A psychometric evaluation of the Pediatric Anesthesia Emergence Delirium scale
| Autor: | Jenny Ringblom, Ingrid Wåhlin, Marie Proczkowska |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Psychometrics 03 medical and health sciences 0302 clinical medicine Emergence Delirium Postoperative Complications 030202 anesthesiology mental disorders medicine Humans Anesthesia Intensive care medicine Child Observer Variation business.industry Infant Newborn Infant Reproducibility of Results medicine.disease Anesthesiology and Pain Medicine Increased risk Emergence delirium Child Preschool Pediatrics Perinatology and Child Health Anesthesia Recovery Period Delirium Female medicine.symptom Pediatric anesthesia business Factor Analysis Statistical 030217 neurology & neurosurgery |
| Zdroj: | Paediatric anaesthesia. 28(4) |
| ISSN: | 1460-9592 |
| Popis: | Emergence delirium and emergence agitation have been a subject of interest since the early 1960s. This behavior has been associated with increased risk of injury in children and dissatisfaction with anesthesia care in their parents. The Pediatric Anesthesia Emergence Delirium Scale is a commonly used instrument for codifying and recording this behavior.The aim of this study was to psychometrically evaluate the Pediatric Anesthesia Emergence Delirium scale, focusing on the factor structure, in a sample of children recovering from anesthesia after surgery or diagnostic procedures. The reliability of the Pediatric Anesthesia Emergence Delirium scale was also tested.One hundred and twenty-two children younger than seven years were observed at postoperative care units during recovery from anesthesia. Two or 3 observers independently assessed the children using the Pediatric Anesthesia Emergence Delirium scale.The factor analysis clearly revealed a one-factor solution, which accounted for 82% of the variation in the data. Internal consistency, calculated with Cronbach's alpha, was good (0.96). The Intraclass Correlation Coefficient, which was used to assess interrater reliability for the Pediatric Anesthesia Emergence Delirium scale sum score, was 0.97 (P.001). The weighted kappa statistics were almost perfect in 4 of 5 items, with substantial agreement in the fifth (P.001).The one-factor solution and the satisfactory reliability in terms of internal consistency and stability support the use of the Pediatric Anesthesia Emergence Delirium scale for assessing emergence delirium in children recovering from anesthesia after surgery or diagnostic procedures. The kappa statistics for the Pediatric Anesthesia Emergence Delirium scale items essentially indicated good agreement between independent raters, supporting interrater reliability. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
| Nepřihlášeným uživatelům se plný text nezobrazuje | K zobrazení výsledku je třeba se přihlásit. |