Inter-rater reliability of paediatric emergency assessment: physiological and clinical features
| العنوان: | Inter-rater reliability of paediatric emergency assessment: physiological and clinical features |
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| المؤلفون: | Sarah Cotterill, Natalie Garratt, Tony Long, Stephen Brown, Chloe Rishton, Grainne O'Connor, Damian Roland, Steve Woby, Calvin Heal, Andrew Rowland |
| المصدر: | Archives of Disease in Childhood Heal, C, Cotterill, S, Rowland, A G, Garratt, N, Long, T, Brown, S, O'Connor, G, Rishton, C, Woby, S & Roland, D 2021, ' Inter-rater reliability of paediatric emergency assessment : physiological and clinical features ', Archives of Disease in Childhood, vol. 106, no. 2, pp. 149-153 . https://doi.org/10.1136/archdischild-2019-318664 |
| بيانات النشر: | BMJ Publishing Group, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Emergency Medical Services, accident & emergency, Adolescent, Vital signs, Patient characteristics, Severity of Illness Index, State Medicine, 03 medical and health sciences, 0302 clinical medicine, 030225 pediatrics, Medicine, Humans, 030212 general & internal medicine, paediatric practice, Child, Reliability (statistics), Original Research, Observer Variation, business.industry, Infant, Newborn, Infant, Reproducibility of Results, Emergency department, Inter-rater reliability, general paediatrics, England, North west, Child, Preschool, Pediatrics, Perinatology and Child Health, Physical therapy, Female, Emergencies, business, Emergency Service, Hospital, Kappa, Paediatric emergency |
| الوصف: | Objective The Paediatric Admission Guidance in the Emergency Department (PAGE) score is an assessment tool currently in development that helps predict hospital admission using components including patient characteristics, vital signs (heart rate, temperature, respiratory rate and oxygen saturation) and clinical features (eg, breathing, behaviour and nurse judgement). It aims to assist in safe admission and discharge decision making in environments such as emergency departments and urgent care centres. Determining the inter-rater reliability of scoring tools such as PAGE can be difficult. The aim of this study was to determine the inter-rater reliability of seven clinical components of the PAGE Score. Design Inter-rater reliability was measured by each patient having their clinical components recorded by two separate raters in succession. The first rater was the assessing nurse, and the second rater was a research nurse. Setting Two emergency departments and one urgent care centre in the North West of England. Measurements were recorded over 1 week; data were collected for half a day at each of the three sites. Patients A convenience sample of 90 paediatric attendees (aged 0–16 years), 30 from each of the three sites. Main outcome measures Two independent measures for each child were compared using kappa or prevalence-adjusted bias-adjusted kappa (PABAK). Bland-Altman plots were also constructed for continuous measurements. Results Inter-rater reliability ranged from moderate (0.62 (95% CI 0.48 to 0.74) weighted kappa) to very good (0.98 (95% CI 95 to 0.99) weighted kappa) for all measurements except ‘nurse judgement’ for which agreement was fair (0.30, 95% CI 0.09 to 0.50 PABAK). Complete information from both raters on all the clinical components of the PAGE score were available for 73 children (81%). These total scores showed good’ inter-rater reliability (0.64 (95% CI 0.53 to 0.74) weighted kappa). Conclusions Our findings suggest different nurses would demonstrate good inter-rater reliability when collecting acute assessments needed for the PAGE score, reinforcing the applicability of the tool. The importance of determining reliability in scoring systems is highlighted and a suitable methodology was presented. This study assesses the inter-rater reliability of the Paediatric Admission Guidance in the Emergency Department (PAGE) score. The PAGE score is an assessment tool currently in development that helps predict hospital admission using components including patient characteristics, vital signs and clinical features, to assist in safe admission and discharge. The authors found good inter-rater reliability among a group of nurses using the tool. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1468-2044 0003-9888 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::20a39b91742aed5967361faf55a47246 http://europepmc.org/articles/PMC7841473 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....20a39b91742aed5967361faf55a47246 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14682044 00039888 |
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