Use of the ReSVinet Scale for parents and healthcare workers in a paediatric emergency service: a prospective study

Introduction Most scales for acute respiratory infection (ARI) are limited to healthcare worker (HCW) use for clinical decision-making. The Respiratory Syncytial Virus network (ReSVinet) Scale offers a version for parents that could potentially help as an early warning system.Objective To determine...

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Main Authors: Pablo Vásquez-Hoyos, Jhon Camacho-Cruz, Shirley Briñez, Jorge Alvarez, Victoria Leal, Licet Villamizar Gómez
Format: Article
Language:English
Published: BMJ Publishing Group 2021-07-01
Series:BMJ Paediatrics Open
Online Access:https://bmjpaedsopen.bmj.com/content/5/1/e000966.full
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author Pablo Vásquez-Hoyos
Jhon Camacho-Cruz
Shirley Briñez
Jorge Alvarez
Victoria Leal
Licet Villamizar Gómez
author_facet Pablo Vásquez-Hoyos
Jhon Camacho-Cruz
Shirley Briñez
Jorge Alvarez
Victoria Leal
Licet Villamizar Gómez
author_sort Pablo Vásquez-Hoyos
collection DOAJ
description Introduction Most scales for acute respiratory infection (ARI) are limited to healthcare worker (HCW) use for clinical decision-making. The Respiratory Syncytial Virus network (ReSVinet) Scale offers a version for parents that could potentially help as an early warning system.Objective To determine whether or not the ReSVinet Scale for ARI in infants can be reliably used by HCWs and parents in an emergency service.Methods A prospective study was done of infants with ARI who were admitted to a paediatric emergency room to assess the ReSVinet Scale when used by faculty (paediatric doctor-professors), residents (doctors doing their first specialty in paediatrics) and parents. Spearman’s correlation and a weighted kappa coefficient were used to measure interobserver agreement. Internal consistency was also tested by Cronbach’s alpha test.Results Overall, 188 patients, 58% male, were enrolled. A Spearman’s correlation of 0.92 for faculty and resident scoring and 0.64 for faculty or resident and parent scoring was found. The weighted kappa coefficients were 0.78 for faculty versus residents, 0.41 for faculty versus parents, and 0.41 for residents versus parents. Cronbach’s alpha test was 0.67 for faculty, 0.62 for residents and 0.69 for parents.Conclusion There was good correlation in the ReSVinet scores between health professionals when used in the paediatric emergency area. Agreement between parents and health professionals was found to be more variable. Future studies should focus on finding ways to improve its reliability when used by parents before the scale is used in the emergency room.
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spelling doaj-art-1e9997d25d684462bed8146491c20d182025-08-20T02:12:14ZengBMJ Publishing GroupBMJ Paediatrics Open2399-97722021-07-015110.1136/bmjpo-2020-000966Use of the ReSVinet Scale for parents and healthcare workers in a paediatric emergency service: a prospective studyPablo Vásquez-Hoyos0Jhon Camacho-Cruz1Shirley Briñez2Jorge Alvarez3Victoria Leal4Licet Villamizar Gómez5Department of Pediatrics, Faculty of Medicine, Fundación Universitaria de Ciencias de la Salud (FUCS), Sociedad de Cirugía de Bogota-Hospital San José, Bogotá, ColombiaDepartment of Pediatrics, Faculty of Medicine, Fundación Universitaria de Ciencias de la Salud (FUCS), Sociedad de Cirugía de Bogota-Hospital San José, Bogotá, ColombiaDepartment of Pediatrics, Sociedad de Cirugía de Bogotá - Hospital de San José, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogota, ColombiaDepartment of Pediatrics, Sociedad de Cirugía de Bogotá - Hospital de San José, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogota, ColombiaDepartment of Pediatrics, Sociedad de Cirugía de Bogotá - Hospital de San José, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogota, ColombiaResearch Division, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogota, ColombiaIntroduction Most scales for acute respiratory infection (ARI) are limited to healthcare worker (HCW) use for clinical decision-making. The Respiratory Syncytial Virus network (ReSVinet) Scale offers a version for parents that could potentially help as an early warning system.Objective To determine whether or not the ReSVinet Scale for ARI in infants can be reliably used by HCWs and parents in an emergency service.Methods A prospective study was done of infants with ARI who were admitted to a paediatric emergency room to assess the ReSVinet Scale when used by faculty (paediatric doctor-professors), residents (doctors doing their first specialty in paediatrics) and parents. Spearman’s correlation and a weighted kappa coefficient were used to measure interobserver agreement. Internal consistency was also tested by Cronbach’s alpha test.Results Overall, 188 patients, 58% male, were enrolled. A Spearman’s correlation of 0.92 for faculty and resident scoring and 0.64 for faculty or resident and parent scoring was found. The weighted kappa coefficients were 0.78 for faculty versus residents, 0.41 for faculty versus parents, and 0.41 for residents versus parents. Cronbach’s alpha test was 0.67 for faculty, 0.62 for residents and 0.69 for parents.Conclusion There was good correlation in the ReSVinet scores between health professionals when used in the paediatric emergency area. Agreement between parents and health professionals was found to be more variable. Future studies should focus on finding ways to improve its reliability when used by parents before the scale is used in the emergency room.https://bmjpaedsopen.bmj.com/content/5/1/e000966.full
spellingShingle Pablo Vásquez-Hoyos
Jhon Camacho-Cruz
Shirley Briñez
Jorge Alvarez
Victoria Leal
Licet Villamizar Gómez
Use of the ReSVinet Scale for parents and healthcare workers in a paediatric emergency service: a prospective study
BMJ Paediatrics Open
title Use of the ReSVinet Scale for parents and healthcare workers in a paediatric emergency service: a prospective study
title_full Use of the ReSVinet Scale for parents and healthcare workers in a paediatric emergency service: a prospective study
title_fullStr Use of the ReSVinet Scale for parents and healthcare workers in a paediatric emergency service: a prospective study
title_full_unstemmed Use of the ReSVinet Scale for parents and healthcare workers in a paediatric emergency service: a prospective study
title_short Use of the ReSVinet Scale for parents and healthcare workers in a paediatric emergency service: a prospective study
title_sort use of the resvinet scale for parents and healthcare workers in a paediatric emergency service a prospective study
url https://bmjpaedsopen.bmj.com/content/5/1/e000966.full
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