Journal article
Development and validation of the Proxy-Reported Pulmonary Outcomes Scale for premature infants
American journal of perinatology, Vol.32(6), pp.583-590
05/2015
DOI: 10.1055/s-0035-1544946
PMID: 25715315
Abstract
Test the feasibility of using a bedside nurse-reported tool (Proxy-Reported Pulmonary Outcome Scale, PRPOS) for evaluating the severity of bronchopulmonary dysplasia (BPD) by assessing functional, disease-related measures.
Bedside nurses tested the 26-item instrument by observing preterm infants (23-30 weeks at birth) at 36 to 37(4/7) weeks postmenstrual age before, during, and after a care time. We analyzed item reliability, validity, and model fit to determine the six items to include in the final measurement tool.
We completed assessments on 188 preterm infants. The frequency of an abnormal PRPOS item score increased with increasing National Institute of Child Health and Development (NICHD) BPD category. The six-candidate items produced an internally consistent scale. Addition of the NICHD BPD classification increased reliability moderately; addition of feeding items decreased reliability. The PRPOS score correlated with postmenstrual age at discharge. Infants discharged on oxygen or diuretics had higher median PRPOS scores than did infants who were not prescribed those therapies.
The PRPOS is an internally consistent, proxy-reported measure of respiratory function in premature infants, based on observable, functional performance measures. Initial testing demonstrates known-groups validity and ongoing testing can assess predictive validity.
Details
- Title: Subtitle
- Development and validation of the Proxy-Reported Pulmonary Outcomes Scale for premature infants
- Creators
- Wayne A Price - Department of Pediatrics, School of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, North CarolinaSofia R Aliaga - Department of Pediatrics, School of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, North CarolinaSara E Massie - Center for Public Health Quality, Raleigh, North CarolinaDarren A DeWalt - Learning and Diffusion Group, Centers for Medicare and Medicaid Services, Baltimore, MarylandMatthew M Laughon - Department of Pediatrics, School of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, North CarolinaWilliam F Malcolm - Department of Pediatrics, Duke University, Durham, North CarolinaKrisa Van Meurs - Department of Pediatrics, Stanford University School of Medicine and Lucile Salter Packard Children's Hospital, Palo Alto, CaliforniaJonathan M Klein - Stead Family Department of Pediatrics, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IowaGeorge El-Ferzli - Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AlabamaBrooke E Magnus - Department of Psychology, The University of North Carolina at Chapel Hill, Chapel Hill, North CarolinaSue Tolleson-Rinehart - Department of Pediatrics, School of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
- Resource Type
- Journal article
- Publication Details
- American journal of perinatology, Vol.32(6), pp.583-590
- DOI
- 10.1055/s-0035-1544946
- PMID
- 25715315
- ISSN
- 0735-1631
- eISSN
- 1098-8785
- Grant note
- 3UL1RR025747-02S3 / NCRR NIH HHS
- Language
- English
- Date published
- 05/2015
- Academic Unit
- Stead Family Department of Pediatrics; Neonatology
- Record Identifier
- 9984093234602771
Metrics
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