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.
Study Type
OBSERVATIONAL
Enrollment
3,016
Centre Hospitalier Général
Arras, France
Centre hospitalier général
Boulogne-sur-Mer, France
Centre Hospitalier Général
Cambrai, France
Centre Hospitalier Général
Douai, France
Centre Hospitalier général
Dunkirk, France
Centre Hospitalier Général
Lens, France
Centre Hospitalier Général
Roubaix, France
Changed inPaediatric Advanced Warning Score (PAWS)
Temperature, Capillary Refill Time (CRT), respiratory rate, heart rate,neurological status, oxygen saturation, respiratory distress measure at admission, each 8 hours and if deteriorations
Time frame: at admission and each 8 hours, up to 5 days
Changed in Pediatric Early Warning System score (PEWS)
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
Time frame: at admission and each 8 hours, up to 5 days
Transfer in pediatric intensive care (YES/NO)
this secondary outcome is evaluated when the bedPEWS and PAWS scores are collected : at admission, each 8 hours and if deterioration
Time frame: at each 8 hours, up to 5 days
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