Ramsay Sedation Scale and Richmond Agitation Sedation Scale: A Cross-sectional Study
| Autor: | Mohammad F Amirah, Akram Rasheed, Abdulrhman Alharthy, Parameaswari P J, Mohammad Abdallah, Marwan Rasmi Issa |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Cross-sectional study Sedation Critical Illness Conscious Sedation Saudi Arabia Emergency Nursing Richmond Agitation-Sedation Scale Critical Care Nursing law.invention 03 medical and health sciences 0302 clinical medicine Cronbach's alpha law Intensive care medicine Humans Psychomotor Agitation Aged Monitoring Physiologic Aged 80 and over Patient Care Team 030504 nursing Ramsay sedation scale business.industry Reproducibility of Results 030208 emergency & critical care medicine Middle Aged Intensive care unit Inter-rater reliability Intensive Care Units Cross-Sectional Studies Physical therapy Female medicine.symptom 0305 other medical science business |
| Zdroj: | Dimensions of critical care nursing : DCCN. 38(2) |
| ISSN: | 1538-8646 |
| Popis: | BACKGROUND Many sedation scales and tools have been developed and compared for validity in critically ill patients. However, selection and use of sedation scales vary among intensive care units. OBJECTIVE The aim of this study is to compare the reliability of 2 sedation scales-Ramsay Sedation Scale and Richmond Agitation-Sedation Scale (RASS)-in the adult intensive care unit. METHOD Four hundred twenty-five patients were recruited in the study. Informed consent had been obtained from each patient guardian/relative. However, only 290 patients (68.24%) completed the study and were independently assessed for sedation effect by investigator and bedside nurses simultaneously using Ramsay scale and RASS. RESULTS Agreement between the nurse and investigator scores on Ramsay scale (weighted κ = 0.449, P < .001) indicated weak level of agreement. Agreement between the nurse and investigator on RASS (weighted κ = 0.879, P < .001) indicated a strong level of agreement. Cronbach α analysis showed that 10 items of RASS had an excellent level of internal consistency (α = .989) compared with good level of internal consistency of Ramsay scale (α = .828). DISCUSSION Richmond Agitation-Sedation Scale showed excellent interrater agreement compared with weak interrater agreement of Ramsay scale. The results also support that RASS has consistent agreement with clinical observation and practice among different observers. The results suggest that use of RASS is linked to a more reliable assessment of sedation levels in the intensive care unit. |
| Databáze: | OpenAIRE |
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