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Table 3 Patient characteristics associated with escalation of carea

From: Escalation of care in children at high risk of clinical deterioration in a tertiary care children’s hospital using the Bedside Pediatric Early Warning System

Characteristic

Univariate

Multivariate

Coeff

p value

95% CI

Coeff

p value

95% CI

Age

 1 year

-

-

-

-

-

-

 1- < 5 years

0

1

-0.74–0.74

-0.30

0.3

-0.88–0.27

 5- < 12 years

1

0.085

-0.14–2.14

-0.75

0.5

-1.27–0.57

 ≥ 12 years

1

0.032

0.09–1.91

-0.77

0.06

-1.56–0.02

Chronic disease

-2

 < 0.001

-2.5—-1.45

-0.90

0.01

-1.61-—1.20

Diagnosis

 Respiratory

-

-

-

-

-

-

 Cardiovascular

-1

0.005

-1.7—0.3

-0.63

0.09

-1.44- 0.09

 Neurological

-1

0.05

-2–0.01

-0.07

0.89

-1.05–0.91

 Onco-haematological

0

1

-0.84–0.84

0.72

0.15

-0.27–1.71

 Other

0

1

-1.7–1.7

0.16

0.88

-1.05–1.91

Isolation

1

0.001

0.42–1.58

0.67

0.009

0.17–1.17

Medical devices

0

1

-0.64–0.64

0.32

0.27

-0.27–0.97

Medications (≥ 10)

-1

0.001

-1.59–0.4

-0.60

0.04

-1.19- -0.02

Transitions

 No transitions

-

-

-

-

-

-

 24 h from ER or primary service

2

 < 0.001

1.40–2.60

0.47

0.18

-0.21–1.15

 48 h from PICU

0

1

-0.84–0.84

- 0.67

0.13

-1.53–0.21

 48 h from other wards

1

0.07

-0.1–2.1

-0.23

0.68

-1.35–0.89

Maximum BPEWS

0.13

0.02

0.02–0.2

0.21

 < 0.001

0.12–0.30

  1. BPEWS BedsidePEWS, ER = Emergency Room, PICU Pediatric Intensive Care Unit
  2. a Data are from 228 patients. Factors associated to the Highest median Escalation Index are described through a multivariable quantile regression. Significant associations found patients with higher escalation index values had greater BedsidePEWS scores and were more often in isolation. Less escalation of care occurred in patients with chronic disease and those receiving more than 10 medications. Diagnosis, presence of medical devices, transitions of care and age were not associated with the extent of escalation in multi-variable models