NGHIÊN CỨU GIÁ TRỊ TIÊN LƯỢNG NGỪNG TIM CỦA THANG ĐIỂM CẢNH BÁO SỚM BEDSIDE PEWS Ở TRẺ BỆNH NẶNG

Abstract

Introduction: Pediatric early warning scores in general and the Bedside PEWS (Pediatric Early Warning System score) in particular have predictive value for the risk of cardiac arrest in pediatric patients within 24 hours. In Vietnam, there has been no research on the Bedside PEWS, so we conducted this study to evaluate the predictive value of cardiac arrest of the Bedside PEWS and apply it in clinical practice at the Quang Ngai Hospital for Children and Women. Objective: Determining the prognostic value of cardiac arrest of the Bedside PEWS in children with severe illness at Department of peadiatric intensive care and toxic management. Subject and methods: Cross-sectional description. All cases of critically ill children aged 2 months to 15 years admitted to Quang Ngai Hospital for Children and Women from January  to October 2024. Result: There were 235 children who met the study criteria. The Bedside PEWS had a good predictive ability for the risk of cardiac arrest within 24 hours with an area under the curve of 0,872, p<0.05 with a cut-off point of 7,5 (sensitivity 90,0%, specificity 68,5%). In severe pneumonia and respiratory diseases, the Bedside PEWS had a great predictive ability for the risk of cardiac arrest within 24 hours with AUC of 0,988 (cut-off point of 9,5 had a sensitivity of 100%, specificity of 95,3%) and 0,95 (cut-off point of 9,5 had a sensitivity of 100%, specificity of 87,3%), respectively. Conclusions: The Bedside PEWS has the ability to predict the risk of cardiac arrest within 24 hours with AUC of 0,872 with a cut-off point of 7.5 (sensitivity 90,0%, specificity 68,5%).