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- Title
Pediatric Alert Score (EPA) performance in clinical deterioration.
- Authors
de Lima Oliveira, Thaiane; Freitas Oliveira Miranda, Juliana; Monaghan, Alan Peter; Costa Silva, Renata; de Araujo Santana, Ana Kelly; Vieira Silva, Marina; de Bessa Junior, José; Martins Rocha Ribeiro, Ana Paloma
- Abstract
Objective: To assess the Pediatric Alert Score (EPA) accuracy, usefulness, reproducibility and applicability in identifying clinical deterioration in hospitalized children and adolescents. Methods: This is a prospective diagnostic test study, carried out between October/2018 and October/2019, to measure EPA diagnostic accuracy in a sample of 240 children, and its reproducibility and applicability in a sample of 60 children. Data were processed and analyzed on MedCalc and VassarStats.net. Results: At cut-off point ≥ 3, the score had a sensitivity of 73.6%, specificity of 95.7%, positive predictive value of 83%, negative predictive value of 92.7, area under the ROC curve of 93.6%, estimated prevalence of 19.6%, positive probability ratio of 17.1, positive post-test probability of 77.8%, simple Kappa of 0.946. Conclusion: The study provides evidence on EPA high accuracy, usefulness and reproducibility in identifying clinical deterioration in a Brazilian pediatric hospital setting, and considered the instrument applicable in the context of the research.
- Subjects
CLINICAL deterioration; CHILDREN'S hospitals; PEDIATRICS; COMPARATIVE studies; DESCRIPTIVE statistics; SENSITIVITY &; specificity (Statistics); LONGITUDINAL method
- Publication
Acta Paulista de Enfermagem, 2023, Vol 36, Issue 1, p1
- ISSN
0103-2100
- Publication type
Article
- DOI
10.37689/acta-ape/2023AO008722