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Creation of complexity assessment tool for patients receiving home care

Overview of attention for article published in Revista da Escola de Enfermagem da USP, June 2016
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Title
Creation of complexity assessment tool for patients receiving home care
Published in
Revista da Escola de Enfermagem da USP, June 2016
DOI 10.1590/s0080-623420160000400009
Pubmed ID
Authors

Maria Leopoldina de Castro Villas Bôas, Helena Eri Shimizu, Mauro Niskier Sanchez

Abstract

To create and validate a complexity assessment tool for patients receiving home care from a public health service. A diagnostic accuracy study, with estimates for the tool's validity and reliability. Measurements of sensitivity and specificity were considered when producing validity estimates. The resulting tool was used for testing. Assessment by a specialized team of home care professionals was used as the gold standard. In the tool's reliability study, the authors used the Kappa statistic. The tool's sensitivity and specificity were analyzed using various cut-off points. On the best cut-off point-21-with the gold standard, a sensitivity of 75.5% was obtained, with the limits of confidence interval (95%) at 68.3% and 82.8% and specificity of 53.2%, with the limits of confidence interval (95%) at 43.8% and 62.7%. The tool presented evidence of validity and reliability, possibly helping in service organization at patient admission, care type change, or support during the creation of care plans. Elaborar e validar instrumento de classificação de complexidade assistencial de pacientes em atenção domiciliar de um serviço público de saúde. Estudo de acurácia de diagnóstico, com estimativas de validade e de reprodutibilidade do instrumento. Para a estimativa da validade foram consideradas as medidas de sensibilidade e especificidade; como teste, o instrumento elaborado e como padrão ouro, a classificação atribuída por equipe especializada de profissionais de saúde em atenção domiciliar. No estudo de reprodutibilidade do instrumento foi utilizada a estatística Kappa. A sensibilidade e especificidade do instrumento foram analisadas considerando-se diferentes pontos de corte. Para o melhor ponto de corte - 21 - com o padrão ouro obteve-se Sensibilidade de 75,5% com os limites do IC (95%) iguais a 68,3% e 82,8% e Especificidade igual a 53,2% com os limites do IC (95%) iguais a 43,8% e 62,7%. O instrumento apresentou evidências de validade e reprodutibilidade, podendo vir a auxiliar na organização do serviço, quer na admissão do paciente, quer na migração de modalidade assistencial e no suporte para elaboração do plano terapêutico.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 28 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 28 100%

Demographic breakdown

Readers by professional status Count As %
Other 4 14%
Student > Bachelor 3 11%
Student > Ph. D. Student 2 7%
Researcher 2 7%
Student > Master 2 7%
Other 6 21%
Unknown 9 32%
Readers by discipline Count As %
Nursing and Health Professions 9 32%
Medicine and Dentistry 4 14%
Social Sciences 2 7%
Business, Management and Accounting 1 4%
Environmental Science 1 4%
Other 1 4%
Unknown 10 36%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 September 2016.
All research outputs
#22,759,452
of 25,374,647 outputs
Outputs from Revista da Escola de Enfermagem da USP
#662
of 772 outputs
Outputs of similar age
#309,346
of 353,659 outputs
Outputs of similar age from Revista da Escola de Enfermagem da USP
#9
of 11 outputs
Altmetric has tracked 25,374,647 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 772 research outputs from this source. They receive a mean Attention Score of 2.0. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 353,659 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 11 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.