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The richmond agitation-sedation scale (rass)- translation and reliability testing in a swedish intensive care unit

Almgren, Matilda and Lundmark, Martina (2009)
Department of Health Sciences
Abstract
Background: The awareness concerning adequate sedation in mechanical ventilated patients has increased in recent years. The use of a sedation scale, to continually evaluate the patientfs response to sedation, may promote earlier extubation and subsequently have a positive effect on the intensive care unit (ICU) length of stay. The Richmond Agitation-Sedation Scale (RASS) provides ten well-defined levels divided into two different segments, including criteria for levels of sedation and agitation. Previous studies have showed strong reliability and validity of the RASS. The aim of this study was to translate the RASS into Swedish and to test the inter-rater reliability of the scale in a Swedish intensive care unit.Methods: A translation of... (More)
Background: The awareness concerning adequate sedation in mechanical ventilated patients has increased in recent years. The use of a sedation scale, to continually evaluate the patientfs response to sedation, may promote earlier extubation and subsequently have a positive effect on the intensive care unit (ICU) length of stay. The Richmond Agitation-Sedation Scale (RASS) provides ten well-defined levels divided into two different segments, including criteria for levels of sedation and agitation. Previous studies have showed strong reliability and validity of the RASS. The aim of this study was to translate the RASS into Swedish and to test the inter-rater reliability of the scale in a Swedish intensive care unit.Methods: A translation of the RASS from English into Swedish was made, including back translation, critical review and pilot testing. The inter-rater reliability testing was conducted in a general ICU at a University Hospital in the south of Sweden, including 15 patients mechanically ventilated and administered sedative agents. Forty in-pair assessments using the Swedish version of the RASS were performed and the inter-rater reliability was tested using weighted kappa (ƒÈ) statistics (linear weighting). Result: The translation of the RASS was successful and the Swedish version was found to be satisfactory and applicable in the ICU. When tested for inter-rater reliability, the weighed „{ value was 0.86.Conclusion: This study indicates that the Swedish version of the RASS is applicable with very good inter-rater reliability, suggesting that the RASS can be useful for sedation assessment of patients mechanically ventilated in Swedish general ICUs. (Less)
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author
Almgren, Matilda and Lundmark, Martina
supervisor
organization
year
type
H1 - Master's Degree (One Year)
subject
keywords
sedation scale, the RASS, mechanical ventilation, inter-rater reliability testing
language
English
id
2530370
date added to LUP
2012-05-04 14:25:34
date last changed
2015-12-14 13:21:23
@misc{2530370,
  abstract     = {Background: The awareness concerning adequate sedation in mechanical ventilated patients has increased in recent years. The use of a sedation scale, to continually evaluate the patientfs response to sedation, may promote earlier extubation and subsequently have a positive effect on the intensive care unit (ICU) length of stay. The Richmond Agitation-Sedation Scale (RASS) provides ten well-defined levels divided into two different segments, including criteria for levels of sedation and agitation. Previous studies have showed strong reliability and validity of the RASS. The aim of this study was to translate the RASS into Swedish and to test the inter-rater reliability of the scale in a Swedish intensive care unit.Methods: A translation of the RASS from English into Swedish was made, including back translation, critical review and pilot testing. The inter-rater reliability testing was conducted in a general ICU at a University Hospital in the south of Sweden, including 15 patients mechanically ventilated and administered sedative agents. Forty in-pair assessments using the Swedish version of the RASS were performed and the inter-rater reliability was tested using weighted kappa (ƒÈ) statistics (linear weighting). Result: The translation of the RASS was successful and the Swedish version was found to be satisfactory and applicable in the ICU. When tested for inter-rater reliability, the weighed „{ value was 0.86.Conclusion: This study indicates that the Swedish version of the RASS is applicable with very good inter-rater reliability, suggesting that the RASS can be useful for sedation assessment of patients mechanically ventilated in Swedish general ICUs.},
  author       = {Almgren, Matilda and Lundmark, Martina},
  keyword      = {sedation scale, the RASS, mechanical ventilation, inter-rater reliability testing},
  language     = {eng},
  note         = {Student Paper},
  title        = {The richmond agitation-sedation scale (rass)- translation and reliability testing in a swedish intensive care unit},
  year         = {2009},
}