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Clinical profile of pediatric patients with COVID‐19 admitted to Southern Philippines Medical Center before vaccine rollout

Rica Marie B. Andico ; Ameleen B. Bangayan ; Jo-anne J. Lobo

Southern Philippines Medical Center Journal of Health Care Services.2025;11(1):1-3.

Human ; Philippines ; Patients ; Vaccines ; Covid‐19

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Linear IgA bullous dermatosis in a 7‐year‐old Filipino male: Case in images.

Kirk Llew V. Quijote ; Bryan Edgar K. Guevara

Southern Philippines Medical Center Journal of Health Care Services.2025;11(1):1-4.

Human ; Male ; Child: 6-12 Yrs Old ; Linear Iga Bullous Dermatosis ; Immunoglobulin A ; Skin Diseases

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BUCAS centers - enhancing access to urgent and ambulatory care in underserved areas across the country.

Alvin S. Concha

Southern Philippines Medical Center Journal of Health Care Services.2025;11(1):1-3.

Costs And Cost Analysis ; Delivery Of Health Care

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Accuracy of the Brighton Pediatric Early Warning Score in detecting clinical deterioration events among pediatric patients: Retrospective cohort study

Giselle Godin ; Mae Anne Cansino-Valeroso ; Diana M. Dadia

Southern Philippines Medical Center Journal of Health Care Services.2025;11(1):8-8.

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.

OBJECTIVE

To determine the accuracy of PEWS in detecting clinical deterioration events (CDE) among pediatric patients seen at the emergency department (ED).

DESIGN

Retrospective cohort study.

PARTICIPANTS

Pediatric patients aged 1 month to 18 years seen at the ED.

SETTING

Southern Philippines Medical Center Emergency Department, Davao City, Philippines from January 2021 to December 2022.

MAIN OUTCOME MEASURES

Area 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 RESULTS

Among 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; p < 0.001), oxygen saturation (93.00% vs 98.00%; p < 0.001), and pediatric Glasgow Coma Scale scores (8.00 vs 15.00; p < 0.0001) compared to those without CDE. Heart rate (135.00 vs 111.00 beats per minute; p < 0.001), and respiratory rate (32.50 vs 24.00 breaths per minute; p < 0.001) were significantly higher in patients with CDE. The two groups also differed significantly in terms of comorbidity distribution (p < 0.001) and diagnosis (p < 0.001). The AUC of Brighton PEWS was 0.9064 (95% CI 0.8716 to 0.9357), with an optimal cut-off score of ≥4.00. This threshold yielded 76.79% sensitivity, 88.58% specificity, 56.60% PPV, 95.20% NPV, 6.72 LR+, and 0.26 LR-.

CONCLUSION

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.