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Enhancing Paediatric Deterioration Assessment Across Diverse Skin Tones: Insights and Future Directions
Tianji Zhou1, Xiangling Dong2,3, Hanyang Su2,3,4
1Xiangya School of Nursing, Central South University, Changsha, People's Republic of China.
Background:
Skin tone can affect clinical signs and device accuracy in paediatric anaemia and deterioration detection, creating risks of inequity.
Key Issues:
Studies show disparities in diagnostic accuracy across different skin tones, supported by community-based evidence.
Recommendations:
(1) Build multicenter networks with standardised skin-tone data. (2) Validate devices across varied skin tones. (3) Train clinicians in dark-skin sign recognition. (4) Include equity metrics in paediatric quality indicators.
Conclusion:
Reducing skin-tone bias is essential for equitable paediatric care. Collaborative research across diverse regions is needed.
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