Standardization of approaches to early detection of risk patients for escalation of treatment in department of pediatric hematology and oncology: a report of the working group on the implementation of the scale “ROSRISK”. The results of the survey of the hospitals of Russia and the model of organization of care
https://doi.org/10.17650/2311-1267-2018-5-1-17-33
Abstract
Children with hematological and oncological diseases are at risk for developing sudden deterioration of the clinical condition. Clear criteria and the algorithm for the actions of the staff are needed, allowing to provide necessary care to these patients in a timely manner, that has particular importance in hospitals with limited material and human resources. The article shows the need of introducing the unified approach to the diagnosis of clinical deterioration of patients with the goal of initiating appropriate medical actions (escalation of therapy, transfer to the intensive care unit, etc.). The authors present experience in organizing patient follow-up according to the Pediatric Unified Early Warning (PEWS) scale used by American colleagues at the St. Jude Children’s Research Hospital (Memphis, USA). With the aim of introducing such scale, taking into account the peculiarities of organization of children care in Russia and the CIS countries, interdisciplinary working group “ROSRISK” (Recognition of dangerous situations for early initiation of appropriate clinical decisions was created), which conducted a survey of clinics in Russia on the issues of initiation, escalation of therapy, and availability of specialized care within intensive care units. The results of the conducted research was the conclusion about the necessity of introduction of system of “ROSRISK” at the level of the Federal clinical recommendations, prepared by the professional community of children’s hematologists-oncologists and anaesthesiologists
About the Authors
E. V. Kopytova
Chelyabinsk Regional Children’s Clinical Hospital
Russian Federation
42a Blyukher St., Chelyabinsk, 454076
Russian Federation
42a Blyukher St., Chelyabinsk, 454076
I. I. Spichak
Chelyabinsk Regional Children’s Clinical Hospital;
South-Ural State Medical University, Ministry of Health of Russia
Russian Federation
64 Vorovskogo St., Chelyabinsk, 454092
Russian Federation
64 Vorovskogo St., Chelyabinsk, 454092
A. Agulnik
St. Jude Children’s Research Hospital
United States
262 Danny Thomas Place, Memphis, Tennessee, 38105-2794
United States
262 Danny Thomas Place, Memphis, Tennessee, 38105-2794
E. A. Pristanskova
Russian Children’s Clinical Hospital, Ministry of Health of Russia
Russian Federation
117 Leninskiy Prosp., Moscow, 117997
Russian Federation
117 Leninskiy Prosp., Moscow, 117997
K. I. Kirgizov
Russian Children’s Clinical Hospital, Ministry of Health of Russia;
Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Ministry of Health of Russia
Russian Federation
1 Samory Mashela St., Moscow, 117997
Russian Federation
1 Samory Mashela St., Moscow, 117997
E. V. Zhukovskaya
Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Ministry of Health of Russia
Russian Federation
1 Samory Mashela St., Moscow, 117997
Russian Federation
1 Samory Mashela St., Moscow, 117997
V. V. Lazarev
N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
Russian Federation
1 Ostrovityanova St., Moscow, 117997
Russian Federation
1 Ostrovityanova St., Moscow, 117997
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Review
For citations:
Kopytova E.V., Spichak I.I., Agulnik A., Pristanskova E.A., Kirgizov K.I., Zhukovskaya E.V., Lazarev V.V. Standardization of approaches to early detection of risk patients for escalation of treatment in department of pediatric hematology and oncology: a report of the working group on the implementation of the scale “ROSRISK”. The results of the survey of the hospitals of Russia and the model of organization of care. Russian Journal of Pediatric Hematology and Oncology. 2018;5(1):17-33. (In Russ.) https://doi.org/10.17650/2311-1267-2018-5-1-17-33
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