The Development of the Use of PEW Scores to Monitor Children in Critical Condition in Pediatric Wards at Phrapokklao Hospital
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Abstract
BACKGROUND: The Pediatric Early Warning Score (PEWS) is generally applied to patients, who have a wide range of ages. This results in a slow assessment of children in each age group. As a consequence, the symptoms of pediatric patients can deteriorate unexpectedly. For this reason, a new PEWS was created.
OBJECTIVES: To develop the use of the PEWS and to evaluate the effectiveness of the new PEWS in reducing the incidence of unplanned ICU admissions in pediatric patients in the pediatric ward.
METHODS: This research was a quasi-experimental study using The One-Group Posttest-Only Design. The sample group consisted of pediatric patients admitted to the pediatric ward, ranging in age from 7 days to 15 years. These patients were diagnosed by doctors with leukemia, pneumonia, sepsis, and febrile convulsion, with a total 30 cases. Data was collected between November 2022 to January 2023. The tool used in this research was the new PEWS (Pediatric Early Warning Score).
RESULTS: The majority of the sample group was male, with an average age of 3.07 years. Pediatric patients with febrile seizures constituted the highest proportion at 46.7%. The assessment scores showed that 8 patients (26.7%) had shown PEWS of 3-4, following this, 6 patients (20.0%) had shown PEWS of 6. It was also found that 6 patients had been transferred to the Pediatric Intensive Care Unit. From this, it was seen that patients with higher scores necessitate more attention and care compared to other pediatric patients.
CONCLUSIONS: The new PEWS was found to be effective in reducing the incidence of transfers to the pediatric intensive care unit. increase more.
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