Aikawa Gen, Sakuramoto Hideaki, Ouchi Akira, Ono Chiemi, Hoshino Tetsuya, Kido Takahiro, Inoue Yoshiaki, Asano Yoshihiro, Hidaka Kikue
Department of Emergency and Critical Care Medicine Faculty of Medicine University of Tsukuba Tsukuba Japan.
Intensive Care Unit University of Tsukuba Hospital Tsukuba Japan.
Acute Med Surg. 2021 Jun 22;8(1):e672. doi: 10.1002/ams2.672. eCollection 2021 Jan-Dec.
The Intensive Care Unit Trigger Tool (ICUTT) was developed to detect adverse events (AEs) in intensive care unit (ICU) patients. The purpose of this study was to determine the validity and reliability of the Japanese version of the ICUTT (ICUTT-J).
The translation of ICUTT was carried out based on the guideline for translation of instruments. Subsequently, two review teams independently reviewed 50 patients' medical records using the ICUTT-J, and agreement regarding the presence and number of AEs was evaluated to ensure reliability.
The ICUTT-J was submitted to the authors of the original ICUTT, who confirmed it as being equivalent to the original version. The item-content validity index and scale-content validity index were 1.00 and 1.00, respectively. Interrater reliability showed moderate agreement of κ = 0.52 in terms of the presence of AEs and linear weighting of κ = 0.49 (95% confidence interval, 0.28, 0.71) in terms of the number of AEs.
This study's findings suggest that the ICUTT-J is valid and moderately reliable for use in ICUs.
开发重症监护病房触发工具（ICUTT）以检测重症监护病房（ICU）患者的不良事件（AE）。本研究的目的是确定日语版ICUTT（ICUTT-J）的有效性和可靠性。
根据工具翻译指南对ICUTT进行翻译。随后，两个审查小组使用ICUTT-J独立审查了50份患者病历，并评估了关于AE存在情况和数量的一致性，以确保可靠性。
ICUTT-J提交给了原始ICUTT的作者，他们确认其与原始版本等效。条目内容效度指数和量表内容效度指数分别为1.00和1.00。评分者间信度显示，在AE存在情况方面，κ = 0.52，具有中度一致性；在AE数量方面，κ = 0.49（95%置信区间，0.28，0.71），具有线性加权的中度一致性。
本研究结果表明，ICUTT-J在ICU中使用是有效且具有中度可靠性的。
