Refining and testing the diagnostic accuracy of an assessment tool to predict admission and discharge of children who attend an emergency department: Paediatric Admission Guidance in the Emergency department (PAGE) score
Funded by the National Institute for Health Research (NIHR), this study was designed to support better decision-making in paediatric emergency departments about whether children need to be admitted to hospital or can be discharged home safely. It was conducted over more than 12 months in three dissimilar emergency departments and an urgent care unit. A partnership of the University of Salford, the University of Manchester, and the University of Leicester (and Leicester Hospitals) together with the Northern Care Alliance NHS Group completed the study which has moved into a reporting and dissemination phase. The huge sample of 44,501 children and young people has allowed robust analysis of the factors that exert the greatest impact on predicting the need to admit or the safety of discharging children who attend such departments. Moreover, the diversity of the departments in the study indicates that the PAGE instrument should be effective across the country in a variety of emergency department facilities. PAGE was the highest recruiting study in England in 2018-2019 and is the highest recruiting paediatric study and third highest recruiting study of any specialty in the history of the whole National Institute for Health Research Clinical Research Network.
Funder: NIHR, Research for Patient Benefit (2016): £316,731
Team: Professor Andrew Rowland from University of Salford was a co-investigator.
Rowland AG, Cotterill S, Heal C, Garratt N, Long T, Bonnett LJ, Brown S, Woby S, Roland D. (2020) An observational cohort study with internal and external validation of a predictive tool for identification of children in need of hospital admission from the emergency department: the Paediatric Admission Guidance in the Emergency department (PAGE) score. BMJ Open. 10:e043864. doi:10.1136/bmjopen-2020-043864 Download free full text article
Heal C, Cotterill S, Rowland AG, Garratt N, Long T, Brown S, O’Connor G, Rishton C, Woby S, Roland D (2020) Inter-rater reliability of paediatric emergency assessment: physiological and clinical features. Archives of Disease in Childhood. http://dx.doi.org/10.1136/archdischild-2019-318664 Download free full text article
Riaz S, Rowland A, Woby S, Long T, Livesley J, Cotterill S, Heal C, Roland D (2018) Refining and testing the diagnostic accuracy of an assessment tool (PAT-POPS) to predict admission and discharge of children and young people who attend an emergency department: protocol for an observational study. BMC Pediatrics. 18:303 https://doi.org/10.1186/s12887-018-1268-7
Long T, Rowland A, Cotterill S, Woby S, Heal C, Garratt N, Brown S, Roland D (2020) Opt-out consent in children’s emergency medicine research. Comprehensive Child and Adolescent Nursing doi: 10.1080/24694193.2020.1812766