ABSTRACT
BACKGROUND: The calculation of body height in the intensive care unit is essential for obtaining the ideal body weight, which is used to program the tidal volume and establish objective and effective pulmonary ventilation. The objective of the study was to determine the interrater reliability of a tool for measuring body height in adult patients in an intensive care unit (ICU) in southwestern Colombia. METHODS: This cross-sectional observational study was conducted between January and May 2021, following the recommendations of the COSMIN protocol. Two physiotherapists in the roles of observer/evaluator measured the heights of 106 patients upon admission to the ICU with a previously designed. The sample size was calculated based on Pearson's correlation coefficient. For interrater reliability, the intraclass correlation coefficient (ICC) was used, and Bland-Altman analysis was used to assess concordance. The 95% confidence interval was established, and a P value <0.05 indicated statistical significance. RESULTS: A total of 106 individuals with a mean age of 59.3 years were included; the mean body height was 158.5â¯cm for women. The interrater reliability of the measurement of height was excellent (global ICC of 0.99, Pâ¯=â¯0.000), and an almost perfect positive correlation was obtained between the raters for both women and men (Râ¯=â¯0.99). CONCLUSIONS: Excellent interrater/interobserver reliability was obtained for the measurement of body height in the ICU. This research highlights the importance of protocolizing the measurement of height in critical patients with valid and reliable instruments.
ABSTRACT
La pandemia de COVID-19 causada por el síndrome respiratorio agudo severo coronavirus 2 (SARS-CoV-2) es una infección producida por inhalación de gotas o contacto directo con superficies infectadas. Los síntomas clínicos son similares a cualquier infección viral respiratoria aguda; la enfermedad suele ser más leve en los niños. El objetivo fue describir el abordaje de la transmisión, la fisiopatología y las manifestaciones clínicas del SARS-CoV-2 en población pediátrica. Se realizó una revisión bibliográfica en bases de datos académicas PubMed, LILACS, OVID-MEDLINE usando términos DECS-LILACS, aplicando filtros de búsqueda y se seleccionaron textos científicos e información relevante para la investigación. Los resultados evidencian una menor incidencia, prevalencia, hospitalizaciones e ingreso a unidades de cuidados intensivos. Es necesario corroborar las hipótesis planteadas para fortalecer estos conocimientos y determinar las características que predominan en la lesión pulmonar por infección de SARS-CoV-2 en Pediatría.(UA)
The COVID-19 pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is an infection caused by inhalation of droplets or direct contact with infected surfaces. The clinical symptoms are similar to any acute respiratory viral infection; the disease is usually milder in children. The objective was to describe the transmission approach, pathophysiology and clinical manifestations of SARS-CoV-2 in the pediatric population. A bibliographic review was carried out in PubMed, LILACS, OVID-MEDLINE academic databases using DECS-LILACS terms, applying search filters and scientific texts and relevant information for the research were selected. The results show a lower incidence, prevalence, hospitalizations and admission to intensive care units. It is necessary to corroborate the hypotheses proposed to strengthen this knowledge and determine the characteristics that predominate in pulmonary injury due to SARS-CoV-2 infection in pediatrics.(AU)
