J Clin Monit Comput - Validity and reliability of the Cold Discomfort Scale: a subjective judgement scale for the assessment of patient thermal state in a cold environment.

Tópicos

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Resumo

Complementary measures for the assessment of patient thermoregulatory state, such as subjective judgement scales, might be of considerable importance in field rescue scenarios where objective measures such as body core temperature, skin temperature, and oxygen consumption are difficult to obtain. The objective of this study was to evaluate, in healthy subjects, the reliability of the Cold Discomfort Scale (CDS), a subjective judgement scale for the assessment of patient thermal state in cold environments, defined as test-retest stability, and criterion validity, defined as the ability to detect a difference in cumulative cold stress over time. Twenty-two healthy subjects performed two consecutive trials (test-retest). Dressed in light clothing, the subjects remained in a climatic chamber set to -20 ?C for 60 min. CDS ratings were obtained every 5 min. Reliability was analysed by test-retest stability using weighted kappa coefficient that was 0.84 including all the 5-min interval measurements. When analysed separately at each 5-min interval the weighted kappa coefficients were was 0.48-0.86. Criterion validity was analysed by comparing median CDS ratings of a moving time interval. The comparison revealed that CDS ratings were significantly increased for every interval of 10, 15, and 30 min (p < 0.001) but not for every interval of 5 min. In conclusion, in a prehospital scenario, subjective judgement scales might be a valuable measure for the assessment of patient thermal state. The results of this study indicated that, in concious patients, the CDS may be both reliable and valid for such purpose.

Resumo Limpo

complementari measur assess patient thermoregulatori state subject judgement scale might consider import field rescu scenario object measur bodi core temperatur skin temperatur oxygen consumpt difficult obtain object studi evalu healthi subject reliabl cold discomfort scale cds subject judgement scale assess patient thermal state cold environ defin testretest stabil criterion valid defin abil detect differ cumul cold stress time twentytwo healthi subject perform two consecut trial testretest dress light cloth subject remain climat chamber set c min cds rate obtain everi min reliabl analys testretest stabil use weight kappa coeffici includ min interv measur analys separ min interv weight kappa coeffici criterion valid analys compar median cds rate move time interv comparison reveal cds rate signific increas everi interv min p everi interv min conclus prehospit scenario subject judgement scale might valuabl measur assess patient thermal state result studi indic concious patient cds may reliabl valid purpos

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