George et al reported two Paediatric Emergency Triage (PET) scores, one with and one without laboratory values. These can help to identify a sick child who should receive more aggressive management. The authors are participants of the Fluid As Expansive Supportive Therapy (FEAST) trial.
Patient: sick child in Africa from 13 to 38 months of age
Parameters:
(1) axillary temperature in °C
(2) heart rate in beats per minute
(3) capillary refill time in seconds
(4) level of consciousness
(5) respiratory distress
(6) lung crepitations
(7) pallor
(8) pulse strength
|
Parameter |
Finding |
Points |
|
axillary temperature |
<= 37°C |
1 |
|
|
> 37°C |
0 |
|
heart rate |
< 80 beats per minute |
2 |
|
|
80 to 104 beats per minute |
1 |
|
|
105 to 219 beats per minute |
0 |
|
|
>= 220 beats per minute |
2 |
|
capillary refill time |
< 2 seconds |
0 |
|
|
>= 2 seconds |
1 |
|
level of consciousness |
normal |
0 |
|
|
prostrate |
1 |
|
|
coma |
2 |
|
respiratory distress |
absent |
0 |
|
|
present |
1 |
|
lung crepitations |
absent |
0 |
|
|
present |
1 |
|
pallor |
absent |
0 |
|
|
present |
1 |
|
pulse strength |
normal to strong |
0 |
|
|
weak |
1 |
total PET score =
= SUM(points for all 8 parameters)
Interpretation:
• minimum score: 0
• maximum score: 10
• The higher the score the sicker the child.
Performance:
• The area under the ROC curve was 0.82.
Specialty: Pedatrics
