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Assessing Clinical Deterioration in Children With Dark-Coloured Skin: A Scoping Review

Background: Signs of clinical deterioration may appear differently in children with dark-coloured skin. How to assess children in this cohort is currently poorly defined. Aim: To explore available information on the assessment of clinical deterioration in children with dark-coloured skin and identify research deficits.

Citation:
Kelly C, Leslie GD, Laird P, Stokes S, Gill FJ. Assessing Clinical Deterioration in Children With Dark-Coloured Skin: A Scoping Review. Journal of Clinical Nursing. 2025.

Keywords:
Clinical deterioration; diversity, equity, inclusion; ethnicity; pediatric assessment; skin of colour; skin pigmentation.

Abstract:
Background: Signs of clinical deterioration may appear differently in children with dark-coloured skin. How to assess children in this cohort is currently poorly defined. Aim: To explore available information on the assessment of clinical deterioration in children with dark-coloured skin and identify research deficits.