Abstract：
UNASSIGNED: Vital sign measurement and interpretation are essential components of assessment in the emergency department. We sought to assess the completeness of vital signs documentation (defined as a temperature, heart rate, respiratory rate, blood pressure, and oxygen saturation) in a nationally representative sample of children presenting to the emergency department, characterize abnormal vital signs using pediatric advanced life support (PALS) criteria, and evaluate their association with hospitalization or transfer.
UNASSIGNED: We conducted a retrospective, cross-sectional study using the 2016-2021 National Hospital Ambulatory Medical Care Survey. We evaluated the proportion of children (aged ≤15 years) with complete vital signs and identified characteristics associated with complete vital signs documentation. We assessed the proportion of children having abnormal vital signs when using PALS criteria.
UNASSIGNED: We included 162.7 million survey-weighted pediatric encounters. Complete vital signs documentation was present in 50.8% of encounters. Older age and patient acuity were associated with vital signs documentation. Abnormal vital signs were documented in 73.0% of encounters with complete vital signs and were associated with younger age and hospitalization or transfer. Abnormal vital signs were associated with increased odds of hospitalization or transfer (odds ratio 1.51, 95% confidence interval 1.11-2.04). Elevated heart rate and respiratory rate were associated with hospitalization or transfer.
UNASSIGNED: A low proportion of children have documentation of complete vital signs, highlighting areas in need of improvement to better align with pediatric readiness quality initiatives. A high proportion of children had abnormal vital signs using PALS criteria. Few abnormalities were associated with hospitalization or transfer.
UNASSIGNED: We conducted a retrospective, cross-sectional study using the 2016-2021 National Hospital Ambulatory Medical Care Survey. We evaluated the proportion of children (aged ≤15 years) with complete vital signs and identified characteristics associated with complete vital signs documentation. We assessed the proportion of children having abnormal vital signs when using PALS criteria.
UNASSIGNED: We included 162.7 million survey-weighted pediatric encounters. Complete vital signs documentation was present in 50.8% of encounters. Older age and patient acuity were associated with vital signs documentation. Abnormal vital signs were documented in 73.0% of encounters with complete vital signs and were associated with younger age and hospitalization or transfer. Abnormal vital signs were associated with increased odds of hospitalization or transfer (odds ratio 1.51, 95% confidence interval 1.11-2.04). Elevated heart rate and respiratory rate were associated with hospitalization or transfer.
UNASSIGNED: A low proportion of children have documentation of complete vital signs, highlighting areas in need of improvement to better align with pediatric readiness quality initiatives. A high proportion of children had abnormal vital signs using PALS criteria. Few abnormalities were associated with hospitalization or transfer.
摘要：
■生命体征测量和解释是急诊科评估的重要组成部分。我们试图评估生命体征文件的完整性(定义为温度，心率,呼吸频率,血压,和氧饱和度)在向急诊科就诊的全国代表性儿童样本中，使用儿科高级生命支持（PALS）标准表征异常生命体征，并评估其与住院或转院的关系。
■我们进行了回顾，使用2016-2021年国家医院门诊医疗调查的横断面研究。我们评估了具有完整生命体征的儿童（年龄≤15岁）的比例，并确定了与完整生命体征文献相关的特征。我们使用PALS标准评估了生命体征异常的儿童比例。
■我们包括1.627亿次调查加权的儿科遭遇。在50.8%的遭遇中存在完整的生命体征记录。年龄和患者的视力与生命体征记录有关。在73.0%的生命体征完整的情况下记录了异常的生命体征，并且与年龄较小，住院或转移有关。生命体征异常与住院或转移的几率增加相关(比值比1.51,95%置信区间1.11-2.04)。心率和呼吸频率升高与住院或转移有关。
■有完整生命体征记录的儿童比例很低，强调需要改进的领域，以更好地配合儿科准备质量计划。根据PALS标准，很高比例的儿童有异常的生命体征。很少有异常与住院或转移有关。
■我们进行了回顾，使用2016-2021年国家医院门诊医疗调查的横断面研究。我们评估了具有完整生命体征的儿童（年龄≤15岁）的比例，并确定了与完整生命体征文献相关的特征。我们使用PALS标准评估了生命体征异常的儿童比例。
■我们包括1.627亿次调查加权的儿科遭遇。在50.8%的遭遇中存在完整的生命体征记录。年龄和患者的视力与生命体征记录有关。在73.0%的生命体征完整的情况下记录了异常的生命体征，并且与年龄较小，住院或转移有关。生命体征异常与住院或转移的几率增加相关(比值比1.51,95%置信区间1.11-2.04)。心率和呼吸频率升高与住院或转移有关。
■有完整生命体征记录的儿童比例很低，强调需要改进的领域，以更好地配合儿科准备质量计划。根据PALS标准，很高比例的儿童有异常的生命体征。很少有异常与住院或转移有关。
