Development and Initial Psychometric Evaluation of the Post-Acute Acuity Rating for Children
Joint Authors
O’Brien, Jane E.
Dumas, Helene M.
Source
Rehabilitation Research and Practice
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-11-02
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
The Post-Acute Acuity Rating for Children (PAARC) is the first known acuity rating intended to reflect medical severity based on age, reason for admission, diagnoses, dependence in activities of daily living, and technology reliance for children admitted to post-acute care rehabilitation hospitals.
Content validity was tested using an expert panel scoring the Content Validity Index (CVI).
Concurrent validity was examined using clinician’s opinion of acuity at admission, the Complexity Index, and All Patient Refined Diagnosis Related Group (APR-DRG) codes.
Predictive validity was examined with acute care readmission within 30 days.
Interrater reliability was assessed using admission histories from closed cases.
Content validity was established and concurrent validity was moderate to high with clinician opinion (rho = .76, p < .
001 ), the Complexity Index (rho = .76, p < .
001 ), and APR-DRGs (rho = .349, p = .
001 ).
Predictive validity was moderate (rho = .504, p = .
005 ) and returns to acute care within 30 days.
Interrater reliability was excellent (ICC = 0.97; 95% CI = 0.92–0.90, p < .
001 ).
Experts agreed that the PAARC’s content is relevant, simple, and representative of the population.
The PAARC measured well against indicators of medical complexity for pediatric outpatient care and medical record coding and was reliable between raters.
This work supports proceeding with additional development and validity testing of the PAARC.
American Psychological Association (APA)
O’Brien, Jane E.& Dumas, Helene M.. 2015. Development and Initial Psychometric Evaluation of the Post-Acute Acuity Rating for Children. Rehabilitation Research and Practice،Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1076040
Modern Language Association (MLA)
O’Brien, Jane E.& Dumas, Helene M.. Development and Initial Psychometric Evaluation of the Post-Acute Acuity Rating for Children. Rehabilitation Research and Practice No. 2015 (2015), pp.1-7.
https://search.emarefa.net/detail/BIM-1076040
American Medical Association (AMA)
O’Brien, Jane E.& Dumas, Helene M.. Development and Initial Psychometric Evaluation of the Post-Acute Acuity Rating for Children. Rehabilitation Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1076040
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1076040