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Interobserver Agreement on Clinical Judgment of Work of Breathing in Spontaneously Breathing Children in the Pediatric Intensive Care Unit.
- Source :
-
Journal of pediatric intensive care [J Pediatr Intensive Care] 2020 Mar; Vol. 9 (1), pp. 34-39. Date of Electronic Publication: 2019 Oct 07. - Publication Year :
- 2020
-
Abstract
- Clinical assessment of the work of breathing (WOB) remains a cornerstone in respiratory support decision-making in the pediatric intensive care unit (PICU). In this study, we determined the interobserver agreement of 30 observers (PICU physicians and nurses) on WOB and multiple signs of effort of breathing in 10 spontaneously breathing children admitted to the PICU. By reliability analysis, the agreement on overall WOB was poor to moderate, and only three separate signs of effort of breathing (breathing rate, stridor, and grunting) showed moderate-to-good interobserver reliability. We conclude that the interobserver agreement on the clinical WOB judgment among PICU physicians and nurses is low.<br />Competing Interests: Conflict of Interest None declared.<br /> (© Thieme Medical Publishers.)
Details
- Language :
- English
- ISSN :
- 2146-4618
- Volume :
- 9
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of pediatric intensive care
- Publication Type :
- Academic Journal
- Accession number :
- 31984155
- Full Text :
- https://doi.org/10.1055/s-0039-1697679