Shelly Ashkenazy1, Freda DeKeyser-Ganz. 1. Department of Anesthesiology and Critical Care Medicine, Hadassah Medical Organization, Jerusalem, Israel. shellyashkenazy@gmail.com
Abstract
OBJECTIVE: This study sought to evaluate the use of the Comfort Scale (CS), originally developed for children, in sedated adults at intensive care units. METHODS: Comfort and sedation were assessed in a convenience sample of 88 adult intensive-care patients receiving mechanical ventilation, using 5 instruments (the Ramsay Scale, Sedation Agitation Scale, Richmond Agitation Sedation Scale, Glasgow Coma Scale, and CS). RESULTS: Reliability (internal consistency according to Cronbach's α, .60 to .66; inter-rater reliability, r = .81; test-retest, r = .21 to .31) and validity (criterion validity with other scales, κ = .49 to .74, for construct validity and sensitivity) were determined. The range of children's comfort (i.e., 17 to 26) was different from that in adults (i.e., 16 to 20). CONCLUSIONS: Results partially support the use of the CS among adults in intensive care units, with some minor adjustments.
OBJECTIVE: This study sought to evaluate the use of the Comfort Scale (CS), originally developed for children, in sedated adults at intensive care units. METHODS: Comfort and sedation were assessed in a convenience sample of 88 adult intensive-care patients receiving mechanical ventilation, using 5 instruments (the Ramsay Scale, Sedation Agitation Scale, Richmond Agitation Sedation Scale, Glasgow Coma Scale, and CS). RESULTS: Reliability (internal consistency according to Cronbach's α, .60 to .66; inter-rater reliability, r = .81; test-retest, r = .21 to .31) and validity (criterion validity with other scales, κ = .49 to .74, for construct validity and sensitivity) were determined. The range of children's comfort (i.e., 17 to 26) was different from that in adults (i.e., 16 to 20). CONCLUSIONS: Results partially support the use of the CS among adults in intensive care units, with some minor adjustments.
Authors: Florence C M Reith; Ruben Van den Brande; Anneliese Synnot; Russell Gruen; Andrew I R Maas Journal: Intensive Care Med Date: 2015-11-12 Impact factor: 17.440
Authors: Alice Rodrigues de Oliveira; Miguel Gozalo-Marcilla; Simone Katja Ringer; Stijn Schauvliege; Mariana Werneck Fonseca; Pedro Henrique Esteves Trindade; José Nicolau Prospero Puoli Filho; Stelio Pacca Loureiro Luna Journal: Front Vet Sci Date: 2021-02-16