The impact of admission to a pediatric intensive care unit assessed by means of global and cognitive performance scales

Alievi, Patrícia Tollens; Carvalho, Paulo Roberto Antonacci; Trotta, Eliana de Andrade; Filho, Ricardo Mombelli

doi:10.2223/jped.1693

Cited by 38 publications

(49 citation statements)

References 21 publications

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“…15,26 In the majority of cases, translation and transcultural adaptation of already-existing scales is chosen, since this is a more practical procedure than developing an original scale and also allows results from different countries to be compared. [15][16][17]27 The method used to translate instruments for different languages and cultures has been widely discussed, since, as many of these instruments are being used in socio-cultural settings very different from those in which they originated, the fundamental question is whether we can infer that the scores resulting from these evaluations have the same significance in ethnoculturally different populations. 26,27 Perneger et al 28 investigated the characteristics of two different versions of quality-of-life instruments that had been translated using different methods and concluded that the version arrived at after an exhaustive process exhibited the same psychometric characteristics as that resulting from a more simple method, suggesting that a less refined technique does not compromise the quality of the final instrument.…”

Section: Discussionmentioning

confidence: 99%

“…10 Identification of autism is of fundamental importance and the use of a standardized and globally-accepted instrument offers accurate and reliable diagnosis in addition to making it possible to exchange information between different research centers. [14][15][16] Our objective in carrying out this study was to translate the CARS into Brazilian Portuguese, to adapt it and to validate it.…”

Section: Introductionmentioning

confidence: 99%

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Autismo infantil: tradução e validação da Childhood Autism Rating Scale para uso no Brasil

Pereira¹,

Riesgo²,

Wagner³

2008

J. Pediatr. (Rio J.)

140

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Objective: To translate the Childhood Autism Rating Scale into Brazilian Portuguese and to determine the initial psychometric properties of the resulting version (CARS-BR). Methods:The methodology used to produce an adequate version included translation, backtranslation and evaluation of semantic equivalence. In order to determine its psychometric properties (internal consistency, validity and reliability), the CARS-BR was administered to 60 consecutive patients with autism, aged between 3 and 17 years and seen at a university hospital. Conclusion:These results suggest that the CARS-BR is a valid and reliable instrument for evaluating autism severity in Brazil.J Pediatr (Rio J). 2008;84(6):487-494: Autism, validation studies, questionnaires.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Autismo infantil: tradução e validação da Childhood Autism Rating Scale para uso no Brasil

Pereira¹,

Riesgo²,

Wagner³

2008

J. Pediatr. (Rio J.)

140

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“…Seu uso oferece diversas vantagens sobre outros instrumentos: a inclusão de itens que representam critérios diagnósticos variados e refletem a real dimensão da síndrome, aplicabilidade em crianças de todas as idades, inclusive pré-escolares, além de escores objetivos e quantificáveis baseados na observação direta 10 . A identificação do autismo é de fundamental importância, e a utilização de um instrumento padronizado e mundialmente aceito permite diagnóstico precoce e acurado, além de possibilitar a troca de informações entre diferentes centros de pesquisa [14][15][16] .…”

Section: Introductionunclassified

Childhood autism: translation and validation of the Childhood Autism Rating Scale for use in Brazil

2008

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ResumoObjetivo: Traduzir, adaptar e validar uma versão em português (do Brasil) da Childhood Autism Rating Scale (CARS).Métodos: Após processo de tradução, a versão foi aplicada em 60 pacientes com diagnóstico de autismo infantil, de 3 a 17 anos de idade, selecionados consecutivamente de um ambulatório especializado a fim de analisar as propriedades psicométricas da nova versão (CARS-BR) (consistência interna, validade e confiabilidade). Resultados:A consistência interna foi elevada, com valor de alfa de Cronbach de 0,82; a validade convergente (comparada com a Escala de Avaliação de Traços Autístícos) alcançou um coeficiente de correlação de Pearson de r = 0,89. Ao ser correlacionada à Escala de Avaliação Global de Funcionamento (para determinação da validade discriminante), a CARS-BR apresentou um coeficiente de correlação de Pearson de r = -0,75. A confiabilidade teste-reteste foi 0,90. Conclusão:A metodologia utilizada e os cuidados no processo de tradução permitem concluir que esse é um instrumento válido e confiável para avaliação da gravidade do autismo no Brasil.J Pediatr (Rio J). 2008;84(6):487-494: Autismo infantil, estudos de validação, questionários. AbstractObjective: To translate the Childhood Autism Rating Scale into Brazilian Portuguese and to determine the initial psychometric properties of the resulting version (CARS-BR). Methods:The methodology used to produce an adequate version included translation, backtranslation and evaluation of semantic equivalence. In order to determine its psychometric properties (internal consistency, validity and reliability), the CARS-BR was administered to 60 consecutive patients with autism, aged between 3 and 17 years and seen at a university hospital. Conclusion:These results suggest that the CARS-BR is a valid and reliable instrument for evaluating autism severity in Brazil. J Pediatr (Rio J)

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“…[11][12][13][14][15] Use of SU prophylaxis was highly prevalent in all participating institutions, with 77.5% of patients receiving prophylaxis at some point during their PICU stay. Our review of then literature showed that only two prior studies provided information on the prevalence of SU prophylaxis in children; these reported prevalence rates of 11 and 14.5% respectively, with use of prophylaxis restricted to high-risk patients.…”

Section: Discussionmentioning

confidence: 99%

Profilaxia para úlcera de estresse em pacientes internados em UTI pediátrica

Araújo¹,

Vieira²,

Carvalho³

2010

J. Pediatr. (Rio J.)

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Objective: To assess use of stress ulcer prophylaxis in patients admitted to five pediatric intensive care units (PICUs) in Porto Alegre, Brazil.Methods: This was a multicenter, prospective, cross-sectional observational study. PICUs were visited on randomly defined days between April 2006 and February 2007, and the medical records of admitted patients were reviewed. Patients whose records had been previously assessed were excluded, as were those with upper gastrointestinal bleeding on admission. Data were collected on age, gender, admission diagnosis, severity of illness, administration of stress ulcer prophylaxis, rationale for prophylaxis, and first-line prophylactic agent of choice. Variables were described as absolute and relative frequencies, mean and standard deviation, or median and interquartile range as appropriate. Pearson's chi-square test for linear trend or Fisher's exact test were used to assess possible associations. The level of significance was set at 5% (p ≤ 0.05).Results: 398 patients (57% male) were assessed [median age, 16 months (IQR 4-65); median length of PICU stay, 4 days (IQR 1-9)]. Respiratory illness was the main reason for admission (32.7%). Most patients received stress ulcer prophylaxis (77.5%; range, 66-91%). Mechanical ventilation (22.3%) was the most common rationale provided, followed by informal routine use of prophylaxis (21.4%). Only one of the participating PICUs had a specific care protocol for use of stress ulcer prophylaxis. Ranitidine was the most commonly used drug (84.5% of cases). Evidence of minor gastrointestinal bleeding was found in 3% of patients; none had clinically significant bleeds. Conclusions:Administration of stress ulcer prophylaxis is a common practice in the participating PICUs, with ranitidine the most commonly used drug. Among the various rationales provided, mechanical ventilation and informal routine use were the most prevalent.J Pediatr (Rio J). 2010;86(6):525-530: Gastroduodenal ulcer, prophylaxis, children, intensive care, gastrointestinal bleeding.

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The impact of admission to a pediatric intensive care unit assessed by means of global and cognitive performance scales

Cited by 38 publications

References 21 publications

Autismo infantil: tradução e validação da Childhood Autism Rating Scale para uso no Brasil

Autismo infantil: tradução e validação da Childhood Autism Rating Scale para uso no Brasil

Childhood autism: translation and validation of the Childhood Autism Rating Scale for use in Brazil

Profilaxia para úlcera de estresse em pacientes internados em UTI pediátrica

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