Refining and testing the diagnostic accuracy of an assessment tool (PAT-POPS) to predict admission and discharge of children and young people who attend an emergency department: protocol for an observational study
Abstract Background Increasing attendances by children (aged 0–16 years) to United Kingdom Emergency Departments (EDs) challenges patient safety within the National Health Service (NHS) with health professionals required to make complex judgements on whether children attending urgent and emergency c...
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doaj-dc9ace59fee14a76818a0ca72b8753472020-11-25T00:44:05ZengBMCBMC Pediatrics1471-24312018-09-011811910.1186/s12887-018-1268-7Refining and testing the diagnostic accuracy of an assessment tool (PAT-POPS) to predict admission and discharge of children and young people who attend an emergency department: protocol for an observational studySamah Riaz0Andrew Rowland1Steve Woby2Tony Long3Joan Livesley4Sarah Cotterill5Calvin Heal6Damian Roland7Clinical Research Unit, Fairfield General HospitalEmergency Department, North Manchester General HospitalNorthern Care Alliance NHS GroupSchool of Health & Society, University of SalfordSchool of Health & Society, University of SalfordCentre for Biostatistics, University of ManchesterCentre for Biostatistics, University of ManchesterSAPHIRE Group, Health Sciences, University of LeicesterAbstract Background Increasing attendances by children (aged 0–16 years) to United Kingdom Emergency Departments (EDs) challenges patient safety within the National Health Service (NHS) with health professionals required to make complex judgements on whether children attending urgent and emergency care services can be sent home safely or require admission. Health regulation bodies have recommended that an early identification systems should be developed to recognise children developing critical illnesses. The Pennine Acute Hospitals NHS Trust Paediatric Observation Priority Score (PAT-POPS) was developed as an ED-specific tool for this purpose. This study aims to revise and improve the existing tool and determine its utility in determining safe admission and discharge decision making. Methods/design An observational study to improve diagnostic accuracy using data from children and young people attending the ED and Urgent Care Centre (UCC) at three hospitals over a 12 month period. The data being collected is part of routine practice; therefore opt-out methods of consent will be used. The reference standard is admission or discharge. A revised PAT-POPs scoring tool will be developed using clinically guided logistic regression models to explore which components best predict hospital admission and safe discharge. Suitable cut-points for safe admission and discharge will be established using sensitivity and specificity as judged by an expert consensus meeting. The diagnostic accuracy of the revised tool will be assessed, and it will be compared to the former version of PAT-POPS using ROC analysis. Discussion This new predictive tool will aid discharge and admission decision-making in relation to children and young people in hospital urgent and emergency care facilities. Trial registration NIHR RfPB Grant: PB-PG-0815-20034. ClinicalTrials.gov: 213469. Retrospectively registered on 11 April 2018.http://link.springer.com/article/10.1186/s12887-018-1268-7PaediatricEmergency departmentDiagnostic accuracyEarly identification systems, screening toolObservationalEarly warning score |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Samah Riaz Andrew Rowland Steve Woby Tony Long Joan Livesley Sarah Cotterill Calvin Heal Damian Roland |
spellingShingle |
Samah Riaz Andrew Rowland Steve Woby Tony Long Joan Livesley Sarah Cotterill Calvin Heal Damian Roland Refining and testing the diagnostic accuracy of an assessment tool (PAT-POPS) to predict admission and discharge of children and young people who attend an emergency department: protocol for an observational study BMC Pediatrics Paediatric Emergency department Diagnostic accuracy Early identification systems, screening tool Observational Early warning score |
author_facet |
Samah Riaz Andrew Rowland Steve Woby Tony Long Joan Livesley Sarah Cotterill Calvin Heal Damian Roland |
author_sort |
Samah Riaz |
title |
Refining and testing the diagnostic accuracy of an assessment tool (PAT-POPS) to predict admission and discharge of children and young people who attend an emergency department: protocol for an observational study |
title_short |
Refining and testing the diagnostic accuracy of an assessment tool (PAT-POPS) to predict admission and discharge of children and young people who attend an emergency department: protocol for an observational study |
title_full |
Refining and testing the diagnostic accuracy of an assessment tool (PAT-POPS) to predict admission and discharge of children and young people who attend an emergency department: protocol for an observational study |
title_fullStr |
Refining and testing the diagnostic accuracy of an assessment tool (PAT-POPS) to predict admission and discharge of children and young people who attend an emergency department: protocol for an observational study |
title_full_unstemmed |
Refining and testing the diagnostic accuracy of an assessment tool (PAT-POPS) to predict admission and discharge of children and young people who attend an emergency department: protocol for an observational study |
title_sort |
refining and testing the diagnostic accuracy of an assessment tool (pat-pops) to predict admission and discharge of children and young people who attend an emergency department: protocol for an observational study |
publisher |
BMC |
series |
BMC Pediatrics |
issn |
1471-2431 |
publishDate |
2018-09-01 |
description |
Abstract Background Increasing attendances by children (aged 0–16 years) to United Kingdom Emergency Departments (EDs) challenges patient safety within the National Health Service (NHS) with health professionals required to make complex judgements on whether children attending urgent and emergency care services can be sent home safely or require admission. Health regulation bodies have recommended that an early identification systems should be developed to recognise children developing critical illnesses. The Pennine Acute Hospitals NHS Trust Paediatric Observation Priority Score (PAT-POPS) was developed as an ED-specific tool for this purpose. This study aims to revise and improve the existing tool and determine its utility in determining safe admission and discharge decision making. Methods/design An observational study to improve diagnostic accuracy using data from children and young people attending the ED and Urgent Care Centre (UCC) at three hospitals over a 12 month period. The data being collected is part of routine practice; therefore opt-out methods of consent will be used. The reference standard is admission or discharge. A revised PAT-POPs scoring tool will be developed using clinically guided logistic regression models to explore which components best predict hospital admission and safe discharge. Suitable cut-points for safe admission and discharge will be established using sensitivity and specificity as judged by an expert consensus meeting. The diagnostic accuracy of the revised tool will be assessed, and it will be compared to the former version of PAT-POPS using ROC analysis. Discussion This new predictive tool will aid discharge and admission decision-making in relation to children and young people in hospital urgent and emergency care facilities. Trial registration NIHR RfPB Grant: PB-PG-0815-20034. ClinicalTrials.gov: 213469. Retrospectively registered on 11 April 2018. |
topic |
Paediatric Emergency department Diagnostic accuracy Early identification systems, screening tool Observational Early warning score |
url |
http://link.springer.com/article/10.1186/s12887-018-1268-7 |
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