Article

Purpose: To determine the interrater reliability (IRR) of the individual items in
the Paediatric Cardiopulmonary Physiotherapy (CPT) Discharge Tool. This tool
identifies six critical items that physiotherapists should consider when
determining a paediatric patient's readiness for discharge from CPT after
upper-abdominal, cardiac, or thoracic surgery: oxygen saturation, mobility,
secretion retention, discharge planning, auscultation, and signs of respiratory
distress. Methods: A total of 33 paediatric patients (ages 2 to <19 years) who
received at least 1 day of CPT following cardiac, thoracic, or upper-abdominal
surgery were independently assessed using the Paediatric CPT Discharge Tool by
two designated assessors, who assessed each patient within
4 hours of each other.
Results: Kappa analysis showed the following levels of interrater agreement for
the six items of the Paediatric CPT Discharge Tool: Oxygen Saturation, excellent
(kappa=0.80); Mobility, substantial (kappa=0.62); Secretion Clearance, moderate
(kappa=0.39); Discharge Planning, fair (kappa=0.37); and Auscultation and
Respiratory Distress, poor (kappa=0.24 and kappa=-0.08, respectively).
Conclusion: Several of the items in the Paediatric CPT Discharge Tool demonstrate
good IRR. The discharge tool is ready for further psychometric testing,
specifically validity testing.

Langue : ANGLAIS