Anales de pediatria (Barcelona, Spain : 2003) · 2013
[Validation of an acute bronchiolitis severity scale].
СтатьяВалидационное исследованиеНазвание и аннотация: Перевод в очереди
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Ramos Fernández J M, Cordón Martínez A, Galindo Zavala R, Urda Cardona A
Аннотация
INTRODUCTION: Acute bronchiolitis (AB) is a very common disease, with a high rate of seasonal hospitalization. Its management requires homogeneous clinical interpretations for which there are different approaches depending on the scales, none of which are properly validated today.
OBJECTIVE: To create an AB severity scale (ABSS) and to validate it.
MATERIAL AND METHOD: The development of a parameterized construct with a gradual cumulative score of respiratory rate, heart rate, respiratory effort, auscultation of wheezing and crackles, and the inspiration/expiration ratio. Also, the validation of the ABSS performed on patients diagnosed with AB, the reliability measured by observing the behavior of internal consistency, test-retest, external validity and inter-observer agreement.
RESULTS: From a total of 290 measurements a Cronbach's reliability alpha of 0.83 was obtained; Kappa agreement index of 0.93 in the test-retest agreement, and Kappa index of 0.682 (α<0.05) for inter-observer agreement.
CONCLUSIONS: The ABSS can be a reliable tool for measuring the severity of AB.
OBJECTIVE: To create an AB severity scale (ABSS) and to validate it.
MATERIAL AND METHOD: The development of a parameterized construct with a gradual cumulative score of respiratory rate, heart rate, respiratory effort, auscultation of wheezing and crackles, and the inspiration/expiration ratio. Also, the validation of the ABSS performed on patients diagnosed with AB, the reliability measured by observing the behavior of internal consistency, test-retest, external validity and inter-observer agreement.
RESULTS: From a total of 290 measurements a Cronbach's reliability alpha of 0.83 was obtained; Kappa agreement index of 0.93 in the test-retest agreement, and Kappa index of 0.682 (α<0.05) for inter-observer agreement.
CONCLUSIONS: The ABSS can be a reliable tool for measuring the severity of AB.