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OpenTrials
Completed

NCT Number: NCT04180306

PEWS Implementation in an LMIC Setting

The PEWS implementation study will be undertaken with the following objectives:

1. Assess the effectiveness of implementation of PEWS and resuscitation training to identify patients at risk for clinical deterioration and to impact the frequency of clinical interventions made by treating providers on these patients. 2. Assess the effectiveness of implementation of PEWS and resuscitation training to impact time sensitive clinical interventions made on patients at risk for clinical deterioration. 3. Assess the impact of implementation of PEWS and resuscitation training on length of stay for patients admitted to the pediatric oncology ward.

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Key information

Conditions

Oncology Neoplasms

Age range

0 year–12 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Beit Jala Hospital, Bethlehem, Palestinian Territories

Loading trial locations.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients eligible for the study are defined as pediatric patients (between birth and 12 years of age) admitted and subsequently discharged from the pediatric oncology ward in Beit Jala, Palestine and Gaza City, Palestine between March 2019 to June 2020

Exclusion criteria

  • Patients will be excluded if they are not admitted to inpatient status. No oncology outpatients such as those in the infusion program will be included.

Treatment and study plan

pediatric early warning scoring system and resuscitation curriculum

Other

teaching resuscitation to medical providers and implementing a scoring tool to help identify patients at risk for clinical deterioration in an inpatient setting

Primary outcomes

  1. Elevated Pediatric Early Warning Score (PEWS)

    Time frame: 1 year

    frequency of patients whose PEWS score indicates 'risk for clinical deterioration' and receive a clinical intervention. PEWS 3 or greater (Scale is PEWS 0-6) is defined as at risk for clinical deterioration with a higher score concerning for worse clinical outcome.

Secondary outcomes

  1. Time to antibiotics

    Time frame: 1 year

    Time to antibiotics defined as time from documented vital signs/PEWS to time of antibiotic administration measured in minutes

  2. Time to IV fluid bolus

    Time frame: 1 year

    Time to fluids defined as time from documented vital signs/PEWS to time of documented IV fluid bolus measured in minutes

  3. Volume of IV fluids

    Time frame: 1 year

    Volume of fluids received defined as volume given up to 60 minutes after the initiation of the first fluid bolus measured in milliliters

  4. Length of stay

    Time frame: 1 year

    Length of stay for all patients admitted to the inpatient ward

Sponsors and collaborators

Lead sponsor

Boston Children's Hospital

Other

Registry information

Official study title

Implementation of Pediatric Early Warning Scores and a Context-adapted Resuscitation Training Course to Improve Outcomes in an LMIC Pediatric Inpatient Oncology Ward

Acronym: PEWSPAL

Important dates

Study start
2019
Primary completion
2022
Study completion
2023
First posted
Nov 27, 2019
Registry last updated
Jan 10, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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