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. 2023 Jul 1;24(7):e317-e321.
doi: 10.1097/PCC.0000000000003234. Epub 2023 Apr 26.

Performance of a Provider-Assigned Functional Outcome Score in Critically Ill Children

Natalie E Wilson  1 , Felice Su  2   3 , Allie DaCar  2 , Nathan Chang  4 , Kristopher Kapphahn  5 , Alan R Schroeder  2 , Daniel S Tawfik  2 , Lynda Knight  3 , Lindsey Rasmussen  2
Affiliations

Performance of a Provider-Assigned Functional Outcome Score in Critically Ill Children

Natalie E Wilson et al. Pediatr Crit Care Med. .

Abstract

Objectives: Determine agreement between Pediatric Cerebral Performance Category (PCPC) scores integrated into clinical workflow and traditional investigator-assigned scores.

Design: Longitudinal study.

Setting: A single-center quaternary-care academic institution.

Subjects: Children admitted to the PICU between November 2019 and April 2020.

Interventions: Providers assigned PCPC scores as part of daily workflow. Investigators assigned scores using retrospective chart review.

Measurements and main results: Of 803 patients admitted to the PICU, 782 survived and were included. Admission and discharge scores were recorded in 95% and 90% of patients, respectively. Agreement between provider- and investigator-assigned scores was excellent, with a weighted kappa of 0.87 (95% CI, 0.84-0.90) and 0.80 (95% CI, 0.76-0.84) for admission and discharge.

Conclusions: Provider-assigned PCPC scores, documented as standard of care, are largely concordant with retrospective investigator-assigned scores. Measurement of cognitive functional status can be successfully integrated into daily provider workflow for use in the clinical, quality improvement, and research arenas.

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Conflict of interest statement

Dr. Kapphahn disclosed work for hire. The remaining authors have disclosed that they do not have any potential conflicts of interest.

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