Share This Article:

The Paediatric Observation Priority Score: A System to Aid Detection of Serious Illness and Assist in Safe Discharge

Full-Text HTML XML Download Download as PDF (Size:938KB) PP. 38-44
DOI: 10.4236/ojem.2016.42006    1,042 Downloads   1,703 Views   Citations


The Paediatric Observation Priority Score (POPS) is a bespoke assessment tool for use in Paediatric Emergency Departments incorporating traditional physiological parameters alongside more subjective observational criteria. Initial performance characteristics of POPS were analysed in a convenience sample of 936 presentations to ED. Triage on the basis of gut instinct parameters identified an additional 261 patients deemed of lowest acuity compared to analysis by physiology scores. Resource consumption increased with increasing acuity on presentation. POPS shows promise in assisting in the assessment process of children presenting to Emergency Departments. Inclusion of subjective triage criteria helps contextualise the physiological parameter scoring by using the experience of staff conducting triage. Initial interpretation of presenting physiology gives a more informed assessment of initial acuity, and thus is better able to identify a child who can be safely managed in the community. The system also allows for rapid detection of those most unwell.

Cite this paper

Roland, D. , Lewis, G. , Fielding, P. , Hakim, C. , Watts, A. and Davies, F. (2016) The Paediatric Observation Priority Score: A System to Aid Detection of Serious Illness and Assist in Safe Discharge. Open Journal of Emergency Medicine, 4, 38-44. doi: 10.4236/ojem.2016.42006.


[1] Gill, P., Goldacre, M., Mant, D., et al. (2013) Increase in Emergency Admissions to Hospital for Children Aged under 15 in England, 1999-2010: National Database Analysis. Archives of Disease in Childhood, 98, 32-34.
[2] Van Veen, M., Steyerberg, E.W., Ruige, M., van Meurs, A.H., Roukema, J., van der Lei, J., et al. (2008) Manchester Triage System in Paediatric Emergency Care: Prospective Observational Study. BMJ, 337, a1501.
[3] Seiger, N., Maconochie, I. and Oostenbrink, R. (2013) Validity of Different Pediatric Early Warning Scores in the Emergency Department. Pediatrics, 132, e841-e850.
[4] Bradman, K. and Maconochie, I. (2008) Can Paediatric Early Warning Score Be Used as a Triage Tool in Paediatric Accident and Emergency? European Journal of Emergency Medicine, 15, 359-360.
[5] Roland, D., Davies, F. and Coats, T. (2014) The Paediatric Observation Priority Score (POPS): Outcomes of 24000 Patients. Archives of Disease in Childhood, 99, A24.
[6] Rowland, A., Cotterill, S., Lees, H., et al. (2014) The Paediatric Observation Priority Score (POPS): A More Accurate Predictor of Admission Risk from the Emergency Department than the Manchester Children’s Early Warning System (ManChEWS). Archives of Disease in Childhood, 99, A8.
[7] Challen, K. and Roland, D. (2016) An Early Warning Scores: A Health Warning. EMJ Published Online First 4 January 2016.

comments powered by Disqus

Copyright © 2017 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.