PEWS Implementation in an LMIC Setting
PEWSPAL
Implementation of Pediatric Early Warning Scores and a Context-adapted Resuscitation Training Course to Improve Outcomes in an LMIC Pediatric Inpatient Oncology Ward
1 other identifier
interventional
1,850
1 country
2
Brief Summary
The PEWS implementation study will be undertaken with the following objectives:
- 1.Assess the effectiveness of implementation of PEWS and resuscitation training to identify patients at risk for clinical deterioration and to impact the frequency of clinical interventions made by treating providers on these patients.
- 2.Assess the effectiveness of implementation of PEWS and resuscitation training to impact time sensitive clinical interventions made on patients at risk for clinical deterioration.
- 3.Assess the impact of implementation of PEWS and resuscitation training on length of stay for patients admitted to the pediatric oncology ward.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2019
Longer than P75 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2019
CompletedFirst Submitted
Initial submission to the registry
November 23, 2019
CompletedFirst Posted
Study publicly available on registry
November 27, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 31, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
September 30, 2023
CompletedJanuary 10, 2024
January 1, 2024
3.2 years
November 23, 2019
January 9, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
Elevated Pediatric Early Warning Score (PEWS)
frequency of patients whose PEWS score indicates 'risk for clinical deterioration' and receive a clinical intervention. PEWS 3 or greater (Scale is PEWS 0-6) is defined as at risk for clinical deterioration with a higher score concerning for worse clinical outcome.
1 year
Secondary Outcomes (4)
Time to antibiotics
1 year
Time to IV fluid bolus
1 year
Volume of IV fluids
1 year
Length of stay
1 year
Study Arms (1)
Inpatient pediatric oncology patients
OTHERAll patients admitted to the pediatric oncology ward will be in the cohort
Interventions
teaching resuscitation to medical providers and implementing a scoring tool to help identify patients at risk for clinical deterioration in an inpatient setting
Eligibility Criteria
You may qualify if:
- Patients eligible for the study are defined as pediatric patients (between birth and 12 years of age) admitted and subsequently discharged from the pediatric oncology ward in Beit Jala, Palestine and Gaza City, Palestine between March 2019 to June 2020
You may not qualify if:
- Patients will be excluded if they are not admitted to inpatient status. No oncology outpatients such as those in the infusion program will be included.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Beit Jala Hospital
Bethlehem, Palestinian Territories
Rantisi Hospital
Gaza, Palestinian Territories
MeSH Terms
Conditions
Study Officials
- PRINCIPAL INVESTIGATOR
Michelle Niescierenko, MD MPH
Boston Children's Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Attending Physician
Study Record Dates
First Submitted
November 23, 2019
First Posted
November 27, 2019
Study Start
September 1, 2019
Primary Completion
October 31, 2022
Study Completion
September 30, 2023
Last Updated
January 10, 2024
Record last verified: 2024-01
Data Sharing
- IPD Sharing
- Will not share