caa a22 4500 445373296 CHVBK 20180317142954.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s00540-011-1232-2 doi (NATIONALLICENCE)springer-10.1007/s00540-011-1232-2 Comparison of sequential organ failure assessment (SOFA) scoring between nurses and residents [Elektronische Daten] [Nur Baykara, Kaan Gökduman, Tülay Hoşten, Mine Solak, Kamil Toker] Purpose: We aimed to evaluate differences in the interobserver reliability and accuracy of sequential organ failure assessment (SOFA) scoring between nurses and residents. Methods: Eight nurses and eight residents independently scored 24 randomly selected patients. Intraclass correlation coefficients (ICCs) for the reliability of total SOFA scoring were calculated. The residents' and nurses' SOFA scores were compared with a gold standard to assess accuracy. Results: The overall ICC of the total SOFA score was 0.87 (nurses 0.89, residents 0.86) for a single measurement. Residents tended to assign higher total SOFA scores than did nurses, without a statistically significant difference (7.01±4.43 vs. 6.72±4.27, P>0.05). The mean bias between the nurses' and the gold standard total SOFA scores was −0.16±1.86 and the 95% confidence limit of agreement was −3.8 to +3.49. The mean bias between the residents' and the gold standard total SOFA scores was −0.39±1.81, and the 95% confidence limit of agreement was −3.95 to +3.16. The percentage of accurate data for the total SOFA score was 47.4% for nurses and 51% for residents (P>0.05). Although not statistically significant, the major error rate (≥2 point deviation from the gold standard score) was higher for nurses than for residents (29.16 and 23.43%, P>0.05). Accuracy of scoring individual organ systems was similar for the two groups; however, the major error rate in the cardiovascular system score was higher for nurses. Conclusion: Interobserver reliability was good and mean SOFA scores were not significantly different between nurses and residents. The accuracy of SOFA scoring was moderate for both groups; however, although the difference was not statistically significant, the major error rate was higher for nurses than for residents. Japanese Society of Anesthesiologists, 2011 SOFA nationallicence Nurse nationallicence Resident nationallicence Interobserver reliability nationallicence Baykara Nur Department of Anesthesiology and Reanimation, Faculty of Medicine, University of Kocaeli, Kocaeli, Turkey aut Gökduman Kaan Department of Anesthesiology and Reanimation, Faculty of Medicine, University of Kocaeli, Kocaeli, Turkey aut Hoşten Tülay Department of Anesthesiology and Reanimation, Faculty of Medicine, University of Kocaeli, Kocaeli, Turkey aut Solak Mine Department of Anesthesiology and Reanimation, Faculty of Medicine, University of Kocaeli, Kocaeli, Turkey aut Toker Kamil Department of Anesthesiology and Reanimation, Faculty of Medicine, University of Kocaeli, Kocaeli, Turkey aut Journal of Anesthesia Springer Japan 25/6(2011-12-01), 839-844 0913-8668 25:6<839 2011 25 540 https://doi.org/10.1007/s00540-011-1232-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-011-1232-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Baykara Nur Department of Anesthesiology and Reanimation, Faculty of Medicine, University of Kocaeli, Kocaeli, Turkey aut NATIONALLICENCE 700 1- Gökduman Kaan Department of Anesthesiology and Reanimation, Faculty of Medicine, University of Kocaeli, Kocaeli, Turkey aut NATIONALLICENCE 700 1- Hoşten Tülay Department of Anesthesiology and Reanimation, Faculty of Medicine, University of Kocaeli, Kocaeli, Turkey aut NATIONALLICENCE 700 1- Solak Mine Department of Anesthesiology and Reanimation, Faculty of Medicine, University of Kocaeli, Kocaeli, Turkey aut NATIONALLICENCE 700 1- Toker Kamil Department of Anesthesiology and Reanimation, Faculty of Medicine, University of Kocaeli, Kocaeli, Turkey aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/6(2011-12-01), 839-844 0913-8668 25:6<839 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer