Effect of a Pediatric Early Warning System on All-Cause Mortality in Hospitalized Pediatric Patients The EPOCH Randomized Clinical Trial
Effect of a Pediatric Early Warning System on All-Cause Mortality in Hospitalized Pediatric Patients The EPOCH Randomized Clinical Trial
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DOI：
10.1001/jama.2018.0948
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发表时间：
2018-03-13
影响因子：
120.7
通讯作者：
Tomlinson, George A.
中科院分区：
文献类型：
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作者：
Parshuram, Christopher S.;Dryden-Palmer, Karen;Tomlinson, George A.
重要性 有限的证据表明，使用儿科患者的疾病严重程度评分可以促进及时入住重症监护病房或改善患者预后。 目的 确定床边儿科早期预警系统 (BedsidePEWS) 对全因医院死亡率、延迟入住重症监护病房 (ICU)、心脏骤停和 ICU 资源使用的影响。 设计、设置和参与者 这是一项对 7 个国家 21 家医院进行的多中心集群随机试验（比利时、加拿大、英格兰、爱尔兰、意大利、新西兰和荷兰）为婴儿（胎龄 >= 37 周）到青少年（年龄
IMPORTANCE There is limited evidence that the use of severity of illness scores in pediatric patients can facilitate timely admission to the intensive care unit or improve patient outcomes.OBJECTIVE To determine the effect of the Bedside Paediatric Early Warning System (BedsidePEWS) on all-cause hospital mortality and late admission to the intensive care unit (ICU), cardiac arrest, and ICU resource use.DESIGN, SETTING, AND PARTICIPANTS A multicenter cluster randomized trial of 21 hospitals located in 7 countries (Belgium, Canada, England, Ireland, Italy, New Zealand, and the Netherlands) that provided inpatient pediatric care for infants (gestational age >= 37 weeks) to teenagers (aged