Development of a Modified Pediatric Early Warning Score: a French Prospective Multicentre Regional Study

Development of a Modified Pediatric Early Warning Score: a French Prospective Multicentre Regional Study.

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT02304341

Enrollment

3016

Registered

2014-12-01

Start date

2012-09-01

Completion date

2015-01-01

Last updated

2026-04-22

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

Conditions

Critical Illness

Keywords

critical illness, disease progression, child, severity of illness index, monitoring

Brief summary

Children are admitted in intermediate units when the severity requires continuous monitoring. In France, Resources allocated to intermediate units are determined from lists of diagnoses and associated acts to additional budget. A score to assess the severity of illness may be associated with acts to develop an activity indicator easy to use. The investigators have chosen 2 scores to assess severity in intermediate cares : the Paediatric Advanced Warning Score (PAWS) and the Bedside Pediatric Early System Score (PEWS). In France, they have not been validated. The correlation between the severity of children and the associated diagnoses and acts has not been studied. The main objective of this study is to validate these 2 scores. The secondary objective is to determine a simplified activity indicator.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

1 Days to 18 Years

Healthy volunteers

Inclusion criteria

* All children admitted to the paediatric inpatient unit

Exclusion criteria

* parental refusal

Design outcomes

Primary

Measure	Time frame	Description
Changed inPaediatric Advanced Warning Score (PAWS)	at admission and each 8 hours, up to 5 days	Temperature, Capillary Refill Time (CRT), respiratory rate, heart rate,neurological status, oxygen saturation, respiratory distress measure at admission, each 8 hours and if deteriorations

Secondary

Measure	Time frame	Description
Changed in Pediatric Early Warning System score (PEWS)	at admission and each 8 hours, up to 5 days	heart rate, systolic blood pressure, Capillary Refill Time (CRT), respiratory rate, respiratory effort,transcutaneous oxygen saturation and oxygen therapy are measured at admission, each 8 hours and if deteriorations
Transfer in pediatric intensive care (YES/NO)	at each 8 hours, up to 5 days	this secondary outcome is evaluated when the bedPEWS and PAWS scores are collected : at admission, each 8 hours and if deterioration

Countries

France

Contacts

PRINCIPAL_INVESTIGATORStephane LETEURTRE, MD

University Hospital, Lille

Outcome results