INTERNATIONAL EXPERIENCE IN APPLYING THE SYSTEM OF PEDIATRIC EARLY WARNING SIGNS OF CRITICAL CONDITIONS IN ONCOLOGICAL CHILDREN: A LITERATURE REVIEW

Ye. Kurakbayev, B. Turdaliyeva, L. Manzhuova, K. Omarova, G. Abdilova, A. Kusainov, S. Saparbayev, V. Schukin
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Abstract

Relevance: Oncological diseases remain the main cause of death in children, increasing the need for intensive care. Hospitalized children suffering from oncological diseases are at high risk for sudden deterioration of their condition, both for the underlying disease and due to infectious complications and the toxic effects of medications. This review highlights information on the Pediatric Early Warning Signs (PEWS) system in oncological patients to detect clinical deterioration promptly. The study aimed to analyze international literature on the use of pediatric early warning signs (PEWS) for clinical deterioration in pediatric oncology. Methods: Current literature on using the PEWS of clinical deterioration in pediatric oncology was studied. Results: The published data show the important role of using the PEWS system in cancer patients for early detection of deterioration of the condition with subsequent provision of emergency medical care. Conclusion: The analysis of international experience has shown that using the PEWS system in children with oncological diseases is an effective method of early recognition of signs of clinical deterioration, which, in turn, allows the timely initiation of complex intensive therapy.
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儿童肿瘤危重症早期预警信号系统应用的国际经验:文献综述
相关性:肿瘤疾病仍然是儿童死亡的主要原因,增加了对重症监护的需求。患有肿瘤疾病的住院儿童病情突然恶化的风险很高,这既是由于潜在的疾病,也是由于感染并发症和药物的毒性作用。这篇综述强调了儿科早期预警信号(PEWS)系统在肿瘤患者中及时发现临床恶化的信息。本研究旨在分析国际上关于使用儿科早期预警信号(PEWS)诊断儿科肿瘤临床恶化的文献。方法:对目前应用PEWS诊断小儿肿瘤临床恶化的文献进行分析。结果:已发表的数据表明,在癌症患者中使用PEWS系统对于早期发现病情恶化并随后提供紧急医疗护理具有重要作用。结论:通过对国际经验的分析表明,在儿童肿瘤疾病中使用PEWS系统是早期识别临床恶化迹象的有效方法,从而可以及时启动复杂的强化治疗。
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