Cláudia da Costa Silva1, Marta Maria Osório Alves2, Michel Georges dos Santos El Halal3, Sabrina dos Santos Pinheiro1, Paulo Roberto Antonacci Carvalho4. 1. Hospital das Clínicas de Porto Alegre, Unidade de Terapia Intensiva Pediátrica, Porto AlegreRS, Brasil, Unidade de Terapia Intensiva Pediátrica, Hospital das Clínicas de Porto Alegre - HCPA - Porto Alegre (RS), Brasil. 2. Hospital das Clínicas de Porto Alegre, Serviço de Pediatria, Porto AlegreRS, Brasil, Serviço de Pediatria, Hospital das Clínicas de Porto Alegre - HCPA - Porto Alegre (RS), Brasil. 3. Universidade Federal do Rio Grande do Sul, Porto AlegreRS, Brasil, Universidade Federal do Rio Grande do Sul - UFRGS - Porto Alegre (RS), Brasil. 4. Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Pediatria, Porto AlegreRS, Brasil, Departamento de Pediatria, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul - UFRGS - Porto Alegre (RS), Brasil.
Abstract
OBJECTIVE: Compare the scores resulting from the Comfort-B scale with the bispectral index in children in an intensive care unit. METHODS: Eleven children between the ages of 1 month and 16 years requiring mechanical ventilation and sedation were simultaneously classified based on the bispectral index and the Comfort-B scale. Their behavior was recorded using digital photography, and the record was later evaluated by three independent evaluators. Agreement tests (Bland-Altman and Kappa) were then performed. The correlation between the two methods (Pearson correlation) was tested. RESULTS: In total, 35 observations were performed on 11 patients. Based on the Kappa coefficient, the agreement among evaluators ranged from 0.56 to 0.75 (p<0.001). There was a positive and consistent association between the bispectral index and the Comfort-B scale [r=0.424 (p=0.011) to r=0.498 (p=0.002)]. CONCLUSION: Due to the strong correlation between the independent evaluators and the consistent correlation between the two methods, the results suggest that the Comfort-B scale is reproducible and useful in classifying the level of sedation in children requiring mechanical ventilation.
OBJECTIVE: Compare the scores resulting from the Comfort-B scale with the bispectral index in children in an intensive care unit. METHODS: Eleven children between the ages of 1 month and 16 years requiring mechanical ventilation and sedation were simultaneously classified based on the bispectral index and the Comfort-B scale. Their behavior was recorded using digital photography, and the record was later evaluated by three independent evaluators. Agreement tests (Bland-Altman and Kappa) were then performed. The correlation between the two methods (Pearson correlation) was tested. RESULTS: In total, 35 observations were performed on 11 patients. Based on the Kappa coefficient, the agreement among evaluators ranged from 0.56 to 0.75 (p<0.001). There was a positive and consistent association between the bispectral index and the Comfort-B scale [r=0.424 (p=0.011) to r=0.498 (p=0.002)]. CONCLUSION: Due to the strong correlation between the independent evaluators and the consistent correlation between the two methods, the results suggest that the Comfort-B scale is reproducible and useful in classifying the level of sedation in children requiring mechanical ventilation.
Authors: Patrícia M Lago; Jefferson Pedro Piva; Pedro Celiny Ramos Garcia; Ana Sfoggia; Geoff Knight; Anne-Sylvie Ramelet; Alan Duncan Journal: J Pediatr (Rio J) Date: 2003-11 Impact factor: 2.197
Authors: Andreas E Triltsch; Grit Nestmann; Helmut Orawa; Maryam Moshirzadeh; Michael Sander; Joachim Grosse; Arka Genähr; Wolfgang Konertz; Claudia D Spies Journal: Crit Care Date: 2004-11-10 Impact factor: 9.097