CLINICAL DETERIORATION OF THE ONCOLOGY CHILD: RELIABILITY OF A NEW TOOL ADAPTED FROM THE BRIGHTON PEDIATRIC EARLY WARNING SCORE

Authors

  • Nataly Tsumura Inocêncio Soares
  • Marcos Hirata Soares
  • Rosângela Aparecida Pimenta

DOI:

https://doi.org/10.1590/ce.v29i0.97256

Keywords:

Medical Oncology, Clinical Deterioration, Pediatrics, Hospitalization, Methodological Studies.

Abstract

Objective: To measure the degree of reliability of the construction of new items and the adaptation of the Brighton Pediatric Early Warning Score for children with cancer.

Method: Methodological study to analyze the equivalence of inter-judge content regarding the inclusion of items in the scale to detect early clinical deterioration in children with cancer: signs of bleeding, changes in temperature, and presence of grade III/IV mucositis. The Intraclass Correlation Coefficient and Cronbach's Alpha were used for analysis, considering a value ≥0.750.

Results: Based on the judges' feedback, the items proposed for inclusion were retained, with minor adjustments to the scores. Thirty nurses (86.1%) and six doctors (13.9%) from Brazil evaluated the scale, resulting in an intraclass correlation coefficient of 0.823.

Conclusion: The instrument proved suitable, with theoretical relevance and practical application, for early detection of clinical deterioration in children with cancer. To this end, it contributes to timely identification by the team, minimizing unfavorable outcomes.

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Published

2024-12-02

How to Cite

Soares, N. T. I., Soares, M. H., & Pimenta, R. A. (2024). CLINICAL DETERIORATION OF THE ONCOLOGY CHILD: RELIABILITY OF A NEW TOOL ADAPTED FROM THE BRIGHTON PEDIATRIC EARLY WARNING SCORE. Cogitare Enfermagem, 29. https://doi.org/10.1590/ce.v29i0.97256

Issue

Section

ORIGINAL ARTICLE