Miranda Juliana de Oliveira Freitas, Camargo Climene Laura de, Nascimento Carlito Lopes, Portela Daniel Sales, Monaghan Alan
PhD, Assistant Professor, Departamento de Saúde, Universidade Estadual de Feira de Santana, Feira de Santana, BA, Brazil.
PhD, Associate Professor, Escola de Enfermagem, Universidade Federal da Bahia, Salvador, BA, Brazil.
Rev Lat Am Enfermagem. 2017 Jul 10;25:e2912. doi: 10.1590/1518-8345.1733.2912.
to evaluate the accuracy of the version of the Brighton Pediatric Early Warning Score translated and adapted for the Brazilian context, in the recognition of clinical deterioration.
a diagnostic test study to measure the accuracy of the Brighton Pediatric Early Warning Score for the Brazilian context, in relation to a reference standard. The sample consisted of 271 children, aged 0 to 10 years, blindly evaluated by a nurse and a physician, specialists in pediatrics, with interval of 5 to 10 minutes between the evaluations, for the application of the Brighton Pediatric Early Warning Score for the Brazilian context and of the reference standard. The data were processed and analyzed using the Statistical Package for the Social Sciences and VassarStats.net programs. The performance of the Brighton Pediatric Early Warning Score for the Brazilian context was evaluated through the indicators of sensitivity, specificity, predictive values, area under the ROC curve, likelihood ratios and post-test probability.
the Brighton Pediatric Early Warning Score for the Brazilian context showed sensitivity of 73.9%, specificity of 95.5%, positive predictive value of 73.3%, negative predictive value of 94.7%, area under Receiver Operating Characteristic Curve of 91.9% and the positive post-test probability was 80%.
the Brighton Pediatric Early Warning Score for the Brazilian context, presented good performance, considered valid for the recognition of clinical deterioration warning signs of the children studied.
评估为巴西背景翻译和改编的布莱顿儿科早期预警评分版本在识别临床恶化方面的准确性。
一项诊断测试研究，以测量针对巴西背景的布莱顿儿科早期预警评分相对于参考标准的准确性。样本包括271名0至10岁的儿童，由一名护士和一名儿科专家医生进行盲法评估，评估间隔为5至10分钟，以应用针对巴西背景的布莱顿儿科早期预警评分和参考标准。使用社会科学统计软件包和VassarStats.net程序对数据进行处理和分析。通过敏感性、特异性、预测值、ROC曲线下面积、似然比和检验后概率等指标评估针对巴西背景的布莱顿儿科早期预警评分的性能。
针对巴西背景的布莱顿儿科早期预警评分显示敏感性为73.9%，特异性为95.5%，阳性预测值为73.3%，阴性预测值为94.7%，受试者操作特征曲线下面积为91.9%，检验后阳性概率为80%。
针对巴西背景的布莱顿儿科早期预警评分表现良好，被认为对于识别所研究儿童的临床恶化警示信号有效。
