Validation into Spanish of a Scale to Detect the Post-intensive Care Syndrome.
Mario Andrés Narváez Martínez, Ángela María Henao Castaño
PMID 37071864WHAT IT FOUND
A Spanish version of a 27-item scale for ICU survivors was rated clear by survivors and grouped into three domains: memory/thinking, daily activities and mood.
It can flag post-ICU problems, but is not a diagnostic test.
Key findings
01Experts and ICU survivors judged the Spanish scale relevant, clear, understandable and accurate, with survivor agreement above 80%.
02In 135 ICU survivors, the scale fit cognitive, functional and psychological domains, and the total scale showed good to excellent reliability (Cronbach's alpha 0.94).
03The authors state the Spanish HABC-M can detect and monitor PICS but is not a diagnostic tool.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
No test-retest stability was measured, so score stability over time is unknown. Survivors were recruited by convenience, so they may not represent all ICU survivors. Included survivors had high illness severity, so results may not apply to lower-complexity ICU survivors. Patients with moderate to severe cognitive or neurological disorders, and palliative care patients, were excluded, so the scale is not tested in those groups. The scale is not a diagnostic tool and should be interpreted with the clinical history.
Declared interests
The only declaration supplied is funding from Universidad Nacional de Colombia (project 202010029233, Resolution 541 of 2022).
The easy way to misread this
Do not read this as a diagnostic test for PICS or as proof that any treatment improves outcomes. The paper validates a patient-reported detection scale, and the authors state it should not be considered a diagnostic tool.