Parshuram et al reported a Bedside Paediatric Early Warning System score. The authors are from the Hospital for Sick Children in Toronto and the University of Toronto.
Patient selection: pediatric patients
Parameters: 4 core and 4 non-core
Core Parameters:
(1) heart rate in beats per minute
(2) respiratory rate in breaths per minute
(3) respiratory effort
(4) oxygen therapy
Noncore parameters:
(1) systolic blood pressure in mm Hg
(2) capillary refill in seconds
(3) oxygen saturation in percent
(4) body temperature in °C
|
Heart Rate Points |
<= 0.25 years |
0.26-1.00 years |
1 - 4 years |
4-12 years |
> 12 years |
|
4 |
<= 80 |
<= 70 |
<= 60 |
<= 50 |
<= 40 |
|
2 |
81 - 90 |
71 - 80 |
61 - 70 |
51 - 60 |
41 - 49 |
|
1 |
91 - 110 |
81 - 100 |
71 - 90 |
61 - 70 |
50 - 60 |
|
0 |
111 - 149 |
101 - 149 |
91 - 119 |
71 - 109 |
61 - 99 |
|
1 |
150 - 179 |
150 - 169 |
120 - 149 |
110 - 129 |
100 - 119 |
|
2 |
180 - 189 |
170 - 179 |
150 - 169 |
130 - 150 |
120 - 139 |
|
4 |
>= 190 |
>= 180 |
>= 170 |
> 150 |
>= 140 |
|
Systolic BP Points |
<= 0.25 years |
0.26-1.00 years |
1 - 4 years |
4-12 years |
> 12 years |
|
4 |
<= 45 |
<= 60 |
<= 65 |
<= 70 |
<= 75 |
|
2 |
46 - 50 |
61 - 70 |
66 - 75 |
71 - 80 |
76 - 85 |
|
1 |
51 - 60 |
71 - 80 |
76 - 90 |
81 - 90 |
86 - 100 |
|
0 |
61 - 79 |
81 - 99 |
91 - 109 |
91 - 119 |
101 - 120 |
|
1 |
80 - 99 |
100 - 119 |
110 - 124 |
120 - 139 |
130 - 149 |
|
2 |
100 - 129 |
120 - 149 |
125 - 159 |
140 - 169 |
150 - 189 |
|
4 |
>= 130 |
>= 150 |
>= 160 |
>= 170 |
>= 190 |
|
Respiratory Rate Points |
<= 0.25 years |
0.26-1.00 years |
1 - 4 years |
4-12 years |
> 12 years |
|
4 |
<= 15 |
<= 15 |
<= 12 |
<= 10 |
<= 9 |
|
2 |
16 - 19 |
16 - 19 |
13 - 15 |
11 - 14 |
10 |
|
1 |
20 - 29 |
20 - 24 |
16 - 19 |
15 - 19 |
11 |
|
0 |
30 - 60 |
25 - 50 |
20 - 40 |
20 - 30 |
12 - 16 |
|
1 |
61 - 80 |
51 - 70 |
41 - 60 |
31 - 40 |
17 - 22 |
|
2 |
81 - 90 |
Purpose: To evaluate a pediatric patient using the Bedside Paediatric Early Warning System score of Parshuram et al. Objective: differential diagnosis and mimics, red flags ICD-10: , |
