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Scoring systems in paediatric emergency care: Panacea or paper exercise?

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journal contribution
posted on 2016-05-05, 08:48 authored by Damian Roland, Kevin McCaffery, Ffion Davies
Scoring systems to recognise the most ill patients, or those at risk of deterioration, are increasingly utilised in hospitals that look after paediatric inpatients. There have been efforts to implement these systems in emergency and urgent care settings, but they have yet unproven value. This is because the child or young person presenting acutely is a different cohort than the ‘treated’ ward-based group. The majority of children presenting to emergency and urgent care settings are discharged home, and so, scoring systems need to recognise the most unwell but also assist in safe and appropriate discharge as well as highlighting those patients in need of more senior review. This article explores this conundrum, suggesting how cognitive factors have a role to play, and how scoring systems can have wider effects than just individual patient care.

History

Citation

Journal of Paediatrics and Child Health, 2016, 52 (2), pp. 181–186

Author affiliation

/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/School of Medicine/Department of Health Sciences

Version

  • AM (Accepted Manuscript)

Published in

Journal of Paediatrics and Child Health

Publisher

Wiley

issn

1034-4810

eissn

1440-1754

Acceptance date

2015-10-27

Copyright date

2015

Available date

2017-02-01

Publisher version

http://onlinelibrary.wiley.com/doi/10.1111/jpc.13123/abstract

Language

en

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