2022
DOI: 10.1097/pcc.0000000000003095
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Risk Stratifying Febrile Children in the Emergency Department: An Ongoing Challenge*

Abstract: I n this issue of Pediatric Critical Care Medicine, Lenihan et al (1) evaluate the utility of adding the blood biomarkers mid-regional proadrenomedullin (MR-proADM) and procalcitonin to the Pediatric Early Warning Score (PEWS) to risk stratify children who present to the emergency department (ED) with fever. They performed an unplanned secondary analysis of a study of 1,183 febrile children less than 16 years old who underwent blood sampling as part of their ED evaluation. The outcomes included ICU admission, … Show more

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Cited by 1 publication
(2 citation statements)
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“…The exploratory analyses have examined these three outcomes and determined whether presenting levels of procalcitonin and mid-regional pro-adrenomedullin added to the risk stratification using a clinical assessment with pediatric early warning scoring. The accompanying editorial (7) not only provides a detailed discussion about bringing clinical risk stratification tools to the bedside, but also highlights the need for more collaborative research covering the continuum of care from ED to PICU admission.…”
Section: Can We Risk-stratify Febrile Children In the Emergency Depar...mentioning
confidence: 99%
See 1 more Smart Citation
“…The exploratory analyses have examined these three outcomes and determined whether presenting levels of procalcitonin and mid-regional pro-adrenomedullin added to the risk stratification using a clinical assessment with pediatric early warning scoring. The accompanying editorial (7) not only provides a detailed discussion about bringing clinical risk stratification tools to the bedside, but also highlights the need for more collaborative research covering the continuum of care from ED to PICU admission.…”
Section: Can We Risk-stratify Febrile Children In the Emergency Depar...mentioning
confidence: 99%
“…There are six articles about sepsis and shock (1−6). I’m using only four of the sepsis/shock themed articles along with one accompanying editorial (7) as my Editor’s Choice this month, but I encourage you to read all the articles in this theme. The other two themes are featured in the section below titled PCCM Connections for Readers.…”
mentioning
confidence: 99%