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Title: Baseline Characteristics of the Paediatric Observation Priority Score in Emergency Departments outside Its Centre of Derivation
Authors: Roland, Damian
Arshad, Fawaz
Coats, Tim
Davies, Ffion
First Published: 24-Jul-2017
Publisher: Hindawi Publishing Corporation
Citation: BioMed Research International, 2017 (2017), Article ID 9060852, 5 pages
Abstract: Objectives and Background. Scoring systems in Emergency Departments (EDs) are rarely validated. This study aimed to examine the Paediatric Observation Priority Score (POPS), a method of quantifying patient acuity, in EDs in the United Kingdom, and determine baseline performance characteristics. Methods. POPS was implemented in 4 EDs for children (ages of 0 to 16) with participants grouped into 3 categories: discharged from ED, discharged but with return within 7 days, and admitted for less or more than 24 hours. Results. 3323 participants with POPS scores ranging from 0 to 11 (mean = 2.33) were included. The proportion of each POPS score varied between sites with approximately 10–20% being POPS 0 and 12–25% POPS greater than 4. Odds ratio of readmission with POPS 5–9 against 0–4 was 2.05 (CI 1.20 to 3.52). POPS 0–4 showed no significant difference (p = 0.93) in relation to admission/discharge rates between sites with a significant difference found (p < 0.01) for POPS > 5. Conclusion. It is feasible to implement POPS into EDs with similar performance characteristics to the original site of development. There is now evidence to support a wider health service evaluation to refine and improve the performance of POPS.
DOI Link: 10.1155/2017/9060852
ISSN: 2314-6133
eISSN: 2314-6141
Version: Publisher Version
Status: Peer-reviewed
Type: Journal Article
Rights: Copyright © the authors, 2017. This is an open-access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Appears in Collections:Published Articles, Dept. of Cardiovascular Sciences

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