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Risk stratification to improve Pediatric Early Warning Systems: it is all about the context.

Eur J Pediatr · 2019 · PMC6733815 · PMID 31485752

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a positive trendno p-value reported
Despite the considerable amount of literature concerning PEWS, the evidence supporting their effect is limited and various systematic reviews failed to demonstrate more than a positive trend on clinical outcomes [ 1 , 4 , 5 , 15 , 24 ].

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.