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Critical Care Nurses Inadequately Assess SAPS II Scores of Very Ill Patients in Real Life
Joint Authors
Previsdomini, Marco
Perren, Andreas
Merlani, Paolo
Perren, Ilaria
Source
Critical Care Research and Practice
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-04-02
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
Reliable ICU severity scores have been achieved by various healthcare workers but nothing is known regarding the accuracy in real life of severity scores registered by untrained nurses.
Methods.
In this retrospective multicentre audit, three reviewers independently reassessed 120 SAPS II scores.
Correlation and agreement of the sum-scores/variables among reviewers and between nurses and the reviewers’ gold standard were assessed globally and for tertiles.
Bland and Altman (gold standard—nurses) of sum scores and regression of the difference were determined.
A logistic regression model identifying risk factors for erroneous assessments was calculated.
Results.
Correlation for sum scores among reviewers was almost perfect (mean ICC = 0.985).
The mean (±SD) nurse-registered SAPS II sum score was 40.3±20.2 versus 44.2±24.9 of the gold standard (P<0.002 for difference) with a lower ICC (0.81).
Bland and Altman assay was +3.8±27.0 with a significant regression between the difference and the gold standard, indicating overall an overestimation (underestimation) of lower (higher; >32 points) scores.
The lowest agreement was found in high SAPS II tertiles for haemodynamics (k = 0.45–0.51).
Conclusions.
In real life, nurse-registered SAPS II scores of very ill patients are inaccurate.
Accuracy of scores was not associated with nurses’ characteristics.
American Psychological Association (APA)
Perren, Andreas& Previsdomini, Marco& Perren, Ilaria& Merlani, Paolo. 2012. Critical Care Nurses Inadequately Assess SAPS II Scores of Very Ill Patients in Real Life. Critical Care Research and Practice،Vol. 2012, no. 2012, pp.1-9.
https://search.emarefa.net/detail/BIM-508121
Modern Language Association (MLA)
Perren, Andreas…[et al.]. Critical Care Nurses Inadequately Assess SAPS II Scores of Very Ill Patients in Real Life. Critical Care Research and Practice No. 2012 (2012), pp.1-9.
https://search.emarefa.net/detail/BIM-508121
American Medical Association (AMA)
Perren, Andreas& Previsdomini, Marco& Perren, Ilaria& Merlani, Paolo. Critical Care Nurses Inadequately Assess SAPS II Scores of Very Ill Patients in Real Life. Critical Care Research and Practice. 2012. Vol. 2012, no. 2012, pp.1-9.
https://search.emarefa.net/detail/BIM-508121
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-508121