High inter-rater reliability between physicians and nurses utilising modified Downes' scores in preterm respiratory distress.

Danielle E Y EhretAsrat Demtse GebremedhinAmanuel Hadgu BerheYohanes HailuGesit MetaferiaKaitlin KesslerRyan KesslerMarie DunnAgneta GolanMiroslav StavelJaroslava BelavaJeffrey D Horbar Erika M EdwardsBogale WorkuMichael DunnMahlet Abayneh

Published in: Acta paediatrica (Oslo, Norway : 1992) (2023)

Incorporation of the modified Downes' score on admission for preterm infants with respiratory distress was feasible in tertiary NICUs in Ethiopia. The kappa statistics showed near-perfect agreement between nurse and physician assessments, translating to a very high degree of concordance in score-based treatment recommendations. These results highlight an opportunity for task-shifting assessments and empowering nurses.

Keyphrases

preterm infants
primary care
low birth weight
emergency department
healthcare
mental health
nuclear factor
preterm birth
clinical practice
toll like receptor
inflammatory response