Process of Reliability of the Ventilatory Workload Kinetic Index and Prioritization in the Intrahospital Clinical Setting
<i>Background and Objectives</i>: The Ventilatory Workload Kinetic Index (VWKI) has been proposed as a clinical instrument to evaluate ventilatory balance–imbalance. However, the regulated application of scales that allow an integral evaluation of the object of study and their subsequent...
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MDPI AG
2024-10-01
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| author | Loretto Godoy-Abarca Andrea Muñoz-Vega Ramón Pinochet Urzúa Mariano del Sol Máximo Escobar-Cabello Jorge Valenzuela Vásquez Fernando Valenzuela-Aedo Camila Díaz-Caro Francisco Javier Soto-Rodríguez Rodrigo Muñoz-Cofré |
| author_facet | Loretto Godoy-Abarca Andrea Muñoz-Vega Ramón Pinochet Urzúa Mariano del Sol Máximo Escobar-Cabello Jorge Valenzuela Vásquez Fernando Valenzuela-Aedo Camila Díaz-Caro Francisco Javier Soto-Rodríguez Rodrigo Muñoz-Cofré |
| author_sort | Loretto Godoy-Abarca |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: The Ventilatory Workload Kinetic Index (VWKI) has been proposed as a clinical instrument to evaluate ventilatory balance–imbalance. However, the regulated application of scales that allow an integral evaluation of the object of study and their subsequent reliability evaluation should be continuous. The objective was to determine the reliability of the VWKI between two evaluators and its applicability in the clinical field of physiotherapy. <i>Materials and Methods</i>: The methodology was divided into three stages: (i) induction period, (ii) application of the VWKI, and (iii) assessment of reliability. <i>Results</i>: The VWKI total score obtained excellent inter-rater reliability (ICC = 0.913, <i>p</i> < 0.05). The airway resistance (AR) showed moderate inter-rater reliability (ICC = 0.528, <i>p</i> < 0.05), while the use of accessory musculature (UAM) showed poor inter-rater reliability (ICC = 0.483, <i>p</i> < 0.05). In the physiotherapy care prioritization system, for both evaluator A (EA) and evaluator B (EB), the total VWKI score was significantly higher in priority 1 (<i>p</i> = 0.001; <i>p</i> < 0.05, respectively). Regarding the total VWKI score by services, it was observed that both EA and EB rated the VWKI significantly higher in the intensive care unit (ICU) than in medicine and the other services (<i>p</i> = 0.001, <i>p</i> = 0.0001 and <i>p</i> < 0.05, <i>p</i> < 0.05, respectively). <i>Conclusions</i>: VWKI is highly reliable in the total score. It is also consistent with the system of prioritization of physiotherapy care and the ability to determine the severity of clinical respiratory symptoms. |
| format | Article |
| id | doaj-art-d9b6dd07b5b54a409881a935a4e57c52 |
| institution | Kabale University |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | MDPI AG |
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| series | Medicina |
| spelling | doaj-art-d9b6dd07b5b54a409881a935a4e57c522024-11-26T18:12:20ZengMDPI AGMedicina1010-660X1648-91442024-10-016011177010.3390/medicina60111770Process of Reliability of the Ventilatory Workload Kinetic Index and Prioritization in the Intrahospital Clinical SettingLoretto Godoy-Abarca0Andrea Muñoz-Vega1Ramón Pinochet Urzúa2Mariano del Sol3Máximo Escobar-Cabello4Jorge Valenzuela Vásquez5Fernando Valenzuela-Aedo6Camila Díaz-Caro7Francisco Javier Soto-Rodríguez8Rodrigo Muñoz-Cofré9Servicio de Medicina Física y Rehabilitación, Hospital El Carmen, Maipú, Santiago 9251521, ChileServicio de Medicina Física y Rehabilitación, Hospital El Carmen, Maipú, Santiago 9251521, ChileServicio de Kinesiología, Hospital Padre Alberto Hurtado, San Ramón 8880465, ChilePrograma de doctorado en Ciencias Morfológicas, Universidad de La Frontera, Temuco 4811230, ChileLaboratorio de Función Disfunción Ventilatoria, Departamento de Kinesiología, Universidad Católica del Maule, Talca 3530000, ChileServicio de Medicina Física y Rehabilitación, Hospital El Carmen, Maipú, Santiago 9251521, ChilePrograma de doctorado en Ciencias Morfológicas, Universidad de La Frontera, Temuco 4811230, ChileServicio de Medicina Física y Rehabilitación, Hospital El Carmen, Maipú, Santiago 9251521, ChileFacultad de Medicina, Departamento de Ciencias de la Rehabilitación, Universidad de La Frontera, Temuco 4811230, ChileCentro de Excelencia en Estudios Morfológicos y Quirúrgicos, Universidad de La Frontera, Temuco 4811230, Chile<i>Background and Objectives</i>: The Ventilatory Workload Kinetic Index (VWKI) has been proposed as a clinical instrument to evaluate ventilatory balance–imbalance. However, the regulated application of scales that allow an integral evaluation of the object of study and their subsequent reliability evaluation should be continuous. The objective was to determine the reliability of the VWKI between two evaluators and its applicability in the clinical field of physiotherapy. <i>Materials and Methods</i>: The methodology was divided into three stages: (i) induction period, (ii) application of the VWKI, and (iii) assessment of reliability. <i>Results</i>: The VWKI total score obtained excellent inter-rater reliability (ICC = 0.913, <i>p</i> < 0.05). The airway resistance (AR) showed moderate inter-rater reliability (ICC = 0.528, <i>p</i> < 0.05), while the use of accessory musculature (UAM) showed poor inter-rater reliability (ICC = 0.483, <i>p</i> < 0.05). In the physiotherapy care prioritization system, for both evaluator A (EA) and evaluator B (EB), the total VWKI score was significantly higher in priority 1 (<i>p</i> = 0.001; <i>p</i> < 0.05, respectively). Regarding the total VWKI score by services, it was observed that both EA and EB rated the VWKI significantly higher in the intensive care unit (ICU) than in medicine and the other services (<i>p</i> = 0.001, <i>p</i> = 0.0001 and <i>p</i> < 0.05, <i>p</i> < 0.05, respectively). <i>Conclusions</i>: VWKI is highly reliable in the total score. It is also consistent with the system of prioritization of physiotherapy care and the ability to determine the severity of clinical respiratory symptoms.https://www.mdpi.com/1648-9144/60/11/1770physiotherapy careclinical instrumentreliability |
| spellingShingle | Loretto Godoy-Abarca Andrea Muñoz-Vega Ramón Pinochet Urzúa Mariano del Sol Máximo Escobar-Cabello Jorge Valenzuela Vásquez Fernando Valenzuela-Aedo Camila Díaz-Caro Francisco Javier Soto-Rodríguez Rodrigo Muñoz-Cofré Process of Reliability of the Ventilatory Workload Kinetic Index and Prioritization in the Intrahospital Clinical Setting Medicina physiotherapy care clinical instrument reliability |
| title | Process of Reliability of the Ventilatory Workload Kinetic Index and Prioritization in the Intrahospital Clinical Setting |
| title_full | Process of Reliability of the Ventilatory Workload Kinetic Index and Prioritization in the Intrahospital Clinical Setting |
| title_fullStr | Process of Reliability of the Ventilatory Workload Kinetic Index and Prioritization in the Intrahospital Clinical Setting |
| title_full_unstemmed | Process of Reliability of the Ventilatory Workload Kinetic Index and Prioritization in the Intrahospital Clinical Setting |
| title_short | Process of Reliability of the Ventilatory Workload Kinetic Index and Prioritization in the Intrahospital Clinical Setting |
| title_sort | process of reliability of the ventilatory workload kinetic index and prioritization in the intrahospital clinical setting |
| topic | physiotherapy care clinical instrument reliability |
| url | https://www.mdpi.com/1648-9144/60/11/1770 |
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