Assessment of patients’ self-perceived intensive care unit discomforts: Validation of the 18-item version of the IPREA
Abstract Background and aims We reported the validation of the 18-item version of the ‘Inconforts des Patients de REAnimation (IPREA)’ questionnaire that includes 2 new items exploring feeling depressed and shortness of breath during an intensive care unit (ICU) stay. Methods The validation process...
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| Format: | Article |
| Language: | English |
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BMC
2019-02-01
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| Series: | Health and Quality of Life Outcomes |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12955-019-1101-5 |
| _version_ | 1819124920981913600 |
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| author | Karine Baumstarck Mohamed Boucekine Philippe Estagnasie Marie-Agnès Geantot Audrey Berric Georges Simon Bernard Floccard Thomas Signouret Mélanie Fromentin Martine Nyunga Achille Sossou Marion Venot René Robert Arnaud Follin Juliette Audibert Anne Renault Maïté Garrouste-Orgeas Olivier Collange Quentin Levrat Isabelle Villard Didier Thevenin Julien Pottecher René-Gilles Patrigeon Nathalie Revel Coralie Vigne Elie Azoulay Olivier Mimoz Pascal Auquier Pierre Kalfon the IPREA Study group |
| author_facet | Karine Baumstarck Mohamed Boucekine Philippe Estagnasie Marie-Agnès Geantot Audrey Berric Georges Simon Bernard Floccard Thomas Signouret Mélanie Fromentin Martine Nyunga Achille Sossou Marion Venot René Robert Arnaud Follin Juliette Audibert Anne Renault Maïté Garrouste-Orgeas Olivier Collange Quentin Levrat Isabelle Villard Didier Thevenin Julien Pottecher René-Gilles Patrigeon Nathalie Revel Coralie Vigne Elie Azoulay Olivier Mimoz Pascal Auquier Pierre Kalfon the IPREA Study group |
| author_sort | Karine Baumstarck |
| collection | DOAJ |
| description | Abstract Background and aims We reported the validation of the 18-item version of the ‘Inconforts des Patients de REAnimation (IPREA)’ questionnaire that includes 2 new items exploring feeling depressed and shortness of breath during an intensive care unit (ICU) stay. Methods The validation process was integrated in a multicenter, cluster-randomized, controlled, two-parallel group study built to assess the effectiveness of a tailored multicomponent program for reducing self-perceived discomfort in the ICU. All patients aged 18 years or older who survived an ICU stay of 3 calendar days or more were eligible for inclusion. Data collection included demographics (sex, age), type of admission (medical and surgical), health status scores at admission (Knaus score and McCabe index, Simplified Acute Physiology Score (SAPS) II), specific ICU therapeutics such as mechanical ventilation (MV), noninvasive ventilation (NIV), use of vasopressors, or renal replacement therapy (RRT), and ICU stay duration. Results A total of 994 patients were included. The initial structure of IPREA was confirmed using confirmatory factor analysis showing satisfactory fit (RMSEA at 0.042, CFI at 0.912). No multidimensional structure was identified, allowing the calculation of an overall discomfort score. The three highest discomforts were sleep deprivation, thirst, and perfusion lines and other devices, and the 3 lowest discomforts were limited visiting hours, hunger, and isolation. The overall discomfort score of the 18-item version of IPREA did not differ between men and women. Higher age was significantly correlated with a lower overall discomfort score. While MV was not linked to self-reported discomfort, patients treated by NIV reported higher overall discomfort scores than patients not treated by NIV. Conclusion The 18-item version of IPREA is easy to use and possesses satisfactory psychometric properties. The availability of a reliable and valid French questionnaire asking about patients’ self-perceived ICU discomforts enables feedback from the health care team to be incorporated in a continuous quality health care improvement strategy. Trial registration clinicaltrial.gov NCT02442934 (registration date: May 18, 2015, retrospectively registered). |
| first_indexed | 2024-12-22T07:31:55Z |
| format | Article |
| id | doaj.art-cbc0a2ad9de04fd58c1fe6a8634e0839 |
| institution | Directory Open Access Journal |
| issn | 1477-7525 |
| language | English |
| last_indexed | 2024-12-22T07:31:55Z |
| publishDate | 2019-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Health and Quality of Life Outcomes |
| spelling | doaj.art-cbc0a2ad9de04fd58c1fe6a8634e08392022-12-21T18:34:00ZengBMCHealth and Quality of Life Outcomes1477-75252019-02-011711910.1186/s12955-019-1101-5Assessment of patients’ self-perceived intensive care unit discomforts: Validation of the 18-item version of the IPREAKarine Baumstarck0Mohamed Boucekine1Philippe Estagnasie2Marie-Agnès Geantot3Audrey Berric4Georges Simon5Bernard Floccard6Thomas Signouret7Mélanie Fromentin8Martine Nyunga9Achille Sossou10Marion Venot11René Robert12Arnaud Follin13Juliette Audibert14Anne Renault15Maïté Garrouste-Orgeas16Olivier Collange17Quentin Levrat18Isabelle Villard19Didier Thevenin20Julien Pottecher21René-Gilles Patrigeon22Nathalie Revel23Coralie Vigne24Elie Azoulay25Olivier Mimoz26Pascal Auquier27Pierre Kalfon28the IPREA Study groupAix-Marseille Univ, School of medicine - La Timone Medical Campus, EA 3279 CEReSS - Health Service Research and Quality of Life CenterAix-Marseille Univ, School of medicine - La Timone Medical Campus, EA 3279 CEReSS - Health Service Research and Quality of Life CenterRéanimation, Clinique Ambroise ParéDépartement d’Anesthésie Réanimation, CHU Dijon BourgogneRéanimation polyvalente, Centre Hospitalier Intercommunal Toulon/La Seyne sur merRéanimation, CH TroyesRéanimation polyvalente, CHU Edouard Herriot, Hospices Civils de LyonRéanimation, Hôpital Européen de MarseilleRéanimation chirurgicale, CHU Cochin, Assistance Publique-Hôpitaux de Paris (AP-HP)Réanimation polyvalente, CH Victor ProvoRéanimation, CH Emile RouxRéanimation médicale, CHU Saint-Louis, AP-HPRéanimation médicale, CHU La MilétrieRéanimation chirurgicale, Hôpital Européen Georges Pompidou, AP-HPRéanimation polyvalente, Hôpital Louis Pasteur, CH de ChartresRéanimation médicale, CHU BrestMédecine intensive et réanimation, Groupe Hospitalier Paris Saint-JosephRéanimation chirurgicale polyvalente, Hôpital Civil, CHU StrasbourgRéanimation, Groupe Hospitalier de La Rochelle-Ré-AunisAnesthésie Réanimation, CHU Beaujon, AP-HPRéanimation, CH LensRéanimation chirurgicale, Hôpital Hautepierre, CHU StrasbourgRéanimation, CH AuxerreRéanimation médico-chirurgicale, Hôpital Pasteur, CHU NiceRéanimation chirurgicale, CHU Hôpital Nord, Assistance Publique–Hôpitaux de MarseilleRéanimation médicale, CHU Saint-Louis, AP-HPRéanimation médicale, CHU La MilétrieAix-Marseille Univ, School of medicine - La Timone Medical Campus, EA 3279 CEReSS - Health Service Research and Quality of Life CenterRéanimation polyvalente, Hôpital Louis Pasteur, CH de ChartresAbstract Background and aims We reported the validation of the 18-item version of the ‘Inconforts des Patients de REAnimation (IPREA)’ questionnaire that includes 2 new items exploring feeling depressed and shortness of breath during an intensive care unit (ICU) stay. Methods The validation process was integrated in a multicenter, cluster-randomized, controlled, two-parallel group study built to assess the effectiveness of a tailored multicomponent program for reducing self-perceived discomfort in the ICU. All patients aged 18 years or older who survived an ICU stay of 3 calendar days or more were eligible for inclusion. Data collection included demographics (sex, age), type of admission (medical and surgical), health status scores at admission (Knaus score and McCabe index, Simplified Acute Physiology Score (SAPS) II), specific ICU therapeutics such as mechanical ventilation (MV), noninvasive ventilation (NIV), use of vasopressors, or renal replacement therapy (RRT), and ICU stay duration. Results A total of 994 patients were included. The initial structure of IPREA was confirmed using confirmatory factor analysis showing satisfactory fit (RMSEA at 0.042, CFI at 0.912). No multidimensional structure was identified, allowing the calculation of an overall discomfort score. The three highest discomforts were sleep deprivation, thirst, and perfusion lines and other devices, and the 3 lowest discomforts were limited visiting hours, hunger, and isolation. The overall discomfort score of the 18-item version of IPREA did not differ between men and women. Higher age was significantly correlated with a lower overall discomfort score. While MV was not linked to self-reported discomfort, patients treated by NIV reported higher overall discomfort scores than patients not treated by NIV. Conclusion The 18-item version of IPREA is easy to use and possesses satisfactory psychometric properties. The availability of a reliable and valid French questionnaire asking about patients’ self-perceived ICU discomforts enables feedback from the health care team to be incorporated in a continuous quality health care improvement strategy. Trial registration clinicaltrial.gov NCT02442934 (registration date: May 18, 2015, retrospectively registered).http://link.springer.com/article/10.1186/s12955-019-1101-5IPREADiscomfortCritical careValidationQuestionnaire |
| spellingShingle | Karine Baumstarck Mohamed Boucekine Philippe Estagnasie Marie-Agnès Geantot Audrey Berric Georges Simon Bernard Floccard Thomas Signouret Mélanie Fromentin Martine Nyunga Achille Sossou Marion Venot René Robert Arnaud Follin Juliette Audibert Anne Renault Maïté Garrouste-Orgeas Olivier Collange Quentin Levrat Isabelle Villard Didier Thevenin Julien Pottecher René-Gilles Patrigeon Nathalie Revel Coralie Vigne Elie Azoulay Olivier Mimoz Pascal Auquier Pierre Kalfon the IPREA Study group Assessment of patients’ self-perceived intensive care unit discomforts: Validation of the 18-item version of the IPREA Health and Quality of Life Outcomes IPREA Discomfort Critical care Validation Questionnaire |
| title | Assessment of patients’ self-perceived intensive care unit discomforts: Validation of the 18-item version of the IPREA |
| title_full | Assessment of patients’ self-perceived intensive care unit discomforts: Validation of the 18-item version of the IPREA |
| title_fullStr | Assessment of patients’ self-perceived intensive care unit discomforts: Validation of the 18-item version of the IPREA |
| title_full_unstemmed | Assessment of patients’ self-perceived intensive care unit discomforts: Validation of the 18-item version of the IPREA |
| title_short | Assessment of patients’ self-perceived intensive care unit discomforts: Validation of the 18-item version of the IPREA |
| title_sort | assessment of patients self perceived intensive care unit discomforts validation of the 18 item version of the iprea |
| topic | IPREA Discomfort Critical care Validation Questionnaire |
| url | http://link.springer.com/article/10.1186/s12955-019-1101-5 |
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