Early warning system of clinical deterioration in pediatric patients with common cold

Abstract

Purpose: The aim of this study was to determine significant indicators of the pediatric early warning system (PEWS) in patients with common cold of moderate severity. Design and methods. The study was conducted in the children infectious disease hospital at the Moscow Multidisciplinary Clinical Center «Kommunarka» from September 1, 2022, to November 30, 2022. The analysis of 512 clinical records of children with a clinical picture of uncomplicated common cold who received treatment at the infectious disease hospital was carried out. All patients had a moderately severe form of the disease. For early detection of the risk of clinical deterioration in children, the PEWS scale, developed in the UK, was used. Results. Upon admission to the hospital, the PEWS score was counted in all children. In 63 patients (main group) the overall PEWS score was 3 points or higher, in 449 patients (comparison group) the PEWS score did not exceed 2 points. We found that in children with common cold and a moderate course of the disease, an increase in the total PEWS score in the main and comparison groups was registered due to changes in the cardiovascular system in 50 (79.4 ± 10.9%) and 108 (24, 1 ± 4.1%) patients, respectively; and respiratory system in 37 (58.7 ± 12.8%) and 40 (8.9 ± 2.6%) patients, respectively, P < 0.05.Conclusion. In this study for the first time in the Russian Federation the PEWS scale was used in children with common cold to early identify the risk of clinical deterioration.

Keywords

• pews
• risks
• common cold
• children