应用敏感性和特异性诊断提示儿童是否需要住院治疗和预测严重疾病

U. Javaid, A. Amjad, M. Mahmood, Farrukh Addil, Sameer Ahmed
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引用次数: 0

摘要

目的:预警评分(座椅),这是合法的在危机部门,是不太接受预防早期衰弱住院青少年。预计将评估两种通常用于住院和首次严重疾病的PEWSs的影响和信息活动。方法:对患者要求的资料不予填写。我们目前的研究于2020年5月至2021年4月在拉合尔的梅奥医院进行。已经进行了临床和严格的分析。我们在三个激烈的职业中应用了指导方针和通常的理解,以确定评估在不可用的情况下是至关重要的。结果:共粉碎患者1940例。收到213份确认(12%)。临床治疗1640例(87%),谨慎治疗277例(15%)。表现相对较好的布莱顿和海岸席位。自2005年布莱顿评分获得批准以来,其他儿童早期预警评分已被用于检测医院婴儿的早期恶化。巴基斯坦国家患者安全局和公立医院和卓越护理研究所连同《巴基斯坦妇幼报告》《儿童为什么咬尘》,建议早期发现水平,以帮助儿童在诊所开始潜在疾病(Considine J, et al ., 2019)。虽然他们的表现是无限的,但定性的改变是适当的,使得不同的分数得到不同的认可。在巴基斯坦引入4小时的紧急集中。为了实现持续的管理决策,引入了巴基斯坦急诊科5小时的重点(Pinto C, et al., 2018)。使用Brighton-和COAST系统构建的座椅可以反映患者生理状况的趋势,并及早发现衰变过程,从而可以快速识别住院儿童。在任何情况下,为了避免健康诊所确认的需要,或者疾病的严重程度,在急诊科“预先检查”生理边界的有效性不被认可(Burrell AR, et al., 2016)。随着PEWS在紧急服务中的使用增加,必须了解该工具的预测能力,以预测紧急确认和重大指示性疾病。只有两项明确的研究(PEWS预测急诊科入院的能力(34%))是干净的,尽管不明显(34%)。AUC下方的区域较低,为0.693。AUC很低。主要指控:95%的PEWS非常清楚,然而,对临床疾病不够敏感(45%)。布莱顿和COAST PEWS的人均AUC为0.756。这两个评分在预测严重恶心方面均不成功(AUC为0.644)。座椅=4已经成功预测了主要的呼吸系统疾病——76%,92%指定了影响。结论:布莱顿和海岸教堂均有良好的效果。因此,对临床确认和重要疾病预测的有效性不受保护。然而,高PEWS并不是确认实际患病的先决条件。
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A Sensitivity and Specificity Diagnosis of Pews is Used to Indicate the Necessity for Hospital Admission and to Predict Serious Disease Among Children
Aim: The advance warning score (Seats), which is legitimized in the crisis department, is less accepted for the prevention of early weakening of a hospitalized teenager. The affectivity and information activity of two PEWSs, usually used in hospital admissions and the first serious disease, were expected to be evaluated. Methods: Required data was disclaimed for patients. Our current research was conducted at Mayo Hospital, Lahore from May 2020 to April 2021. Clinical and rigorous analyses have been performed. We have applied guidelines and usual understanding amongst three intense careers to identify assessments as crucial where not available. Results: 1940 patients have been shattered. 213 confirmations were received (12 percent). There were 1640 clinical (87%) and 277 (15%) cautious therapies. Relatively performing Brighton and COAST Seats. Emergency Clinic Verification-PEWS so 4 (94 INTRODUCTION Since the Brighton Score approval in 20051, other children's early warning scores have been utilized to detect the early deterioration of the infant in hospital. Together with the Pakistan Maternal and Childhood Report, 'Why children bite dust,' the Pakistan National Patient Safety Agency and the Public Hospital and Care Excellence Institute suggested early detection levels to assist children with the beginnings of the underlying illness in the clinic (Considine J, et al, 2019). Although their unlimited performance, the qualitative alterations thought proper, making approval varied for various scores. Introducing an urgent concentration of 4 hours in Pakistan. In order to achieve the continued management decision, a 5-hour emphasis in Pakistan emergency departments is introduced (Pinto C, et al., 2018). 6 Seats using the Brighton- and COAST systems generally employed have been constructed so that trends in the physiological condition of the patient may be reflected and the decay process identified early and the hospitalized kid can thus be quickly identified. In any case, in order to avoid the needs of a health clinic for confirmation, or the severity of the disease, the validity of "pre-vising" the physiological boundaries in the emergency department is not recognized (Burrell AR, et al., 2016). As the usage of PEWS in emergency services rises, the predictive capacity of this instrument must be known to forecast emergency confirmation and a substantial indicant disease. There are just two explicit studies PEWS capability to predict admission in emergency department percent) was clean, though unnoticeable (34 percent). The area below the AUC was low at 0.693. The AUC is low. Major allegation: PEWS was 95 percent very clear, nevertheless, not sensitive enough in clinical diseases (45 percent). The AUC was 0.756 per person for Brighton and COAST PEWS. The two scores were unsuccessful in predicting critical careful nausea (AUC 0.644). Seats=4 have been successful in predicting major respiratory diseases-76%, 92% specified affectivity. Conclusion: Brighton and Coast Pews both had good results. A score of the fourth is quite certain Therefore, unprotected effectiveness for clinical confirmation and important disease prediction. A high PEWS, however, is a poor prerequisite for confirmation of actual sickness.
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