for the Brazilian context was evaluated through the indicators of sensitivity, specificity, predictive values, area under the ROC curve, likelihood ratios and post-test probability. Results: the Brighton Pediatric Early Warning Score for the Brazilian context showed sensitivity of 73.9%, specificity of 95.5%, positive predictive value of 73.3%, negative predictive value of 94.7%, area under Receiver Operating Characteristic Curve of 91.9% and the positive post-test probability was 80%. Conclusion: the Brighton Pediatric Early Warning Score for the Brazilian context, presented good performance, considered valid for the recognition of clinical deterioration warning signs of the children studied.

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Published

2017-01-01

Issue

Vol. 25 (2017)

Section

Original Articles

License

RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors.
Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Accuracy of a pediatric early warning score in the recognition of clinical deterioration. (2017). Revista Latino-Americana De Enfermagem, 25, e2912-. https://doi.org/10.1590/1518-8345.1733.2912