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BioMed Research International
Volume 2017, Article ID 9060852, 5 pages
Research Article

Baseline Characteristics of the Paediatric Observation Priority Score in Emergency Departments outside Its Centre of Derivation

1Paediatric Emergency Medicine Leicester Academic (PEMLA) Group, Emergency Department, Infirmary Square, Leicester LE1 5WW, UK
2SAPPHIRE Group, Health Sciences, Leicester University, Leicester, UK
3Emergency Medicine Academic Group, Cardiovascular Sciences, Leicester University, Leicester, UK

Correspondence should be addressed to Damian Roland;

Received 2 November 2016; Accepted 16 May 2017; Published 24 July 2017

Academic Editor: Shahrzad Bazargan-Hejazi

Copyright © 2017 Damian Roland et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objectives and Background. Scoring systems in Emergency Departments (EDs) are rarely validated. This study aimed to examine the Paediatric Observation Priority Score (POPS), a method of quantifying patient acuity, in EDs in the United Kingdom, and determine baseline performance characteristics. Methods. POPS was implemented in 4 EDs for children (ages of 0 to 16) with participants grouped into 3 categories: discharged from ED, discharged but with return within 7 days, and admitted for less or more than 24 hours. Results. 3323 participants with POPS scores ranging from 0 to 11 (mean = 2.33) were included. The proportion of each POPS score varied between sites with approximately 10–20% being POPS 0 and 12–25% POPS greater than 4. Odds ratio of readmission with POPS 5–9 against 0–4 was 2.05 (CI 1.20 to 3.52). POPS 0–4 showed no significant difference (p = 0.93) in relation to admission/discharge rates between sites with a significant difference found (p < 0.01) for POPS > 5. Conclusion. It is feasible to implement POPS into EDs with similar performance characteristics to the original site of development. There is now evidence to support a wider health service evaluation to refine and improve the performance of POPS.