Roland et al.3737. Roland DT, Lewis G, Fielding P, Hakim C, Watts A, Davies F. The Pediatric Observational Priority Score: a system to aid detection of serious illness and assist in safe discharge. Open J Emerg Med. 2016;4:38-44. https://doi.org/10.4236/ojem.2016.42006 https://doi.org/10.4236/ojem.2016.42006...
2016 – POPS |
Validation of the POPS as a triage tool. |
936 |
Observational prospective |
The POPS demonstrated an ability to help healthcare professionals make decisions. |
Cotterill et al.3838. Cotterill S, Rowland AG, Kelly J, Lees H, Kamara M. Diagnostic accuracy of PAT-POPS and ManChEWS for admissions of children from the emergency department. Emerg Med J. 2016;33:756-62. https://doi.org/10.1136/emermed-2015-204647 https://doi.org/10.1136/emermed-2015-204...
2016 – POPS |
Investigation of the ManchEWS and POPS ability to predict hospital admission. |
2068 |
Prospective cohort |
The POPS was a more accurate predictor of risk for hospital admission in EDs than the ManchEWS. The POPS appeared to be clinically appropriate for use in pediatric ED. |
Roland et al.3939. Roland D, Arshad F, Coats T, Davies F. Baseline characteristics of the Pediatric Observation Priority Score in emergency departments outside its centre of derivation. BioMed Res Int. 2017;9060852:1-5. https://doi.org/10.1155/2017/9060852 https://doi.org/10.1155/2017/9060852...
2017 – POPS |
To examine the utility of the POPS in a pediatric ED and determine its performance. |
3323 |
Prospective cohort |
It is feasible to implement the POPS in EDs; it had performance characteristics similar to those of the original development site. |
Riaz et al.4040. Riaz S, Rowland A, Woby S, Long T, Livesley J, Cotterill S, et al. Refining and testing the diagnostic accuracy of an assessment tool (PAT-POPS) to predict admission and discharge of children and young people who attend an emergency department: protocol for an observational study. BMC Pediatr. 2018;18:303. https://doi.org/10.1186/s12887-018-1268-7 https://doi.org/10.1186/s12887-018-1268-...
2018 – POPS |
To refine and test the diagnostic accuracy of the PAT-POPS in predicting admission and discharge of children in ED. |
16,000 Minimum estimated sample |
Observational retrospective |
This predictive tool can help in hospitalization and discharge decisions for children and youth in ED. |
Bradman et al.4242. Bradman K, Maconochie I. Can paediatric early warning score be used as a triage tool in paediatric accident and emergency? Eur J Emerg Med. 2008;15:359-60. https://doi.org/10.1097/MEJ.0b013e3283026208 https://doi.org/10.1097/MEJ.0b013e328302...
2008 – PEWS |
To determine whether the PEWS can identify children requiring hospitalization during triage |
424 |
Observational prospective |
The PEWS showed low sensitivity in predicting the need for hospitalization |
Seiger et al.4343. Seiger N, Maconochie I, Oostenbrink R, Moll HA. Validity of different pediatric early warning scores in the emergency department. Pediatrics. 2013;132:e841-50. https://doi.org/10.1542/peds.2012-3594 https://doi.org/10.1542/peds.2012-3594...
2013 – PEWS |
To compare PEWS performance in EDs to predict hospital or ICU stays |
17,943 |
Prospective cohort |
The discriminatory ability of the PEWS was moderate to good for predicting ICU admission and poor to moderate for predicting hospital admission. |
Gold et al.4444. Gold DL, Mihalov LK, Cohen DM. Evaluating the Pediatric Early Warning Score (PEWS) system for admitted patients in the pediatric emergency department. Acad Emerg Med. 2014;21:1249-56. https://doi.org/10.1111/acem.12514 https://doi.org/10.1111/acem.12514...
2014 – PEWS |
To determine whether the PEWS predicts the need for ICU admission |
12,306 |
Observational prospective |
High scores were associated with the need for ICU admission. The study did not demonstrate that the PEWS could determine hospital discharge or predict deterioration. |
Horeczko et al.4646. Horeczko T, Enriquez B, McGrath NE, Gausche-Hill M, Lewis RJ. The Pediatric Assessment Triangle: accuracy of its application by nurses in the triage of children. J Emerg Nurs. 2013;39:182-9. https://doi.org/10.1016/j.jen.2011.12.020 https://doi.org/10.1016/j.jen.2011.12.02...
2013 – PAT |
To determine the reliability and accuracy of the PAT as applied by nurses. |
528 |
Observational prospective |
The PAT quickly and reliably identified acute pediatric patients and their pathophysiological conditions. |
Fernandez et al.4747. Fernández A, Ares MI, Garcia S, Martinez-Indart L, Mintegi S, Benito J. The validity of the Pediatric Assessment Triangle as the first step in the triage process in a pediatric emergency department. Pediatr Emerg Care. 2017;33:234-8. https://doi.org/10.1097/PEC.0000000000000717 https://doi.org/10.1097/PEC.000000000000...
2017 – PAT |
To evaluate the association between PAT findings in triage and severity markers of patients in pediatric ED. |
302,103 |
Retrospective cohort |
PAT findings were an independent risk factor for hospital admission, ICU admission, and length of ED stay. It is a valid tool to identify more severe patients as a first step in the triage process. |
Paniagua et al.4848. Paniagua N, Elosegi A, Duo I, Fernandez A, Mojica E, Martinez-Indart L, et al. Initial asthma severity assessment tools as predictors of hospitalization. J Emerg Med. 2017;53:10-7. https://doi.org/10.1016/j.jemermed.2017.03.021 https://doi.org/10.1016/j.jemermed.2017....
2017 – PAT |
To assess the performance of the PAT in predicting hospitalization, ICU admission, and length of stay at the ED in children with asthma exacerbation. |
14,953 |
Retrospective cohort |
PAT is a good predictor of hospital admission. Abnormality in PAT is an independent risk factor for hospital admission and length of stay. |