[Validation of a Therapeutic Intervention Scoring System (TISS-28) in critically ill children].
Validación de la escala simplificada de puntuación de intervenciones terapéuticas (TISS-28) en niños críticamente enfermos.
Escala de puntuación de intervenciones terapéuticas
Escala simplificada de puntuación de intervenciones terapéuticas
Paediatric Intensive Care Unit
Simplified Therapeutic Intervention Scoring System
Therapeutic Intervention Scoring System
Unidad de Cuidados Intensivos Pediátricos
Journal
Anales de pediatria
ISSN: 2341-2879
Titre abrégé: An Pediatr (Engl Ed)
Pays: Spain
ID NLM: 101765626
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
received:
21
07
2019
revised:
23
09
2019
accepted:
17
10
2019
pubmed:
30
11
2019
medline:
23
3
2021
entrez:
29
11
2019
Statut:
ppublish
Résumé
There are numerous scales in intensive care units that are used to quantify the severity of patients. Most of them are very useful, although sometimes laborious to complete, thus limiting their use in usual practice. One of these scales, the Therapeutic Intervention Scoring System (TISS 76), has been validated in adult and paediatric units. Its simplified and updated version, the Simplified Therapeutic Intervention Scoring System (TISS 28), has not yet been validated in paediatric units. The aim of this study is to validate TISS 28, in order to have a simple and rapid scale. A prospective non-interventional observational study was conducted in a Paediatric Intensive Care Unit (PICU) of a university hospital. Data were collected from 935 consecutive patients admitted to the PICU over a 3-year period. These included the values of TISS 76 and TISS 28 during the first 4days of admission and the subsequent outcome of the patients. The mean values of TISS 76 and TISS 28 for the first day of admission were 18.27 and 18.02, respectively. Values were higher in patients who had sequelae or died (17.58 versus 27.23 and 37.44, respectively for TISS 76 (P<.01); and 17.51 versus 23.80 and 33.44, respectively for TISS 28 (P<.01). A very good correlation was found between TISS 76 and TISS 28, with Pearson correlation and intraclass correlation coefficients> 0.9 (except for the 2nd day). The correlation equation for the overall 4 days was: TISS76=- 1.74+1.05×TISS28. TISS 28 was able to explain 82.4% of variability of TISS 76. The area under the curve with a confidence interval (CI) of 95% for the first day was 0.80 (0.73-0.87) for TISS 76, and 0.76 (0.67-0.84) for TISS 28. On observing the results obtained, TISS 28 can replace TISS 26 in our PICU, without worsening the information provided. Being a reliable scale and easier to apply, its practical application could be useful.
Identifiants
pubmed: 31776065
pii: S1695-4033(19)30296-6
doi: 10.1016/j.anpedi.2019.10.002
pii:
doi:
Types de publication
Journal Article
Observational Study
Validation Study
Langues
spa
Sous-ensembles de citation
IM
Pagination
339-344Informations de copyright
Copyright © 2019. Publicado por Elsevier España, S.L.U.