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高敏度重置风险儿科屏幕 (HARRPS) 工具的验证研究©:预测儿科人口中的重置风险

Sarah Bradshaw¹, Blair Buenning¹, Samantha Chesnut¹

¹Children's Mercy Hospital, United States of America.

Journal of pediatric nursing

|July 22, 2023

概括

高敏度再录取风险儿科屏幕 (HARRPS) 工具得到了验证,显示了预测儿科再录取的准确性. 该工具被改进为两种风险类别,增强其用于识别有风险儿童的临床实用性.

科学领域:

儿科医疗保健研究的研究.
临床风险评估工具临床风险评估工具
医疗信息学医疗信息学

背景情况:

高敏度再接收风险儿科查 (HARRPS) 工具最初是使用回顾性数据来识别儿科再接收风险而开发的.
这项研究旨在验证 HARRPS 工具并评估包括入院诊断在预测准确性的影响.

研究的目的:

为了验证 HARRPS 工具在预测30天儿科再入院的有效性.
确定是否包括入院诊断改善了该工具的预测性能.
在HARRPS工具中完善风险分类.

主要方法:

一个单一的,回顾性图表审查比较了儿科患者和没有30天的再入院在12个月的时间.
这项研究采用了与初始 HARRPS 工具研究相同的统计方法.
分析了不同于初始研究的不同子集的患者数据.

主要成果:

验证研究实现了较高的c统计值 (AUC) 0.80 (没有诊断) 和0.83 (有诊断) 与初始研究的0.68.8相比.
风险评分的解释得到了改进,将中等风险和高风险类别合并为单一的"有风险"类别 (得分3+).
排除入院诊断导致预测准确度名义上下降 (c-统计值0.80对比0.83).

结论:

哈里普斯工具的c-统计值为0.80,显示了儿童再入院的强有力的预测性能,优于其他已建立的风险评估工具.
由于对预测准确性的影响很小,入院诊断已从 HARRPS 工具中删除.
该工具已更新为两类风险分层 (低风险和再入院风险),以改善临床应用.

关键词:

护理管理护理管理案例管理案例管理哈里普斯 (HARRIPS) 工具的使用方法儿科再接收医疗服务再接收的风险是再接收的风险.风险分层是指风险的分层.

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