scholarly journals Comparison of Kristjansson Respiratory Score and Wang Respiratory Score in infants with bronchiolitis in a hospital emergency department

2020 ◽  
Vol 40 (02) ◽  
pp. 145-153
Author(s):  
Frederico Ramos Pinto ◽  
Liane Correia-Costa ◽  
Inês Azevedo
Keyword(s):  
Emergency Department ◽  
Emergency Room ◽  
Internal Consistency ◽  
Health Professionals ◽  
Prospective Observational Study ◽  
Intraclass Correlation ◽  
Weighted Kappa ◽  
Hospital Emergency ◽  
Rater Reliability ◽  
Hospital Emergency Room

Objective: Several respiratory scores have been created to evaluate bronchiolitis’ severity level, but it is still not clear which is the best score. The aim of this study is to compare the Wang Respiratory Score (WRS) and the Kristjansson Respiratory Score (KRS) in the setting of an emergency room. Methods: We performed a prospective observational study with 60 infants with bronchiolitis admitted to a paediatric emergency department. For both scores, we assessed inter-rater reliability between two different health professionals (physician and physiotherapist), internal consistency, and correlation with SpO2 testing the intraclass-correlation coefficient (ICC), weighted kappa, Cronbach [Formula: see text] coefficient and Spearman tests, respectively. Results: The inter-rater reliability was higher in KRS (ICC 0.79) and the Cronbach [Formula: see text] and weighted kappa had similar values in KRS versus WRS. The correlation between the KRS/WRS and SpO2 was poor/moderate upon admission and discharge for the first observer and the second observer. Conclusions: While the internal consistency was similar in both scores, inter-rater reliability of KRS was higher than WRS, which allows us to conclude that it would have more consistent results when used to assess bronchiolitis’ level of severity by health personnel in a busy hospital emergency room.

scholarly journals For which reasons are newborns brought to the emergency department?

2021 ◽  
Vol 106 (106(813)) ◽  
pp. 165-176
Author(s):  
M. Heppe-Montero ◽  
E. Martínez-Sánchez ◽  
F. Olivas-Monteagudo ◽  
J.A. Quesada ◽  
F. Aleixandre-Blanquer
Keyword(s):  
Emergency Department ◽  
Emergency Room ◽  
Emergency Services ◽  
Hospital Emergency Department ◽  
Hospital Emergency ◽  
Upper Respiratory Infection ◽  
Self Employment ◽  
Younger Age ◽  
Hospital Emergency Room ◽  
Socio Demographic Factors

Objectives: Compare what sanitary and socio-demographic factors present the newborns that were attended in the hospital emergency room in regard to the newborns who don’t visit the hospital during their first month of life. Methods: A retrospective observational case-control study was performed, considering as cases those neonates who were brought to the hospital emergency department during their first month of life, matched with control of their same sex and age, born in the hospital but that hadn’t visited the emergency room. Results: 15.15% of the newborns were brought to the hospital emergency department during the year of the study. The main risk factors associated with the visits to the emergency room were: Unemployment, self-employment, and the mother’s younger age. The main reasons why the newborns were brought were: Phisiological phenomena of the newborn (17.4%), upper respiratory infection (13.4%), and colic or crying (12.8%). Conclusions: Newborns can manifest a wide variety of symptoms and signs that, due to their non-specificity, generate anxiety in their parents and can generate numerous visits to the emergency services, with a higher probability of hospitalization due to their young age and the physician’s caution, rather than due to severity of the illness.

scholarly journals Use of the ReSVinet Scale for parents and healthcare workers in a paediatric emergency service: a prospective study

2021 ◽  
Vol 5 (1) ◽  
pp. e000966
Author(s):  
Jhon Camacho-Cruz ◽  
Shirley Briñez ◽  
Jorge Alvarez ◽  
Victoria Leal ◽  
Licet Villamizar Gómez ◽  
...  
Keyword(s):  
Prospective Study ◽  
Emergency Room ◽  
Health Professionals ◽  
Emergency Service ◽  
Weighted Kappa ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Paediatric Emergency ◽  
A Prospective Study ◽  
Spearman’S Correlation

IntroductionMost scales for acute respiratory infection (ARI) are limited to healthcare worker (HCW) use for clinical decision-making. The Respiratory Syncytial Virus network (ReSVinet) Scale offers a version for parents that could potentially help as an early warning system.ObjectiveTo determine whether or not the ReSVinet Scale for ARI in infants can be reliably used by HCWs and parents in an emergency service.MethodsA prospective study was done of infants with ARI who were admitted to a paediatric emergency room to assess the ReSVinet Scale when used by faculty (paediatric doctor-professors), residents (doctors doing their first specialty in paediatrics) and parents. Spearman’s correlation and a weighted kappa coefficient were used to measure interobserver agreement. Internal consistency was also tested by Cronbach’s alpha test.ResultsOverall, 188 patients, 58% male, were enrolled. A Spearman’s correlation of 0.92 for faculty and resident scoring and 0.64 for faculty or resident and parent scoring was found. The weighted kappa coefficients were 0.78 for faculty versus residents, 0.41 for faculty versus parents, and 0.41 for residents versus parents. Cronbach’s alpha test was 0.67 for faculty, 0.62 for residents and 0.69 for parents.ConclusionThere was good correlation in the ReSVinet scores between health professionals when used in the paediatric emergency area. Agreement between parents and health professionals was found to be more variable. Future studies should focus on finding ways to improve its reliability when used by parents before the scale is used in the emergency room.

Hospital emergency room simulation

1999 ◽  
Vol 31 (1) ◽  
pp. 92-94 ◽  
Author(s):  
Viera K. Proulx
Keyword(s):  
Emergency Room ◽  
Hospital Emergency ◽  
Hospital Emergency Room

Abstract W P359: Stroke Symptom Identification: Using a Modified ROSIER SCALE at Emergency Room Triage

Stroke ◽  
2015 ◽  
Vol 46 (suppl_1) ◽  
Author(s):  
Deborah Bergman ◽  
Keyword(s):  
Emergency Room ◽  
Team Member ◽  
Assessment Tool ◽  
Stroke Patients ◽  
Hospital Emergency ◽  
Roles And Responsibilities ◽  
Stroke Symptom ◽  
Stroke Team ◽  
Hospital Emergency Room ◽  
Stroke Center

Background and Issues: Stroke patients can arrive to the emergency room via Emergency Medical Services (EMS) or ambulatory at triage. Processes are already in place to identify stroke patients in the field such as the Cincinnati Pre-hospital Stroke Scale used by the Emergency Management Services (EMS) and early notification to the hospital emergency room staff. Data showed that approximately 68% of stroke patients at this stroke center arrived by or were brought to the hospital by self, family, or coworkers and not by EMS. Our main goal was to improve the process for recognizing stroke symptoms for patients who do not arrive by EMS and minimize delays to activating the Stroke Code Team Page in the triage area. Methods: The first step was to identify the barriers or delays that nurses had with initiating a stroke code alert. Stroke code activations were delayed because of uncertainty of who should call it and some nurses did not feel confident in their decision to activate the stroke code alert without consulting the emergency room physician. It was determined that the nurse would feel more empowered if there was more clarity to their roles and responsibilities during the assessment phase and there was an assessment tool available to guide them to the decision to activate the stroke team page. A modified version of the “Recognition of Stroke in the Emergency Room” (ROSIER) scale was implemented for the nurses to evaluate a patient that presents with stroke like symptoms. In addition to clarify their roles a workflow chart was deployed to show each team member their specific roles and responsibilities during this process. Results: Prior to the implementation of the ROSIER scale at triage the activation of stroke codes at triage were inconsistent. After education of the ED nurses and implementation of the ROSIER SCALE at triage there was a significant increase in the activations of stroke codes by ED nurses and a decrease in the time from triage to stroke team activation. Conclusions: Using an assessment tool like the ROSIER Scale in addition to clarifying the roles and responsibilities of the team can reduce delays to identifying acute stroke symptoms in patients at a busy emergency room triage area and improve opportunities for timely interventions.

Unsafe Playgrounds

PEDIATRICS ◽  
1979 ◽  
Vol 64 (6) ◽  
pp. 962-963 ◽  
Author(s):  
Thomas E. Reichelderfer ◽  
Avrin Overbach ◽  
Joseph Greensher
Keyword(s):  
Emergency Room ◽  
Surveillance System ◽  
Hazard Index ◽  
Severity Index ◽  
Product Safety ◽  
Injury Surveillance ◽  
Consumer Product ◽  
Hospital Emergency ◽  
Injury Surveillance System ◽  
Hospital Emergency Room

Pediatricians generally may not be aware that playgrounds and playground equipment present an unsuspected hazard to children. Swings, slides, and playground equipment are ranked fifth in the Consumer Product Hazard Index based on data from the National Electronic Injury Surveillance System (NEISS) of the Consumer Product Safety Commision (CPSC), with an Age Adjusted Frequency-Severity Index of 12,498,000 for 1976 to 1977.1 Last year the CPSC's NEISS estimated that 167,000 persons were administered hospital emergency room treatment on a nationwide basis for injuries associated with public (75,000), home (41,000), and unspecified (51,000) playground equipment. The majority of those injured were between 5 and 10 years of age.

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