小儿IV难度评分的标准与结构有效性和可靠性

Q3 Medicine

JAVA - Journal of the Association for Vascular Access Pub Date : 2020-07-21 DOI:10.2309/10.2309/java-d-19-00038

Jane H. Hartman, J. Bena, S. Morrison, N. Albert

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引用次数: 0

摘要

背景：在儿科患者中，静脉注射成功可能与预先确定的血管进入困难有关。本研究的目的是检验6项儿童静脉注射困难评分的有效性和可靠性。方法：我们确定评估儿科静脉注射困难的工具是否与外周尝试的临床结果（标准有效性）、关于患者年龄、种族和医学诊断的假设（结构有效性）以及困难水平的可靠性相关。结果：在596次外周静脉注射尝试中，首次尝试成功率、总体成功率和尝试进入的工作人员数量与工具评分的静脉注射难度水平相关。该工具符合假设的结构有效性标准，在多变量建模中，基于2个用户组的难度水平，该工具是可靠的。结论：在外周血管通路方面具有不同专业水平的临床医生中，6项儿童静脉困难评分具有标准和结构有效性，并且随着时间的推移是可靠的。

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Criterion and Construct Validity and Reliability of the Pediatric IV Difficulty Score

Background: In pediatric patients, intravenous placement success may be related to predetermined vascular access difficulty. The study purpose was to examine validity and reliability of the 6-item Pediatric Intravenous Difficulty Score. Methods: We determined if a tool that assesses pediatric intravenous difficulty was associated with clinical outcomes of peripheral attempts (criterion validity), hypotheses regarding patients’ age, race, and medical diagnosis (construct validity), and reliability of difficulty levels. Results: In 596 episodes of peripheral intravenous attempts, first-attempt success, overall success, and number of staff attempting access were associated with level of intravenous access difficulty by tool score. The tool met hypothesized construct validity criteria, and in multivariable modeling, the tool was reliable based on difficulty levels of 2 user groups. Conclusions: The 6-item Pediatric Intravenous Difficulty Score has criterion and construct validity and is reliable over time among clinicians with different levels of expertise in peripheral vascular access.

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来源期刊

JAVA - Journal of the Association for Vascular Access Medicine-Medicine (miscellaneous)

CiteScore

1.10

自引率

0.00%

发文量

期刊介绍： The Association for Vascular Access (AVA) is an association of healthcare professionals founded in 1985 to promote the emerging vascular access specialty. Today, its multidisciplinary membership advances research, professional and public education to shape practice and enhance patient outcomes, and partners with the device manufacturing community to bring about evidence-based innovations in vascular access.