A retrospective study of Brighton Pediatric Early Warning Score in children with hand-foot-mouth disease / 中国实用护理杂志

ABSTRACT

Objective To retrospectively analyze the effect of Brighton Pediatric Early Warning Score (Brighton PEWS) on the disease identification of children with hand-foot-mouth disease(HFMD). Methods Collected the hospital medical records of the children from January 2016 to July 2017 in our hospital, then compared the identification of the Brighton PEWS with the real outcomes, and analyzed the prediction effect of the Brighton PEWS by plotting the ROC curve. Results The study retrospectively analyze 619 cases of medical records, The area under the ROC curve of the Brighton PEWS was 0.838 (P<0.01), when the cut-off was 1.5, the maximum Youden value was 0.532, the sensitivity was 63.4%, and the identification was 89.8%. Conclusions The Brighton PEWS had a good identification when the cut-off was 1.5, but the sensitivity was low, we need to improve the sensitivity of the Brighton PEWS by combining with the characteristics of HFMD.