PMID- 36897705 OWN - NLM STAT- MEDLINE DCOM- 20230314 LR - 20230916 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 102 IP - 10 DP - 2023 Mar 10 TI - The value of Pediatric Early Warning Score combined with SBAR in neonatal pneumonia nursing: A retrospective cohort study. PG - e33197 LID - 10.1097/MD.0000000000033197 [doi] LID - e33197 AB - To observe the effect of the Pediatric Early Warning System (PEWS) score combined with the situation-background-assessment-recommendation (SBAR) shift communication system in neonates with severe pneumonia in the pediatric intensive care unit. A total of 230 neonates admitted to the pediatric intensive care unit of our hospital from January 2018 to January 2021 were enrolled in this study. Participants were divided into an experimental group (110 patients, PEWS score combined with SBAR shift communication system) and a control group (120 patients, routine diagnosis and treatment and shift change). The early recognition rate, incidence of handover problems, and prognosis of critically ill children in the 2 groups were analyzed. Compared to the control group, the correct recognition rate of disease observation and early recognition rate of critically ill children in the experimental group were significantly higher, and the incidence of handover problems was significantly lower (P < .05). There was no significant difference in the incidence of asphyxia, heart failure, and toxic encephalopathy between both groups. The application of the PEWS score combined with the SBAR shift communication system can facilitate timely identification of deterioration of the condition of children with severe pneumonia, reduce handover problems, and help to implement interventions or rescue according to the changes in a patient's condition, which may be beneficial in improving the patient's prognosis. CI - Copyright (c) 2023 the Author(s). Published by Wolters Kluwer Health, Inc. FAU - Ye, Lei AU - Ye L AD - Department of Pediatrics, Nantong First People's Hospital, Nantong, Jiangsu, China. FAU - Zhu, Meijun AU - Zhu M FAU - Hong, Fei AU - Hong F FAU - Zhang, Weiyan AU - Zhang W FAU - Song, Lei AU - Song L AUID- ORCID: 0000-0001-7325-478 LA - eng PT - Journal Article PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R SB - IM MH - Child MH - Infant, Newborn MH - Humans MH - Retrospective Studies MH - *Early Warning Score MH - Critical Illness MH - Prognosis MH - *Pneumonia PMC - PMC9997798 COIS- The authors have no conflicts of interest to disclose. EDAT- 2023/03/11 06:00 MHDA- 2023/03/15 06:00 PMCR- 2023/03/10 CRDT- 2023/03/10 12:04 PHST- 2023/03/10 12:04 [entrez] PHST- 2023/03/11 06:00 [pubmed] PHST- 2023/03/15 06:00 [medline] PHST- 2023/03/10 00:00 [pmc-release] AID - 00005792-202303100-00040 [pii] AID - 10.1097/MD.0000000000033197 [doi] PST - ppublish SO - Medicine (Baltimore). 2023 Mar 10;102(10):e33197. doi: 10.1097/MD.0000000000033197.