{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,9]],"date-time":"2026-08-09T00:44:29Z","timestamp":1786236269271,"version":"build-2736575974"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T00:00:00Z","timestamp":1774224000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T00:00:00Z","timestamp":1774224000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr"],"DOI":"10.1007\/s00431-026-06878-7","type":"journal-article","created":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T10:57:27Z","timestamp":1774263447000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Prognostic performance and clinical utility of a modified Brighton pediatric early warning score for 24-h ICU admission in a resource-limited pediatric emergency department"],"prefix":"10.1007","volume":"185","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-8800-4725","authenticated-orcid":false,"given":"Ngo C.","family":"Quang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nguyen Q.","family":"Nhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tran D.","family":"Hung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tran Q.","family":"Khai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duong T. K.","family":"Loan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huynh T.","family":"Trung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luu N. N.","family":"Trinh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,23]]},"reference":[{"issue":"9","key":"6878_CR1","first-page":"1625","volume":"10","author":"M Sartini","year":"2022","unstructured":"Sartini M, Carbone A, Demartini A, Giribone L, Oliva M, Spagnolo AM et al (2022) Overcrowding in emergency departments: causes, consequences and solutions \u2013 a narrative review. Healthc (Basel) 10(9):1625","journal-title":"Healthc (Basel)"},{"issue":"11","key":"6878_CR2","doi-asserted-by":"publisher","first-page":"e0336233","DOI":"10.1371\/journal.pone.0336233","volume":"20","author":"LCA Smits","year":"2025","unstructured":"Smits LCA, Datema M, Voskuijl WP, Ngari MM, Kumwenda M, Calis JCJ (2025) Predicting in-hospital mortality in children in low- and middle-income countries: a systematic review and meta-analysis of vital signs and anthropometric measurements. PLoS ONE 20(11):e0336233","journal-title":"PLoS ONE"},{"issue":"4","key":"6878_CR3","doi-asserted-by":"publisher","first-page":"314","DOI":"10.2471\/BLT.04.019505","volume":"84","author":"E Molyneux","year":"2006","unstructured":"Molyneux E, Ahmad S, Robertson A (2006) Improved triage and emergency care for children reduces inpatient mortality in a resource-constrained setting. Bull World Health Organ 84(4):314\u2013319","journal-title":"Bull World Health Organ"},{"issue":"4","key":"6878_CR4","first-page":"249","volume":"29","author":"M Adeboye","year":"2010","unstructured":"Adeboye M, Ojuawo A, Ernest S, Fadeyi A, Salisu O (2010) Mortality pattern within twenty-four hours of emergency pediatric admission in a resource-poor nation health facility. West Afr J Med 29(4):249\u2013252","journal-title":"West Afr J Med"},{"issue":"8","key":"6878_CR5","doi-asserted-by":"publisher","first-page":"e72534","DOI":"10.1371\/journal.pone.0072534","volume":"8","author":"AL Solev\u00e5g","year":"2013","unstructured":"Solev\u00e5g AL, Eggen EH, Schr\u00f6der J, Nakstad B (2013) Use of a modified pediatric early warning score in a department of pediatric and adolescent medicine. PLoS ONE 8(8):e72534","journal-title":"PLoS ONE"},{"key":"6878_CR6","doi-asserted-by":"publisher","first-page":"e2912","DOI":"10.1590\/1518-8345.1733.2912","volume":"25","author":"JOF Miranda","year":"2017","unstructured":"Miranda JOF, Camargo CL, Nascimento CLS, Portela DS, Monaghan A (2017) Accuracy of a pediatric early warning score in the recognition of clinical deterioration. Rev Lat Am Enfermagem 25:e2912","journal-title":"Rev Lat Am Enfermagem"},{"issue":"3","key":"6878_CR7","doi-asserted-by":"publisher","first-page":"e014497","DOI":"10.1136\/bmjopen-2016-014497","volume":"7","author":"V Lambert","year":"2017","unstructured":"Lambert V, Matthews A, MacDonell R, Fitzsimons J (2017) Pediatric early warning systems for detecting and responding to clinical deterioration in children: a systematic review. BMJ Open 7(3):e014497","journal-title":"BMJ Open"},{"issue":"1","key":"6878_CR8","doi-asserted-by":"publisher","first-page":"32","DOI":"10.7748\/paed.17.1.32.s27","volume":"17","author":"A Monaghan","year":"2005","unstructured":"Monaghan A (2005) Detecting and managing deterioration in children. Pediatr Nurs 17(1):32\u201335","journal-title":"Pediatr Nurs"},{"issue":"10","key":"6878_CR9","doi-asserted-by":"publisher","first-page":"e035045","DOI":"10.1136\/bmjopen-2019-035045","volume":"10","author":"M Ogero","year":"2020","unstructured":"Ogero M, Sarguta RJ, Malla L, Aluvaala J, Agweyu A, English M et al (2020) Prognostic models for predicting in-hospital pediatric mortality in resource-limited countries: a systematic review. BMJ Open 10(10):e035045","journal-title":"BMJ Open"},{"issue":"5","key":"6878_CR10","doi-asserted-by":"publisher","first-page":"e022105","DOI":"10.1136\/bmjopen-2018-022105","volume":"9","author":"R Trubey","year":"2019","unstructured":"Trubey R, Huang C, Lugg-Widger FV, Hood K, Allen D, Edwards D et al (2019) Validity and effectiveness of pediatric early warning systems and track and trigger tools for identifying and reducing clinical deterioration in hospitalised children: a systematic review. BMJ Open 9(5):e022105","journal-title":"BMJ Open"},{"key":"6878_CR11","doi-asserted-by":"publisher","first-page":"04235","DOI":"10.7189\/jogh.14.04235","volume":"14","author":"D Brals","year":"2024","unstructured":"Brals D, Pradhan A, Andre-von Arnim AVS, Oron AP, Ngari M, Ngao N et al (2024) Prediction of inpatient mortality in hospitalised children in low- and middle-income countries: an external validation of pediatric mortality risk scores. J Glob Health 14:04235","journal-title":"J Glob Health"},{"key":"6878_CR12","unstructured":"Gilboy N, Tanabe P, Travers D, Rosenau AM (2011) Emergency severity index (ESI): a triage tool for emergency department care, version 4: Implementation Handbook, 2012th edn. Agency for Healthcare Research and Quality, Rockville, MD. AHRQ Publication No. 12\u20130014"},{"issue":"4","key":"6878_CR13","doi-asserted-by":"publisher","first-page":"e763","DOI":"10.1542\/peds.2009-0338","volume":"125","author":"M Akre","year":"2010","unstructured":"Akre M, Finkelstein M, Erickson M, Liu M, Vanderbilt L, Billman G (2010) Sensitivity of the pediatric early warning score to identify patient deterioration. Pediatrics 125(4):e763\u2013e769","journal-title":"Pediatrics"},{"issue":"11","key":"6878_CR14","doi-asserted-by":"publisher","first-page":"1249","DOI":"10.1111\/acem.12514","volume":"21","author":"DL Gold","year":"2014","unstructured":"Gold DL, Mihalov LK, Cohen DM (2014) Evaluating the pediatric early warning score (PEWS) system for admitted patients in the pediatric emergency department. Acad Emerg Med 21(11):1249\u20131256","journal-title":"Acad Emerg Med"},{"issue":"4","key":"6878_CR15","doi-asserted-by":"publisher","first-page":"e841","DOI":"10.1542\/peds.2012-3594","volume":"132","author":"N Seiger","year":"2013","unstructured":"Seiger N, Maconochie I, Oostenbrink R, Moll HA (2013) Validity of different pediatric early warning scores in the emergency department. Pediatrics 132(4):e841\u2013e850","journal-title":"Pediatrics"},{"issue":"8","key":"6878_CR16","doi-asserted-by":"publisher","first-page":"583","DOI":"10.1016\/S2352-4642(20)30139-5","volume":"4","author":"JM Zachariasse","year":"2020","unstructured":"Zachariasse JM, Nieboer D, Maconochie IK, Smit FJ, Alves CF, Greber-Platzer S et al (2020) Development and validation of a pediatric early warning score for use in the emergency department: a multicentre study. Lancet Child Adolesc Health 4(8):583\u2013591","journal-title":"Lancet Child Adolesc Health"},{"issue":"4","key":"6878_CR17","doi-asserted-by":"publisher","first-page":"694","DOI":"10.1111\/ped.12595","volume":"57","author":"C Chaiyakulsil","year":"2015","unstructured":"Chaiyakulsil C, Pandee U (2015) Validation of pediatric early warning score in pediatric emergency department. Pediatr Int 57(4):694\u2013698","journal-title":"Pediatr Int"},{"issue":"5","key":"6878_CR18","doi-asserted-by":"publisher","first-page":"e046360","DOI":"10.1136\/bmjopen-2020-046360","volume":"11","author":"M Soeteman","year":"2021","unstructured":"Soeteman M, Kappen TH, van Engelen M, Kilsdonk E, Koomen E, Nieuwenhuis EES et al (2021) Identifying the critically ill pediatric oncology patient: a study protocol for a prospective observational cohort study for validation of a modified bedside pediatric early warning system score in hospitalised pediatric oncology patients. BMJ Open 11(5):e046360","journal-title":"BMJ Open"},{"issue":"1","key":"6878_CR19","doi-asserted-by":"publisher","first-page":"e30036","DOI":"10.1002\/pbc.30036","volume":"70","author":"M Soeteman","year":"2023","unstructured":"Soeteman M, Kappen TH, van Engelen M, Marcelis M, Kilsdonk E, van den Heuvel-Eibrink MM et al (2023) Validation of a modified bedside pediatric early warning system score for detection of clinical deterioration in hospitalized pediatric oncology patients: a prospective cohort study. Pediatr Blood Cancer 70(1):e30036","journal-title":"Pediatr Blood Cancer"},{"issue":"1","key":"6878_CR20","doi-asserted-by":"publisher","first-page":"520","DOI":"10.1186\/s12887-025-05754-x","volume":"25","author":"A Bracken","year":"2025","unstructured":"Bracken A, Lane S, Siner S, Jones D, Lambert C, Mehta F et al (2025) Assessing the performance of pediatric early warning scores to predict critical deterioration events in hospitalised children (the DETECT study): a retrospective matched case-control study. BMC Pediatr 25(1):520","journal-title":"BMC Pediatr"},{"issue":"5","key":"6878_CR21","doi-asserted-by":"publisher","first-page":"e044091","DOI":"10.1136\/bmjopen-2020-044091","volume":"11","author":"ST Romaine","year":"2021","unstructured":"Romaine ST, Sefton G, Lim E, Nijman RG, Bernatoniene J, Clark S et al (2021) Performance of seven different pediatric early warning scores to predict critical care admission in febrile children presenting to the emergency department: a retrospective cohort study. BMJ Open 11(5):e044091","journal-title":"BMJ Open"},{"issue":"2","key":"6878_CR22","doi-asserted-by":"publisher","DOI":"10.5812\/jcp-146360","volume":"15","author":"KQ Tran","year":"2024","unstructured":"Tran KQ, Van Tran V, Thao Ly N, Trung Truong H, Minh Nguyen P (2024) First steps in constructing the KVAD score to estimate the risk of dehydration in children with acute diarrhea: a case-control study. J Compr Pediatr 15(2):e146360","journal-title":"J Compr Pediatr"},{"issue":"1","key":"6878_CR23","doi-asserted-by":"publisher","first-page":"1","DOI":"10.31584\/jhsmr.2022890","volume":"41","author":"PM Nguyen","year":"2022","unstructured":"Nguyen PM, Phan HV, Vo-Pham-Minh T, Tran AV, Nguyen TT, Nguyen T et al (2022) Comparing pediatric index of mortality 3, pediatric logistic organ dysfunction 2 (PELOD-2), and modified PELOD-2 scores for mortality prognosis in Vietnamese children with multiple organ dysfunction syndrome. J Health Sci Med Res 41(1):1","journal-title":"J Health Sci Med Res"},{"issue":"B","key":"6878_CR24","doi-asserted-by":"publisher","first-page":"380","DOI":"10.3889\/oamjms.2023.11553","volume":"11","author":"DD Rinenggo","year":"2023","unstructured":"Rinenggo DD, Makrufardi F, Widowati T, Kumara IF, Nurnaningsih N, Rusmawatiningtyas D (2023) Inaccurate recording of pediatric early warning score associated with clinical outcomes: an experience from a developing country. Open Access Maced J Med Sci 11(B):380\u2013385","journal-title":"Open Access Maced J Med Sci"},{"issue":"12","key":"6878_CR25","doi-asserted-by":"publisher","first-page":"1208","DOI":"10.1136\/archdischild-2018-316248","volume":"104","author":"SM Chapman","year":"2019","unstructured":"Chapman SM, Oulton K, Peters MJ, Wray J (2019) Missed opportunities: incomplete and inaccurate recording of pediatric early warning scores. Arch Dis Child 104(12):1208\u20131213","journal-title":"Arch Dis Child"}],"container-title":["European Journal of Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00431-026-06878-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00431-026-06878-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00431-026-06878-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T07:54:31Z","timestamp":1776930871000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00431-026-06878-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,23]]},"references-count":25,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,4]]}},"alternative-id":["6878"],"URL":"https:\/\/doi.org\/10.1007\/s00431-026-06878-7","relation":{},"ISSN":["1432-1076"],"issn-type":[{"value":"1432-1076","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,23]]},"assertion":[{"value":"25 January 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 March 2026","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 March 2026","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 March 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study protocol was reviewed and approved by the Institutional Review Board of Can Tho University of Medicine and Pharmacy (approval No. 23.097.HV\/PCT-H\u0110\u0110\u0110) and by the hospital administration of Can Tho Children\u2019s Hospital. The study was conducted in accordance with the Declaration of Helsinki and applicable national regulations.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethic approval"}},{"value":"Written informed consent was obtained from a parent or legal guardian, with age-appropriate assent from children when applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"During manuscript preparation, the authors used ChatGPT 5.1 (OpenAI) only to assist with improving the clarity and readability of the English language. The authors subsequently reviewed and edited all suggested text and take full responsibility for the content, accuracy, and interpretation presented in this article.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Use of AI-assisted technologies"}}],"article-number":"204"}}