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Risk classification of children and adolescents: priority of care in the emergency unit

Fernanda Jorge Magalhães1, Francisca Elisângela Teixeira Lima2, Lorena Pinheiro Barbosa2

  • 1Universidade de Pernambuco. Recife, Pernambuco, Brazil.

Revista Brasileira De Enfermagem
|September 23, 2020
PubMed

Insights

The Pediatric Risk Classification Protocol effectively categorizes pediatric emergency patients. This validated health technology ensures efficient prioritization of care for children and adolescents in emergency settings.

Area of Science:

  • Pediatric Emergency Medicine
  • Healthcare Management

Background:

  • Hospital emergency departments frequently manage pediatric patients.
  • Accurate and timely risk classification is crucial for effective pediatric care.

Purpose of the Study:

  • To assess the clinical conditions of pediatric emergency patients.
  • To evaluate the risk classification accuracy using the Pediatric Risk Classification Protocol.

Main Methods:

  • A cross-sectional study involving 200 pediatric patients.
  • Utilized an instrument based on the Pediatric Risk Classification Protocol.
  • Employed odds ratio for statistical analysis.

Main Results:

  • Most participants were male, in early childhood, and attended daycare.
  • Common clinical findings included changes in vital signs (24.5%) and respiratory signs (20.0%).
  • A significant proportion were classified as urgent (35.5%) or non-urgent (45.0%), with a higher likelihood of very urgent classification.

Conclusions:

  • The Pediatric Risk Classification Protocol demonstrated effectiveness in patient assessment.
  • The protocol is a reliable health technology for prioritizing pediatric emergency care.
  • This tool aids in determining the urgency of care for children and adolescents.
Abstract

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