Inter-rater reliability of a Chilean-Spanish version of the Post-Intensive Care Unit Presentation Screen (PICUPS): A multicentre study
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Introduction
The Post-ICU Presentation Screen (PICUPS) is an assessment tool to identify rehabilitation and referral needs in intensive care unit (ICU) survivors that was recently adapted into Chilean-Spanish. This study aims to determine the inter-rater reliability of different healthcare professionals applying PICUPS (Chilean version) to patients discharged from the ICU.
Methods
A multicentre and cross-sectional inter-rater reliability study was conducted among 20 physiotherapist, speech therapists, occupational therapists, and nurses across four ICUs in Chile. Each professional received written instructions, scored two hypothetical clinical cases, and participated in a 1:1 one-hour training session. Five professionals evaluated within 24 hours of ICU discharge patients who received mechanical ventilation during their stay. We estimated reliability using the intraclass correlation coefficient (ICC 1, k) and the average agreement on whether the patient needs a referral.
Results
A total of 44 patients were assessed, with a median (P25-P75) age of 61 (43–69) years. The most common admission diagnoses were sepsis (33%) and acute respiratory failure (28%). The PICUPS had excellent inter-rater reliability in 15 of its items (ICC: 0.92–0.98), good reliability in five items (ICC: 0.79–0.87), and moderate reliability in four items (ICC: 0.59–0.74).
Conclusions
The PICUPS has adequate inter-rater reliability among professionals working in four ICUs in Chile. These findings are step forward toward the national implementation of this tool for planning the rehabilitation of ICU survivors.
