Moura Larissa da Silva, Costa Paulo Sucasas, Costa Luciane Rezende
Health Sciences Graduate Program, Faculdade de Medicina, Universidade Federal de Goiás (UFG), Goiânia, GO, Brazil.
Faculty of Medicine, UFG, Goiânia, GO, Brazil.
Biomed Res Int. 2016;2016:5248271. doi: 10.1155/2016/5248271. Epub 2016 Dec 28.
. There is little information regarding the ability of observational scales to properly assess children's behavior during procedural sedation. . To evaluate the characteristics of the Houpt scales, the Ohio State University Behavioral Rating Scale (OSUBRS) and the Venham Behavior Rating Scale when applied to preschool children undergoing conscious dental sedation. . This study included 27 children, 4-6 years old with early childhood caries that participated in a clinical trial (NCT02284204) that investigated two sedative regimes using oral midazolam/ketamine. Dental appointments were video-recorded; five calibrated observers assessed 1,209 minutes of video recording to score the children's behavior, following the instructions of the investigated scales. Data were analyzed by descriptive analysis and Spearman correlation tests ( < 0.05). . The Houpt overall behavior and the Venham scale were highly correlated (rho = -0.87; < 0.001). OSUBRS scores were better correlated with Houpt overall behavior and Venham ratings, when compared to Houpt scores in the categories for movement and crying. . The Houpt overall behavior and the Venham scores are global scales that properly measure children's behavior during dental sedation. Continuous assessment with OSUBRS through videos has a chance to give more precise data, while the Houpt categories can easily demonstrate children's behavior during procedures.
关于观察量表在程序性镇静期间正确评估儿童行为能力的信息很少。为了评估霍普特量表、俄亥俄州立大学行为评定量表（OSUBRS）和维纳姆行为评定量表应用于接受清醒牙科镇静的学龄前儿童时的特征。本研究纳入了27名4至6岁患有幼儿龋齿的儿童，他们参与了一项临床试验（NCT02284204），该试验研究了两种使用口服咪达唑仑/氯胺酮的镇静方案。牙科预约过程进行了视频记录；五名经过校准的观察者按照所研究量表的指示，对1209分钟的视频记录进行评估，以对儿童的行为进行评分。通过描述性分析和斯皮尔曼相关性检验（<0.05）对数据进行分析。霍普特总体行为量表和维纳姆量表高度相关（rho = -0.87；<0.001）。与霍普特量表在运动和哭泣类别中的得分相比，OSUBRS得分与霍普特总体行为和维纳姆评分的相关性更好。霍普特总体行为量表和维纳姆得分是在牙科镇静期间正确测量儿童行为的整体量表。通过视频使用OSUBRS进行连续评估有机会提供更精确的数据，而霍普特类别可以轻松展示儿童在操作过程中的行为。
