Table 3.
PEWS-like-score (PEWS-LS) and critical deterioration in hospitalized pediatric hematology-oncology patients.
| All events | Critical deterioration | Not critical deterioration | p-value | |
|---|---|---|---|---|
| n = 184 | n = 92 | n = 92 | ||
| Hours of available data prior in 48 h prior to event, median (IQR) | 46.5 (28.0, 47.6) | 46.3 (25.6, 47.5) | 46.8 (31.0, 47.8) | 0.235a |
| PEWS-LS at time of PICU transfer, median (IQR) | 4 (2, 4) | 4 (3, 5) | 3 (1, 4) | <0.001a |
| Max PEWS-LS in 48 h prior to PICU transfer, median (IQR) | 5 (4, 6) | 5.5 (4, 6) | 4 (4, 6) | 0.001a |
| Percent of available time intervals in 48 h prior to PICU transfer with PEWS-LS ≥, median (IQR) | ||||
| PEWS-LS ≥3 | 34.6% (9.8%, 72.4%) | 47.4% (14.0%, 76.7%) | 27.2% (7.9%, 65.0%) | 0.023a |
| PEWS-LS ≥4 | 10.9% (1.8%, 35.1%) | 15.2% (3.2%, 39.8%) | 8.9% (0.5%, 31.2%) | 0.045a |
| PEWS-LS ≥5 | 1.5% (0%, 11.1%) | 3.0% (0%, 13.7%) | 0% (0%, 9.5%) | 0.008a |
| Events with ≥6 h vital sign data | Critical deterioration | Not critical deterioration | p-value | |
| n = 174 | n = 84 | n = 90 | ||
| Time (minutes) in 12 h prior to PICU transfer from first abnormal PEWS-LS, median (IQR)* | ||||
| PEWS-LS ≥3 | 615.0 (225.0, 720.0) | 652.5 (367.5, 720.0) | 562.5 (150.0, 720.0) | 0.043a |
| PEWS-LS ≥4 | 540.0 (0.0, 720.0) | 622.5 (90.0, 720.0) | 405.0 (0.0, 720.0) | 0.028a |
| PEWS-LS ≥5 | 60.0 (0.0, 720.0) | 397.5 (0.0, 720.0) | 0.0 (0.0, 705.0) | 0.007a |
*
Only events with at least 6 h of vital sign data prior to event start were included in this analysis (10 events excluded due to lack of adequate vital sign data).
a
Wilcoxon.
IQR, Inter-Quartile Range; PEWS-LS, Pediatric Early Warning System-Like-Score.