Statistical analyses included Pearson correlations, construct validity, linear regression analysis, receiver operating characteristic (ROC) curve analysis for discriminant validity, and the intraclass correlation for inter-rater reliability.Ī major challenge of pediatrics and its subspecialties is to develop a functional outcome measure that is well defined, quantitative, sufficiently rapid and reliable, minimally dependent on subjective assessments, applicable to as full an age spectrum as possible, and pertinent to hospitalized patients in as many inpatient environments as possible. Data were randomly split into estimation and validation sets. Patients from 10% of the study days were used to evaluate inter-rater reliability. Primary care nurses completed the ABAS II based on patient’s functioning when the FSS was completed. Seven institutions provided pediatric intensive care unit (PICU) patients within 24 hours of PICU discharge, high-risk non-PICU patients within 24 hours of admission, and technology-dependent children. The Adaptive Behavior Assessment System (ABAS) II established construct validity and calibration within domains. Domains of functioning included mental status, sensory, communication, motor, feeding, and respiratory categorized from normal ( 1) to very severe dysfunction ( 5). The Functional Status Scale (FSS) was developed by a multidisciplinary consensus process.
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