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Pediatric Alert Score: evaluation of measurement properties
Vitória Yukari Chaves Aoki1, Giselli Cristina Villela Bueno1, Flávia Carvalho Pena Dias1
1Faculdade de Enfermagem, Universidade Estadual de Campinas, Campinas, SP, Brazil.
Insights
The Pediatric Alert Score shows strong reliability and construct validity in hospitalized children. This validated tool can help improve patient safety in pediatric care.
Area of Science:
- Pediatric healthcare
- Clinical assessment tools
- Patient safety
Background:
- Hospitalized children require reliable monitoring tools.
- The Pediatric Alert Score is a potential tool for assessing pediatric patient status.
Purpose of the Study:
- To evaluate the construct validity and reliability of the Pediatric Alert Score.
- To determine if the Pediatric Alert Score is a dependable tool for hospitalized children and adolescents.
Main Methods:
- Methodological study involving 84 children aged 0-14 years.
- Compared the Pediatric Alert Score with the Brazilian version of the Brighton Pediatric Early Warning Score.
- Assessed reliability using the intraclass correlation coefficient and construct validity using Spearman's correlation.
Main Results:
- The Pediatric Alert Score demonstrated high reliability with an intraclass correlation coefficient of 0.95 (95% CI: 0.93-0.97).
- A strong positive correlation (Spearman's coefficient = 0.53, p<0.0001) was found between the Pediatric Alert Score and the Brighton Pediatric Early Warning Score.
- These findings indicate good construct validity.
Conclusions:
- The Pediatric Alert Score exhibits strong construct validity and internal consistency in hospitalized children.
- The Pediatric Alert Score is a reliable tool that can be utilized to enhance patient safety in pediatric care.
Objective:
To evaluate the construct validity and reliability of the Pediatric Alert Score in hospitalized children and adolescents.
Methods:
This methodological study included 84 children aged 0-14 years. Data were collected using three instruments: a sociodemographic and clinical characterization form, the Brazilian version Brighton Pediatric Early Warning Score, and the Pediatric Alert Score. The reliability of the Pediatric Alert Score was assessed using interobserver equivalence expressed by the intraclass correlation coefficient, and the construct validity was evaluated using Spearman's correlation analysis of the Pediatric Alert Score and the Brighton Pediatric Early Warning Score.
Results:
The reliability analysis of the Pediatric Alert Score revealed an intraclass correlation coefficient of 0.95 (95% confidence interval from 0.93-0.97), and the Spearman's correlation coefficient was 0.53 (p<0.0001), indicating a strong positive correlation between the instruments.
Conclusion:
The Pediatric Alert Score demonstrated construct validity and internal consistency in the studied sample and can be used to enhance patient safety.
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