ArticleHeliyon2025
Analysis of the accuracy of disease prediction in pediatric ward patients based on the modified early warning score for children: A randomized controlled trial.
Article in Heliyon, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed.
- Care Pathway and Outcomes in Pediatric Septic Shock: A Narrative Review from Emergency Department Recognition to PICU Management.Children (Basel, Switzerland) · 2026Review
- Based on C-CHEWS study on the application value of comprehensive perioperative nursing based on scoring in critically ill children with pediatric cardiovascular surgery.Frontiers in pediatrics · 2025Article
- Risk Factors for Postoperative Respiratory Events After Pediatric Microlaryngoscopy and Bronchoscopy.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-facialeArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Due to their young age and limited ability to communicate, pediatric patients in internal medicine wards are at risk of nursing assessment errors, which can lead to adverse events and disputes. Objective: To explore the application effect of modified pediatric early warning score (PEWS) in the early identification of critically ill children in pediatric general wards. Design: A single-blind, two-arm randomized controlled trial was conducted using a convenience sampling method. Methods: A study was conducted on 300 pediatric inpatients admitted to the pediatric ward of a tertiary hospital in Guangdong Province between June 2021 and December 2023. The patients were randomly divided into an observation group (150 cases) and a control group (150 cases) using a random number table. The control group received standard treatment based on medical orders, along with routine basic and specialized nursing care. The observation group received an intervention combining the PEWS with a graded nursing management model. The PEWS scores of the observation group were analyzed upon admission, and the value of PEWS in assessing the severity of illness was evaluated using a receiver operating characteristic (ROC) curve. The study also compared treatment outcomes, complication rates, mortality, and parental satisfaction between the two groups. Results: The observation group showed significantly lower mortality, complication rates, length of hospital stay, and hospitalization costs compared to the control group ( Conclusion: As an effective tool for assessing patient conditions, the probability of receiving nursing care significantly increases for patients with a modified PEWS score above 1. The modified PEWS is valuable for early identification of illness and assessing changes in patient conditions. It enables timely recognition of deterioration and the provision of personalized nursing interventions, thereby reducing the incidence of complications in critically ill patients, preventing further deterioration, shortening hospital stays, and lowering hospitalization costs, ultimately improving parental satisfaction. This approach is worth promoting.
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Registered trials
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