Modified Pediatric Early Warning Score and Modified PRISA II During COVID-19 Pandemic

NCT04876872 | Unknown DMC

• 1 other identifier: KTU-PediEM01
• Study Type: observational
• Target: 894
• Locations: 1 country
• Sites: 1

Brief Summary

One of the most important factors in pediatric emergency units is the correct decision of the patient inpatient or outpatient treatment. If the disease progresses critically, the decision of hospitalization comes to the fore. However, in this case, it is very important to make the right decision and to determine the situation in a short time. Children give different physiological responses to diseases according to age group. For this reason, some scoring, which require objective parameters, have been developed in order to predict the critical processes of the patients and to intervene at the right time. While such scoring is frequently used in adult emergency units, it is understood that studies on this issue are not sufficient in pediatric emergency units. The purpose of our study; To evaluate the population of children admitted to the pediatric emergency unit with the modified Pediatric Early Warning Scoring (mPEUS) and Pediatric Hospitalization Risk Scoring II (PRISA II), to predict hospitalization and discharge from the emergency service, and to demonstrate the effectiveness of the scoring to identify critically ill children in the correct early period.

Conditions

Critical Illness

Keywords

critically ill child; pediatric early warning score; mPEWS; mPRISA II

Outcome Measures

Primary Outcomes (3)

• modified pediatric early warning score

  modified pediatric early warning score for each child during Severe Acute Respiratory Syndrome Causing Coronavirus Disease

  1 February - 31 July 2021,

• mPRISA II

  mPRISA II score for each child during COVID-19 pandemic

  1 February - 31 July 2021

• Changes in modified pediatric early warning score over time

  Changes in modified pediatric early warning score over time will measure. Early warning score will be calculated every three hours and if the score increases, it will be evaluated more frequently, up to 24 hours.

  1 February - 31 July 2021

Secondary Outcomes (6)

• Length of stay in pediatric emergency

  1 February - 31 July 2021

• number of children who returned to the emergency service

  1 February - 31 July 2021

• which service is admitted to

  1 February - 31 July 2021

• number of children with severe acute respiratory syndrome coronavirus 2

  1 February - 31 July 2021

• children who contacted the person with COVID-19

  1 February - 31 July 2021

Study Arms (1)

pediatric patients

whole pediatric patients who admitted to the pediatric emergency unit in Farabi Hospital, Trabzon, Turkey

Other: no intervention

Interventions

no intervention OTHER

no intervention

pediatric patients

Eligibility Criteria

• Age: 28 Days - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

pediatric patients aged between 28 days and 18 years who applied to the Pediatric Emergency Unit

You may qualify if:

• \- Pediatric patients aged between 28 days and 18 years, who applied to the Pediatric Emergency Unit

You may not qualify if:

• In the follow-up or at the begining, patients who are presenting with cardiorespiratory arrest
• Intubated patients,
• Trauma patients
• Neonatal period (\<28 days),
• Patients who leave the hospital at the request of their family before the end of the diagnosis or treatment process
• Patients who do not have permission from their parents at the beginning

Sponsors & Collaborators

• Karadeniz Technical University: lead

Study Sites (1)

Karadeniz Technical University Faculty of Medicine Farabi Hospital

Trabzon, 9061080, Turkey (Türkiye)

RECRUITING

Related Publications (6)

• Chamberlain JM, Patel KM, Pollack MM. The Pediatric Risk of Hospital Admission score: a second-generation severity-of-illness score for pediatric emergency patients. Pediatrics. 2005 Feb;115(2):388-95. doi: 10.1542/peds.2004-0586.

  PMID: 15687449 BACKGROUND

• Lambert V, Matthews A, MacDonell R, Fitzsimons J. Paediatric early warning systems for detecting and responding to clinical deterioration in children: a systematic review. BMJ Open. 2017 Mar 13;7(3):e014497. doi: 10.1136/bmjopen-2016-014497.

  PMID: 28289051 RESULT

• Jagt EW. Improving Pediatric Survival from Resuscitation Events: The Role and Organization of Hospital-based Rapid Response Systems and Code Teams. Curr Pediatr Rev. 2013;9(2):158-74. doi: 10.2174/1573396311309020009.

  PMID: 25417037 RESULT

• Skaletzky SM, Raszynski A, Totapally BR. Validation of a modified pediatric early warning system score: a retrospective case-control study. Clin Pediatr (Phila). 2012 May;51(5):431-5. doi: 10.1177/0009922811430342. Epub 2011 Dec 8.

  PMID: 22157421 RESULT

• Egdell P, Finlay L, Pedley DK. The PAWS score: validation of an early warning scoring system for the initial assessment of children in the emergency department. Emerg Med J. 2008 Nov;25(11):745-9. doi: 10.1136/emj.2007.054965.

  PMID: 18955610 RESULT

• Barak-Corren Y, Fine AM, Reis BY. Early Prediction Model of Patient Hospitalization From the Pediatric Emergency Department. Pediatrics. 2017 May;139(5):e20162785. doi: 10.1542/peds.2016-2785.

  PMID: 28557729 RESULT

MeSH Terms

Conditions

Critical Illness

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Ahmet K Özkaya, MD, phD

  Karadeniz Technical University Faculty of Medicine

  STUDY DIRECTOR

• Bihter Şen Şahin, MD

  Karadeniz Technical University Faculty of Medicine

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Ahmet K Özkaya, MD, phD

CONTACT

+90 05554093361; kaganozkaya@yahoo.com

Bihter Şen Şahin, MD

CONTACT

+90 05389473100; bihtersen@hotmail.com

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Karadeniz Technical University, Head of Department of Pediatric Emergency

Study Record Dates

• First Submitted: May 3, 2021
• First Posted: May 7, 2021
• Study Start: February 1, 2021
• Primary Completion: July 31, 2021
• Study Completion: September 15, 2021
• Last Updated: May 12, 2021

Record last verified: 2021-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)