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A psychometric evaluation of the Pediatric Anesthesia Emergence Delirium scale

Jenny Ringblom1,2, Ingrid Wåhlin2,3, Marie Proczkowska1,4

  • 1Department of Clinical and Experimental Medicine, Center for Social and Affective Neuroscience, Linköping University, Linköping, Sweden.

Paediatric Anaesthesia
|March 7, 2018
PubMed

Insights

The Pediatric Anesthesia Emergence Delirium Scale is a reliable tool for assessing emergence delirium in children. Its one-factor structure and strong interrater reliability support its use in clinical practice.

Area of Science:

  • Pediatric Anesthesiology
  • Psychometrics
  • Child Health Outcomes

Background:

  • Emergence delirium and agitation in children post-anesthesia pose risks of injury and parental dissatisfaction.
  • The Pediatric Anesthesia Emergence Delirium Scale (PAEDS) is utilized to document these behaviors.
  • Understanding and accurately measuring emergence delirium is crucial for improving pediatric anesthesia care.

Purpose of the Study:

  • To psychometrically evaluate the Pediatric Anesthesia Emergence Delirium Scale (PAEDS).
  • To assess the factor structure and reliability of the PAEDS in children recovering from anesthesia.
  • To validate the PAEDS for use in pediatric postoperative care.

Main Methods:

  • One hundred twenty-two children under seven years old were observed in postoperative care units.
  • Two to three independent observers utilized the Pediatric Anesthesia Emergence Delirium Scale (PAEDS).
  • Factor analysis, Cronbach's alpha, Intraclass Correlation Coefficient, and kappa statistics were employed for evaluation.

Main Results:

  • Factor analysis confirmed a robust one-factor solution, explaining 82% of data variance.
  • Excellent internal consistency (Cronbach's alpha = 0.96) and interrater reliability (ICC = 0.97) were demonstrated.
  • High agreement was found for most PAEDS items (kappa statistics), indicating good interrater reliability.

Conclusions:

  • The one-factor structure and high reliability support the Pediatric Anesthesia Emergence Delirium Scale's (PAEDS) use.
  • The PAEDS is a valid and reliable instrument for assessing emergence delirium in pediatric patients.
  • The scale's strong interrater reliability ensures consistent assessment by different clinicians.
Abstract

Keywords:
emergence deliriuminstrument developmentpediatricspostoperative behavioral changes

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