Inter-Rater Reliability of a Chilean-Spanish version of the Post-Intensive Care Unit Presentation Screen (PICUPS): A Multicentre Study.

Abstract

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.

Competing Interest Statement

The authors have declared no competing interest.

Funding Statement

The author(s) received no specific funding for this work.

Author Declarations

I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.

Yes

The details of the IRB/oversight body that provided approval or exemption for the research described are given below:

This study received approval from the Facultad de Medicina Clínica Alemana - Universidad del Desarrollo Research Ethics Committee (No 2023–43) and from the ethics committees of the participating centres. All participants (healthcare professionals and patients) provided oral and written informed consent.

I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.

Yes

I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).

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I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable.

Yes

Data Availability Statement

All relevant data are within the manuscript and its Supporting Information files. Additional data are available from the corresponding author upon reasonable request.

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