응급실 방문한 소아 열 환자에서 Pediatric Risk of Admission 점수 I 및 II와 C-반응단백질 결합모형의 입원 예측성적
Performance of the combined models of Pediatric Risk of Admission scores I and II, and C-reactive protein for prediction of hospitalization in febrile children who visited the emergency department
정진석, 김태윤, 김동훈, 강창우, 이수훈, 정진희, 이상봉,
소속 상세정보
정진석 ( Jeong Jin-Seok )
경상대학교병원 응급의학과
김태윤 ( Kim Tae-Yun )
경상대학교병원 응급의학과
김동훈 ( Kim Dong-Hoon )
경상대학교병원 응급의학과
강창우 ( Kang Chang-Woo )
경상대학교병원 응급의학과
이수훈 ( Lee Soo-Hoon )
경상대학교병원 응급의학과
정진희 ( Jeong Jin-Hee )
경상대학교병원 응급의학과
이상봉 ( Lee Sang-Bong )
경상대학교병원 응급의학과
Abstract
Purpose: To study the performance of the combined models of Pediatric Risk of Admission (PRISA) scores I and II and C-reactive protein (CRP) for prediction of hospitalization in febrile children who visited the emergency department.
Methods: We reviewed febrile children aged 4 months to 17 years who visited a tertiary hospital emergency department between January and December 2017. White blood cell count, CRP concentration, the PRISA scores, and systemic inflammatory response syndrome score were calculated. We compared areas under the curves (AUCs) of the admission decision support tools for hospitalization using receiver operating characteristic curve analysis.
Results: Of 1,032 enrolled children, 423 (41.0%) were hospitalized. CRP and the PRISA scores were significantly higher in the hospitalization group than in the discharge group (all P < 0.001). Among the individual tools, CRP showed the highest AUC (0.69; 95% confidence interval [CI], 0.66-0.72). AUC was 0.71 (95% CI, 0.69-0.74) for the combined model of the PRISA I score and CRP, and 0.71 (95% CI, 0.68-0.74) for that of the PRISA II score and CRP. The AUC of PRISA score I and CRP combined was significantly higher than that of isolated CRP (P=0.048).
Conclusion: The combined model of the PRISA I score and CRP may be useful in predicting hospitalization of febrile children in emergency departments.
키워드
Area Under Curve; C-Reactive Protein; Decision Support Techniques; Fever; Patient Admission
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