Gorelick et al reported the Revised Pediatric Emergency Assessment Tool (RePEAT) for evaluating pediatric patients in the Emergency Department (ED). One component is a model for probability of being admitted from the ED. The authors are from the Medical College of Wisconsin, Children's Research Institute of Milwaukee, Children's Hospital of Philadelphia, duPont Hospital for Children and the University of Pennsylvania.
Patient selection: pediatric patient in the Emergency Department
Parameters:
(1) complain quintile ranking (Pediatric Emergency Reason for Visit Clusters, see Table 2)
(2) age group
(3) triage category
(4) arrival via emergency medical services
(5) currently taking prescription medications
(6) heart rate as multiple of age-appropriate norm
(7) respiratory rate as multiple of age-appropriate norm
(8) temperature in °C
Parameter
Finding
Points
complaint ranking
quintile 1
0
quintile 2
1.594
quintile 3
1.824
quintile 4
2.299
quintile 5
2.555
age group
< 3 months
0
3 to 24 months
-0.984
> 24 months
-1.255
triage category
nonurgent
0
urgent
1.835
emergent
3.009
arrival by EMS
no
0
yes
0.739
prescription meds
no
0
yes
0.287
heart rate
0.934 * ((heart rate) / (norm))
respiratory rate
0.283* ((RR) / (norm))
temperature
0.144 * (temperature)
X =
= SUM(points for all 8 parameters) - 11.368
probability of hospital admission =
= 1 / (1 + EXP((-1) * X))
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