Volume 11 Supplement 3

Fourth International Symposium on Intensive Care and Emergency Medicine for Latin America

Open Access

Applicability of four sedation/agitation scales in Portuguese

  • AP NassarJr1,
  • W Figueiredo1,
  • RC Pires Neto1,
  • DM Lima1 and
  • M Park1
Critical Care200711(Suppl 3):P75

https://doi.org/10.1186/cc5862

Published: 19 June 2007

Introduction

Sedation scales are widely used to guide sedation protocols in the ICU. However, no scale in Portuguese has ever been evaluated.

Methods

Four sedation/agitation scales (RASS, Glasgow Coma Score, Ramsay and SAS) were translated into Portuguese and were applied to 29 patients by four different members of the critical care team (a nurse, a physiotherapist, a physician and a resident). Interobserver agreement was evaluated by weighted kappa.

Results

See Table 1.

Table 1

Comparison/weighted kappa

RASS (95% confidence interval)

Glasgow (95% confidence interval)

Ramsay (95% confidence interval)

SAS (95% confidence interval)

Nurse vs physiotherapist

0.86 (0.77–0.94)

0.81 (0.67–0.94)

0.83 (0.71–0.94)

0.83 (0.67–0.97)

Nurse vs physician

0.89 (0.81–0.97)

0.72 (0.56–0.89)

0.82 (0.69–0.96)

0.89 (0.77–0.99)

Nurse vs resident

0.85 (0.77–0.94)

0.86 (0.74–0.98)

0.75 (0.61–0.89)

0.86 (0.73–0.99)

Physiotherapist vs physician

0.87 (0.79–0.96)

0.82 (0.68–0.95)

0.68 (0.50–0.87)

0.87 (0.74–0.99)

Physiotherapist vs resident

0.86 (0.78–0.94)

0.86 (0.76–0.95)

0.78 (0.64–0.92)

0.90 (0.80–0.99)

Physician vs resident

0.82 (0.73–0.92)

0.73 (0.56–0.89)

0.82 (0.70–0.94)

0.90 (0.78–0.99)

Conclusion

All scales had a substantial agreement, but the RASS and SAS had the best agreement. We believe that the Portuguese version of these two scales can be used in the ICU to evaluate patients' sedation and agitation.

Authors’ Affiliations

(1)
Hospital das Clínicas, FMUSP

Copyright

© BioMed Central Ltd 2007

Advertisement