敏感度和特异性诊断是用来指示住院的必要性和预测严重疾病的儿童

摘要

Ushna Javaid, Ammad Amjad, Maryam Mahmood, Farrukh Addil*, Sameer Ahmed

目的:预先警告分数(席位),这是合法的危机部门,是不太接受的预防早期虚弱的住院青少年。预计将评估两种PEWSs(通常用于住院和第一个严重疾病)的情感和信息活动。方法:拒绝提供患者所需资料。我们目前的研究是2020年5月至2021年4月在拉合尔的梅奥医院进行的。已经进行了临床和严格的分析。我们在三种紧张的职业中应用了指导方针和通常的理解,以确定在无法获得的评估是至关重要的。结果:1940例患者被粉碎。213人被确认(12%)。临床治疗1640例(87%),谨慎治疗277例(15%)。相对表现布莱顿和海岸座位。 Emergency Clinic Verification-PEWS so 4 (94 INTRODUCTION Since the Brighton Score approval in 20051, other children's early warning scores have been utilized to detect the early deterioration of the infant in hospital. Together with the Pakistan Maternal and Childhood Report, 'Why children bite dust,' the Pakistan National Patient Safety Agency and the Public Hospital and Care Excellence Institute suggested early detection levels to assist children with the beginnings of the underlying illness in the clinic (Considine J, et al, 2019). Although their unlimited performance, the qualitative alterations thought proper, making approval varied for various scores. Introducing an urgent concentration of 4 hours in Pakistan. In order to achieve the continued management decision, a 5-hour emphasis in Pakistan emergency departments is introduced (Pinto C, et al., 2018). 6 Seats using the Brighton- and COAST systems generally employed have been constructed so that trends in the physiological condition of the patient may be reflected and the decay process identified early and the hospitalized kid can thus be quickly identified. In any case, in order to avoid the needs of a health clinic for confirmation, or the severity of the disease, the validity of "pre-vising" the physiological boundaries in the emergency department is not recognized (Burrell AR, et al., 2016). As the usage of PEWS in emergency services rises, the predictive capacity of this instrument must be known to forecast emergency confirmation and a substantial indicant disease. There are just two explicit studies PEWS capability to predict admission in emergency department percent) was clean, though unnoticeable (34 percent). The area below the AUC was low at 0.693. The AUC is low. Major allegation: PEWS was 95 percent very clear, nevertheless, not sensitive enough in clinical diseases (45 percent). The AUC was 0.756 per person for Brighton and COAST PEWS. The two scores were unsuccessful in predicting critical careful nausea (AUC 0.644). Seats=4 have been successful in predicting major respiratory diseases-76%, 92% specified affectivity. Conclusion: Brighton and Coast Pews both had good results. A score of the fourth is quite certain Therefore, unprotected effectiveness for clinical confirmation and important disease prediction. A high PEWS, however, is a poor prerequisite for confirmation of actual sickness.

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