You are here

  • Home
  • Online First
  • Retrospective validation of the SPOT PEWScore using over 2 million inpatient observations

Article Text

Article menu
Download PDFPDF
Letter
Retrospective validation of the SPOT PEWScore using over 2 million inpatient observations
  1. Samiran Ray1,2,
  2. Duncan Shepherd3
  3. On behalf of the GOSH Deteriorating Patient QI Steering Group
  1. 1Paediatric Intensive Care Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
  2. 2Infection, Immunity and Inflammation Research and Teaching Department, UCL GOS Institute of Child Health, University College London, London, UK
  3. 3Quality Team, Great Ormond Street Hospital NHS Foundation Trust, London, UK
  1. Correspondence to Dr Samiran Ray; Samiran.ray{at}gosh.nhs.uk

https://doi.org/10.1136/archdischild-2024-327393

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    The national System-wide Paediatric Observations Tracking (SPOT) programme recently developed a Paediatric Early Warning System (PEWS) to standardise the identification and management of deteriorating children across healthcare contexts in England.1 One component of this is the PEWScore, calculated based on age-normative vital sign thresholds. This was developed following review of existing scoring systems, and refined following testing in 15 UK sites.2

    In this retrospective electronic health record study in our tertiary children’s hospital, we evaluated the performance of the SPOT PEWScore in recognising inpatient adverse events (AEs), defined by the need for an emergency ‘#2222’ call, or unplanned intensive care unit (ICU) admission. AE data were matched to the most recent recorded observation data. SPOT PEWScores were calculated retrospectively and compared with the Bedside PEWS score (BPEWScore), currently used in our hospital based on previous validation work.3 4 The two scores differ on age boundaries, vital sign thresholds and the incorporation of breathing support data. …

    View Full Text

    Footnotes

    • X @DrSamRay

    • Collaborators The GOSH Deteriorating Patient QI Group is led by Nuwanthi Yapa Mahathanthila and is steered by the following members: Elizabeth Akers, Johanna Andersson, Katherine L Brown, Charles A Bouvier, Petra Carroll, Sharon Chalkley, Linda Chigaru, David DeBeer, Rhiannon Follett, Catherine Le-Mar, Matko Marlais, Zoe Phillips, Madhuri Raja, Mani Randhawa, Helen Saraqi, Keir Shiels, Amy Sibley, Claire Steele, Lucy Turriff, Sam West and Claire Williams.

    • Contributors SR conceptualised and designed the study, analysed the data and interpreted the results. DS acquired and analysed the data. SR drafted the manuscript, which was reviewed by SR and DS. The work was undertaken on behalf of the GOSH Deteriorating Patient QI Group.

    • Funding This work was undertaken as part of a Trust-wide quality improvement project to improve the care of deteriorating patients at Great Ormond Street Hospital. The authors received funding from the UK Sepsis Trust and Pfizer towards the quality improvement project, although not directly for this work.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.