Evidence map›Paper›PMID 30458826›Full record

Observational studyCritical care (London, England)2018

Validation of the SOS-PD scale for assessment of pediatric delirium: a multicenter study.

Erwin Ista, Babette van Beusekom, Joost van Rosmalen, Martin C J Kneyber, Joris Lemson, Arno Brouwers, Gwen C Dieleman, Bram Dierckx, Matthijs de Hoog, Dick Tibboel and 1 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Critical care (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 77 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Erwin IstaIntensive Care Unit, Departments of Pediatrics and Pediatric Surgery, Erasmus MC-Sophia Children's Hospital, Office Sb-2704, P.O. Box 2060, 3000 CB, Rotterdam, The Netherlands. w.ista@erasmusmc.nl.ORCID http://orcid.org/0000-0003-1257-3108
Babette van BeusekomDepartment of Child and Adolescent Psychiatry and Psychology, Erasmus MC-Sophia Children's Hospital, Rotterdam, The Netherlands.
Joost van RosmalenDepartment of Biostatistics, Erasmus MC, Rotterdam, The Netherlands.
Martin C J KneyberDepartment of Pediatrics, Division of Pediatric Critical Care Medicine, Beatrix Children's Hospital, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Joris LemsonDepartment of Intensive Care, Radboud University Medical Center, Nijmegen, The Netherlands.
Arno BrouwersDepartment of Pediatrics, Division Pediatric Intensive Care, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Gwen C DielemanDepartment of Child and Adolescent Psychiatry and Psychology, Erasmus MC-Sophia Children's Hospital, Rotterdam, The Netherlands.
Bram DierckxDepartment of Child and Adolescent Psychiatry and Psychology, Erasmus MC-Sophia Children's Hospital, Rotterdam, The Netherlands.
Matthijs de HoogIntensive Care Unit, Departments of Pediatrics and Pediatric Surgery, Erasmus MC-Sophia Children's Hospital, Office Sb-2704, P.O. Box 2060, 3000 CB, Rotterdam, The Netherlands.
Dick TibboelIntensive Care Unit, Departments of Pediatrics and Pediatric Surgery, Erasmus MC-Sophia Children's Hospital, Office Sb-2704, P.O. Box 2060, 3000 CB, Rotterdam, The Netherlands.
Monique van DijkIntensive Care Unit, Departments of Pediatrics and Pediatric Surgery, Erasmus MC-Sophia Children's Hospital, Office Sb-2704, P.O. Box 2060, 3000 CB, Rotterdam, The Netherlands.
Erasmus MC - Sophia Children’s Hospital · NLErasmus MC · NLMaastricht University Medical Centre · NLRadboud University Nijmegen · NLUniversity Medical Center Groningen · NL

Funding

Sophia Foundation (NL) B15-03Stichting Coolsingel (NL) 389
6 · The paper itself

Abstract

backgroundsReports of increasing incidence rates of delirium in critically ill children are reason for concern. We evaluated the measurement properties of the pediatric delirium component (PD-scale) of the Sophia Observation Withdrawal Symptoms scale Pediatric Delirium scale (SOS-PD scale).

methodsIn a multicenter prospective observational study in four Dutch pediatric ICUs (PICUs), patients aged ≥ 3 months and admitted for ≥ 48 h were assessed with the PD-scale thrice daily. Criterion validity was assessed: if the PD-scale score was ≥ 4, a child psychiatrist clinically assessed the presence or absence of PD according to the Diagnostic and statistical manual of mental disorders (DSM)-IV. In addition, the child psychiatrist assessed a randomly selected group to establish the false-negative rate. The construct validity was assessed by calculating the Pearson coefficient (r

resultsFour hundred eighty-five patients with a median age of 27.0 months (IQR 8-102) were included, of whom 48 patients were diagnosed with delirium by the child psychiatrist. The PD-scale had overall sensitivity of 92.3% and specificity of 96.5% compared to the psychiatrist diagnosis for a cutoff score ≥4 points. The r

conclusionsThe PD-scale has good reliability and validity for early screening of PD in critically ill children. It can be validly and reliably used by nurses to this aim.

Indexed as

AdolescentChildChild, PreschoolDeliriumFemaleHumansInfantMaleNetherlandsPediatricsProspective StudiesPsychometricsReproducibility of ResultsResearch DesignAssessment toolBenzodiazepineIatrogenic withdrawal syndrome (IWS)Pediatric deliriumPICUSedation

Identifiers

PMID30458826
PMCPMC6247513
OpenAlexW2900903897

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.