Validation of a Clinical Instrument for Measuring the Severity of Acute Bronchitis in Children - The BSS-ped.

Q3 Medicine
Open Respiratory Medicine Journal Pub Date : 2018-10-26 eCollection Date: 2018-01-01 DOI:10.2174/1874306401812010050
Siegfried Lehrl, Peter Kardos, Heinrich Matthys, Wolfgang Kamin
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引用次数: 0

Abstract

Background: There are no validated standardised clinical procedures for severity measurement of acute bronchitis in children. The "BSS-ped", a short version of the physician-rated assessment scale BSS (Bronchitis Severity Scale), can fill this gap, if it is valid.

Objective: To examine the scale´s validity.

Methods: Investigations were planned according to classical clinical-psychometric validity criteria including a formal competence evaluation of the scale´s authors and statistical analyses of data from 78 patients aged 1-6 and diagnosed with "acute bronchitis". Cross-validation was provided by analysis of data from 70 children with matching age, sex and diagnosis. All children were examined three times (day 0, 3-5 and 7) using the BSS-ped in addition to other clinical and psychometric monitoring procedures.

Results: The evidently high level of expertise of the scale's authors substantiates pronounced content validity and relevance of the BSS-ped and its items. The validity criterion, i.e. to reflect the unidimensional severity of acute bronchitis and its change using the BSS-ped score, was fulfilled. There were substantial correlations with other scales measuring the current health-related quality of life, as well as satisfaction and success of treatment. Severity change prognoses for acute bronchitis under placebo and an active substance were correct. The BSS-ped was found to be a feasible instrument because it can be repeated at short intervals (minute range) without any special technical aids or extended training.

Conclusion: The BSS-ped is a valid procedure for measuring the severity of acute bronchitis in children.

Abstract Image

Abstract Image

一种用于测量儿童急性支气管炎严重程度的临床仪器的验证- BSS-ped。
背景:儿童急性支气管炎严重程度的测量尚无经过验证的标准化临床程序。“支气管炎严重程度量表”是医生评定的评估量表BSS(支气管炎严重程度量表)的一个简短版本,如果它有效,可以填补这一空白。目的:检验量表的效度。方法:根据经典的临床-心理测量效度标准计划调查,包括对量表作者的正式能力评估和对78例1-6岁诊断为“急性支气管炎”的患者的数据进行统计分析。通过分析70名年龄、性别和诊断相匹配的儿童的数据进行交叉验证。除其他临床和心理测量监测程序外,所有儿童均使用BSS-ped检查三次(第0、3-5和7天)。结果:量表作者明显的高水平的专业知识证实了BSS-ped及其项目显著的内容效度和相关性。效度标准,即反映急性支气管炎的单维严重程度及其变化使用BSS-ped评分,得到满足。与测量当前与健康相关的生活质量以及治疗满意度和成功的其他量表存在实质性的相关性。急性支气管炎在安慰剂和活性物质下的严重程度改变预后是正确的。BSS-ped被认为是一种可行的仪器,因为它可以在短时间间隔(分钟范围)重复使用,而无需任何特殊技术辅助或长期培训。结论:BSS-ped是测定儿童急性支气管炎严重程度的有效方法。
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来源期刊
Open Respiratory Medicine Journal
Open Respiratory Medicine Journal Medicine-Pulmonary and Respiratory Medicine
CiteScore
1.70
自引率
0.00%
发文量
17
期刊介绍: The Open Respiratory Medicine Journal is an Open Access online journal, which publishes research articles, reviews/mini-reviews, letters and guest edited single topic issues in all important areas of experimental and clinical research in respiratory medicine. Topics covered include: -COPD- Occupational disorders, and the role of allergens and pollutants- Asthma- Allergy- Non-invasive ventilation- Therapeutic intervention- Lung cancer- Lung infections respiratory diseases- Therapeutic interventions- Adult and paediatric medicine- Cell biology. The Open Respiratory Medicine Journal, a peer reviewed journal, is an important and reliable source of current information on important recent developments in the field. The emphasis will be on publishing quality articles rapidly and making them freely available worldwide.
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