Evaluating the Pediatric Anesthesia Emergence Delirium Scale
Author Information
Author(s): Jenny Ringblom, Ingrid Wåhlin, Marie Proczkowska, Laura Korhonen, Kristofer Årestedt
Primary Institution: Linköping University
Hypothesis
The study aims to evaluate the measurement properties of the Pediatric Anesthesia Emergence Delirium scale with a focus on its latent structure and cutoff scores.
Conclusion
The Pediatric Anesthesia Emergence Delirium scale's first three items are a more valid and reliable measure of emergence delirium than its original five items.
Supporting Evidence
- The two-factor model of the PAED scale showed an excellent fit, indicating its validity.
- Internal consistency reliability was high, with ordinal alpha values above 0.95.
- Convergent validity was supported by strong correlations with the FLACC scale.
Takeaway
This study looks at a tool used to check if kids are confused after anesthesia, and it found that the first three questions are better at spotting this confusion than all five questions.
Methodology
The study used confirmatory factor analysis to evaluate the scale's latent structure and cutoff scores, analyzing data from children undergoing adenoidectomy.
Potential Biases
Potential bias due to the subjective nature of behavioral assessments and the exclusion of non-Swedish speaking parents.
Limitations
The study did not conduct a priori power calculations and used the original PAED scale as a criterion variable for cutoff scores, which may affect validity.
Participant Demographics
Children under 7 years of age, with a mean age of 3.8 years; 55.7% boys and 44.3% girls.
Statistical Information
P-Value
p<0.001
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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