Accuracy of the Brighton Pediatric Early Warning Score in detecting clinical deterioration events among pediatric patients: Retrospective cohort study.
- Author:
Giselle GODIN
1
;
Mae Anne CANSINO-VALEROSO
1
;
Diana M. DADIA
1
Author Information
- Publication Type:Journal Article, Original
- Keywords: Trigger System
- MeSH: Human; Emergency Departments; Emergency Service, Hospital; Resuscitation; Mortality
- From: Southern Philippines Medical Center Journal of Health Care Services 2025;11(1):8-8
- CountryPhilippines
-
Abstract:
BACKGROUND
Pediatric Early Warning Scores (PEWS) help identify children at risk of clinical deterioration, but their accuracy across diverse settings, populations, interventions, and outcomes remains unexplored.
OBJECTIVETo determine the accuracy of PEWS in detecting clinical deterioration events (CDE) among pediatric patients seen at the emergency department (ED).
DESIGNRetrospective cohort study.
PARTICIPANTSPediatric patients aged 1 month to 18 years seen at the ED.
SETTINGSouthern Philippines Medical Center Emergency Department, Davao City, Philippines from January 2021 to December 2022.
MAIN OUTCOME MEASURESArea under the curve (AUC) of PEWS in detecting CDE; Brighton PEWS optimal cut-off and its sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), positive likelihood ratio (+LR), and negative likelihood ratio (-LR).
MAIN RESULTSAmong the 345 patients, 56 experienced CDE and 289 did not. Patients with CDE had significantly lower median age (1.00 year vs 5.00 years; pCONCLUSION
The Brighton PEWS demonstrates strong diagnostic accuracy in predicting CDE among pediatric patients. A cut-off score of ≥4.00 offers a balanced combination of sensitivity, specificity, and likelihood ratios for ED application.
