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Updated: Nov 2, 2025

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Use of the ReSVinet Scale for parents and healthcare workers in a paediatric emergency service: a prospective study

Jhon Camacho-Cruz1, Shirley Briñez1, Jorge Alvarez1

  • 1Department of Pediatrics, Sociedad de Cirugía de Bogotá - Hospital de San José, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogota, Colombia.

BMJ Paediatrics Open
|June 16, 2021
PubMed

Insights

The ReSVinet Scale shows good agreement among healthcare professionals for infant acute respiratory infections. Parent agreement is more variable, suggesting a need for further refinement for home use as an early warning system.

Area of Science:

  • Pediatrics
  • Respiratory Medicine
  • Health Informatics

Background:

  • Existing acute respiratory infection (ARI) scales are primarily for healthcare worker (HCW) use.
  • The ReSVinet Scale offers a parent-friendly version for potential early warning of infant respiratory illness.

Purpose of the Study:

  • To evaluate the reliability of the ReSVinet Scale for ARI in infants when used by healthcare professionals and parents in an emergency setting.

Main Methods:

  • Prospective study of infants with ARI in a pediatric emergency room.
  • Assessed scale usage by faculty, residents, and parents.
  • Measured interobserver agreement using Spearman's correlation and weighted kappa coefficients.
  • Tested internal consistency with Cronbach's alpha.

Main Results:

  • High correlation (Spearman's rho=0.92) between faculty and resident scoring.
  • Moderate correlation (Spearman's rho=0.64) between HCWs and parents.
  • Good agreement between faculty and residents (kappa=0.78).
  • Variable agreement between HCWs and parents (kappa=0.41).

Conclusions:

  • The ReSVinet Scale demonstrates good inter-rater reliability among healthcare professionals in pediatric emergency settings.
  • Agreement between parents and healthcare professionals using the scale requires improvement for reliable home-based early warning.
  • Further research is recommended to enhance parental reliability before widespread emergency room implementation.
Abstract

Keywords:
health services research

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