دورية أكاديمية
Do paediatric early warning systems reduce mortality and critical deterioration events among children? A systematic review and meta-analysis
| العنوان: | Do paediatric early warning systems reduce mortality and critical deterioration events among children? A systematic review and meta-analysis |
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| المؤلفون: | Chong, Shu-Ling, Goh, Mark Sen Liang, Ong, Gene Yong-Kwang, Acworth, Jason, Sultana, Rehena, Yao, Sarah Hui Wen, Ng, Kee Chong, Scholefield, Barney, Aickin, Richard, Maconochie, Ian, Atkins, Dianne, Couto, Thomaz Bittencourt, Guerguerian, Anne-Marie, Kleinman, Monica, Kloeck, David, Nadkarni, Vinay, Nuthall, Gabrielle, Reis, Amelia, Rodriguez-Nunez, Antonio, Schexnayder, Steve, Tijssen, Janice, Van de Voorde, Patrick, Morley, Peter |
| المصدر: | RESUSCITATION PLUS ; ISSN: 2666-5204 |
| بيانات النشر: | Elsevier BV |
| سنة النشر: | 2022 |
| المجموعة: | Ghent University Academic Bibliography |
| مصطلحات موضوعية: | Medicine and Health Sciences, Cardiology and Cardiovascular Medicine, Emergency Nursing, Emergency Medicine, Resuscitation, Early Warning Scores, Mortality, Child |
| الوصف: | Aim: We conducted a systematic review and meta-analysis to answer the question: Does the implementation of Paediatric Early Warning Systems (PEWS) in the hospital setting reduce mortality, cardiopulmonary arrests, unplanned codes and critical deterioration events among children, as compared to usual care without PEWS? Methods: We conducted a comprehensive search using Medline, EMBASE, Cochrane Central Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature and Web of Science. We included studies published between January 2006 and April 2022 on children <18 years old performed in inpatient units and emergency departments, and compared patient populations with PEWS to those without PEWS. We excluded studies without a comparator, case control studies, systematic reviews, and studies published in non-English languages. We employed a random effects meta-analysis and synthesised the risk and rate ratios from individual studies. We used the Scottish Intercollegiate Guidelines Network (SIGN) to appraise the risk of bias. Results: Among 911 articles screened, 15 were included for descriptive analysis. Fourteen of the 15 studies were pre-versus post-implementation studies and one was a multi-centre cluster randomised controlled trial (RCT). Among 10 studies (580,604 hospital admissions) analysed for mortality, we found an increased risk (pooled RR 1.18, 95% CI 1.01-1.38, p = 0.036) in the group without PEWS compared to the group with PEWS. The sensitivity analysis performed without the RCT (436,065 hospital admissions) showed a non-significant relationship (pooled RR 1.17, 95% CI 0.98-1.40, p = 0.087). Among four studies (168,544 hospital admissions) analysed for unplanned code events, there was an increased risk in the group without PEWS (pooled RR 1.73, 95%CI 1.01-2.96, p = 0.046) There were no differences in the rate of cardiopulmonary arrests or critical deterioration events between groups. Our findings were limited by potential confounders and imprecision among included studies. ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| العلاقة: | https://biblio.ugent.be/publication/01GTERV6F5HNED6TZRDBK03E1VTest; http://hdl.handle.net/1854/LU-01GTERV6F5HNED6TZRDBK03E1VTest; http://dx.doi.org/10.1016/j.resplu.2022.100262Test; https://biblio.ugent.be/publication/01GTERV6F5HNED6TZRDBK03E1V/file/01GTERZFHWPVQ7YQKJDTFS0D8YTest |
| DOI: | 10.1016/j.resplu.2022.100262 |
| الإتاحة: | https://doi.org/10.1016/j.resplu.2022.100262Test https://biblio.ugent.be/publication/01GTERV6F5HNED6TZRDBK03E1VTest http://hdl.handle.net/1854/LU-01GTERV6F5HNED6TZRDBK03E1VTest https://biblio.ugent.be/publication/01GTERV6F5HNED6TZRDBK03E1V/file/01GTERZFHWPVQ7YQKJDTFS0D8YTest |
| حقوق: | Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Public License (CC BY-NC-ND 4.0) ; info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.74343D7D |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.resplu.2022.100262 |
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