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Baseline Characteristics of the Paediatric Observation Priority Score in Emergency Departments outside Its Centre of Derivation

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journal contribution
posted on 02.08.2017, 09:37 by Damian Roland, Fawaz Arshad, Tim Coats, Ffion Davies
Objectives and Background. Scoring systems in Emergency Departments (EDs) are rarely validated. This study aimed to examine the Paediatric Observation Priority Score (POPS), a method of quantifying patient acuity, in EDs in the United Kingdom, and determine baseline performance characteristics. Methods. POPS was implemented in 4 EDs for children (ages of 0 to 16) with participants grouped into 3 categories: discharged from ED, discharged but with return within 7 days, and admitted for less or more than 24 hours. Results. 3323 participants with POPS scores ranging from 0 to 11 (mean = 2.33) were included. The proportion of each POPS score varied between sites with approximately 10–20% being POPS 0 and 12–25% POPS greater than 4. Odds ratio of readmission with POPS 5–9 against 0–4 was 2.05 (CI 1.20 to 3.52). POPS 0–4 showed no significant difference (p = 0.93) in relation to admission/discharge rates between sites with a significant difference found (p < 0.01) for POPS > 5. Conclusion. It is feasible to implement POPS into EDs with similar performance characteristics to the original site of development. There is now evidence to support a wider health service evaluation to refine and improve the performance of POPS.

History

Citation

BioMed Research International, 2017 (2017), Article ID 9060852, 5 pages

Author affiliation

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

Version

VoR (Version of Record)

Published in

BioMed Research International

Publisher

Hindawi Publishing Corporation

issn

2314-6133

eissn

2314-6141

Acceptance date

16/05/2017

Copyright date

2017

Available date

02/08/2017

Publisher version

https://www.hindawi.com/journals/bmri/2017/9060852/

Language

en

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