Especificidad y sensibilidad de la COMFORT Behavior Scale-Versión española para valorar el dolor, el grado de sedación y síndrome de abstinencia en el paciente crítico pediátrico. Estudio multicéntrico COSAIP (Fase 1)
A. Bosch-Alcaraz PhD, RN, MSc , M. Tamame-San Antonio RN, MSc , P. Luna-Castaño PhD, RN, MSc , P. Garcia-Soler PhD, MD , A. Falcó Pegueroles PhD, RN, MSc , S. Alcolea-Monge RN , R. Fernández Lorenzo RN, MSc , P. Piqueras-Rodríguez RN , I. Molina-Gallego RN , C. Potes-Rojas RN , S. Gesti-Senar RN , R. Orozco-Gamez RN , M.C. Tercero-Cano RN , M.Á. Saz-Roy PhD, RN, MSc , I. Jordan PhD, MD , S. Belda-Hofheinz MD
{"title":"Especificidad y sensibilidad de la COMFORT Behavior Scale-Versión española para valorar el dolor, el grado de sedación y síndrome de abstinencia en el paciente crítico pediátrico. Estudio multicéntrico COSAIP (Fase 1)","authors":"A. Bosch-Alcaraz PhD, RN, MSc , M. Tamame-San Antonio RN, MSc , P. Luna-Castaño PhD, RN, MSc , P. Garcia-Soler PhD, MD , A. Falcó Pegueroles PhD, RN, MSc , S. Alcolea-Monge RN , R. Fernández Lorenzo RN, MSc , P. Piqueras-Rodríguez RN , I. Molina-Gallego RN , C. Potes-Rojas RN , S. Gesti-Senar RN , R. Orozco-Gamez RN , M.C. Tercero-Cano RN , M.Á. Saz-Roy PhD, RN, MSc , I. Jordan PhD, MD , S. Belda-Hofheinz MD","doi":"10.1016/j.enfi.2021.03.006","DOIUrl":null,"url":null,"abstract":"<div><h3>Aim</h3><p>The main aim of this investigation was to analyse the specificity and sensibility of the COMFORT Behaviour Scale (CBS-S) in assessing grade of pain, sedation, and withdrawal syndrome in paediatric critical care patients.</p></div><div><h3>Method</h3><p>An observational, analytical, cross-sectional and multicentre study conducted in Level III Intensive Care Areas of 5 children's university hospitals. Grade of sedation was assessed using the Spanish version of the CBS-S and the Bispectral Index on sedation, once per shift over one day. Grade of withdrawal was determined using the CBS-S and the Withdrawal Assessment Tool-1, once per shift over three days.</p></div><div><h3>Results</h3><p>A total of 261 critically ill paediatric patients with a median age of 5.07 years (P25:0.9-P75:11.7) were included in this study. In terms of the predictive capacity of the CBS-S, it obtained a Receiver Operation Curve of .84 (sensitivity of 81% and specificity of 76%) in relation to pain; .62 (sensitivity of 21% and specificity of 78%) in relation to sedation grade, and .73% (sensitivity of 40% and specificity of 74%) in determining withdrawal syndrome.</p></div><div><h3>Conclusions</h3><p>The Spanish version of the COMFORT Behaviour Scale could be a useful, sensible and easy scale to assess the degree of pain, sedation and pharmacological withdrawal of critically ill paediatric patients.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"33 2","pages":"Pages 58-66"},"PeriodicalIF":1.1000,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Enfermeria Intensiva","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1130239921000559","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 1
Abstract
Aim
The main aim of this investigation was to analyse the specificity and sensibility of the COMFORT Behaviour Scale (CBS-S) in assessing grade of pain, sedation, and withdrawal syndrome in paediatric critical care patients.
Method
An observational, analytical, cross-sectional and multicentre study conducted in Level III Intensive Care Areas of 5 children's university hospitals. Grade of sedation was assessed using the Spanish version of the CBS-S and the Bispectral Index on sedation, once per shift over one day. Grade of withdrawal was determined using the CBS-S and the Withdrawal Assessment Tool-1, once per shift over three days.
Results
A total of 261 critically ill paediatric patients with a median age of 5.07 years (P25:0.9-P75:11.7) were included in this study. In terms of the predictive capacity of the CBS-S, it obtained a Receiver Operation Curve of .84 (sensitivity of 81% and specificity of 76%) in relation to pain; .62 (sensitivity of 21% and specificity of 78%) in relation to sedation grade, and .73% (sensitivity of 40% and specificity of 74%) in determining withdrawal syndrome.
Conclusions
The Spanish version of the COMFORT Behaviour Scale could be a useful, sensible and easy scale to assess the degree of pain, sedation and pharmacological withdrawal of critically ill paediatric patients.
期刊介绍:
Enfermería Intensiva es el medio de comunicación por antonomasia para todos los profesionales de enfermería españoles que desarrollan su actividad profesional en las unidades de cuidados intensivos o en cualquier otro lugar donde se atiende al paciente crítico. Enfermería Intensiva publica cuatro números al año, cuyos temas son específicos para la enfermería de cuidados intensivos. Es la única publicación en español con carácter nacional y está indexada en prestigiosas bases de datos como International Nursing Index, MEDLINE, Índice de Enfermería, Cuiden, Índice Médico Español, Toxline, etc.