Performance of a Provider-Assigned Functional Outcome Score in Critically Ill Children.

Abstract

Determine agreement between Pediatric Cerebral Performance Category (PCPC) scores integrated into clinical workflow and traditional investigator-assigned scores. Longitudinal study. A single-center quaternary-care academic institution. Children admitted to the PICU between November 2019 and April 2020. Providers assigned PCPC scores as part of daily workflow. Investigators assigned scores using retrospective chart review. Of 803 patients admitted to the PICU, 782 survived and were included. Admission and discharge scores were recorded in 95% and 90% of patients, respectively. Agreement between provider- and investigator-assigned scores was excellent, with a weighted kappa of 0.87 (95% CI, 0.84-0.90) and 0.80 (95% CI, 0.76-0.84) for admission and discharge. Provider-assigned PCPC scores, documented as standard of care, are largely concordant with retrospective investigator-assigned scores. Measurement of cognitive functional status can be successfully integrated into daily provider workflow for use in the clinical, quality improvement, and research arenas.