Gorelick et al reported the Revised Pediatric Emergency Assessment Tool (RePEAT) for evaluating pediatric patients in the Emergency Department (ED). One component is a model for probability of an intervention in the ED. The authors are from the Medical College of Wisconsin, Children's Research Institute of Milwaukee, Children's Hospital of Philadelphia, duPont Hospital for Children and the University of Pennsylvania.
Patient selection: pediatric patient in the Emergency Department
Parameters:
(1) complain quintile ranking (Pediatric Emergency Reason for Visit Clusters, see Table 2)
(2) age group
(3) triage category
(4) arrival via emergency medical services (EMS)
(5) currently taking prescription medications
(6) heart rate as multiple of age-appropriate norm
(7) respiratory rate as multiple of age-appropriate norm
(8) temperature in °C
Parameter
Finding
Points
complaint ranking
quintile 1
0
quintile 2
0.033
quintile 3
0.379
quintile 4
1.059
quintile 5
1.950
age group
< 3 months
0
3 to 24 months
-0.048
> 24 months
0.463
triage category
nonurgent
0
urgent
0.946
emergent
2.002
arrival by EMS
no
0
yes
0.658
prescription meds
no
0
yes
0.325
heart rate
0.648 * ((heart rate) / (norm))
respiratory rate
0.493* ((RR) / (norm))
temperature
0.112 * (temperature)
X =
= SUM(points for all 8 parameters) - 6.077
probability of ED intervention =
= 1 / (1 + EXP((-1) * X))
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