PUMA Paediatric early warning systems: Utility and Mortality Avoidance

PUMA Paediatric early warning system (PEWS): Utilisation and Mortality Avoidance. A prospective, mixed methods, before and after study identifying the evidence base for the core components of an effective PEWS and the development of an implementation package for implementation and use in the UK

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

ISRCTN

Registry ID

ISRCTN94228292

Enrollment

Registered

2015-08-18

Start date

2015-04-01

Completion date

Unknown

Last updated

2021-11-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Topic: Children

Interventions

Workstream 1 - The development of a track and trigger tool and an implementation package based on systematic review and expert consultation A systematic review will be conducted in ord

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. All children admitted to the four participating hospital's inpatient units general hospital wards (excluding high dependency and intensive care units) 2. The parents of some of these children 3. The healthcare professionals looking after some of these children

Exclusion criteria

Exclusion criteria: 1. Preterm infants (18 years of age 3. Patients not admitted to the hospital (e.g., those only seen in AED and discharged) 4. Patients admitted directly to PICU or HDU 5. Temporary or agency staff working in these departments

Design outcomes

Primary

Measure	Time frame
The primary outcome measure is the monthly collected rate of mortality and the following critical events: 1. Unplanned admission to Paediatric Intensive Care (PICU) or Paediatric High Dependency Unit (PHDU) 2. Cardiac arrest 3. Respiratory arrest 4. Medical emergencies requiring immediate assistance (arrest calls who were not respiratory or cardiac arrests) 5. Referrals for PICU review (in tertiary centres) or PICU retrieval (DGHs) 6. The Critical Deterioration (CD) metric	—

Measure

Time frame

The primary outcome measure is the monthly collected rate of mortality and the following critical events: 1. Unplanned admission to Paediatric Intensive Care (PICU) or Paediatric High Dependency Unit (PHDU) 2. Cardiac arrest 3. Respiratory arrest 4. Medical emergencies requiring immediate assistance (arrest calls who were not respiratory or cardiac arrests) 5. Referrals for PICU review (in tertiary centres) or PICU retrieval (DGHs) 6. The Critical Deterioration (CD) metric

—

Secondary

Measure	Time frame
The secondary outcome measures are the monthly rates of each of the following critical events in each hospital: 1. Mortality 2. Unplanned admission to PICU or PHDU 3. Cardiac arrest 4. Respiratory arrest 5. Medical emergencies requiring immediate assistance 6. Referrals for PICU review (in tertiary centres) or PICU retrieval (DGHs) 7. CD metric 8. PIM3	—

Countries

England, United Kingdom, Wales

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 23, 2026