Net Promoter Score (NPS) as a tool to assess parental satisfaction in pediatric intensive care units

Abstract Objective To verify the performance of the Net Promoter Score (NPS) as a tool to assess parental satisfaction in pediatric intensive care units (PICUs). Methods The authors conducted an observational cross-sectional multicenter study in the PICUs of 5 hospitals in Brazil. Eligible participants were all parents or legal guardians of PICU-admitted children, aged 18 years or over. The NPS was administered together with the EMpowerment of PArents in THe Intensive Care (EMPATHIC-30), used as the gold standard, and a sociodemographic questionnaire. For analysis, the results were dichotomized into values greater than or equal to the median of the tests. The associations between the 2 tools were evaluated and the distribution of their results was compared. Results The parents or legal guardians of 78 PICU-admitted children were interviewed. Of the respondents, 85% were women and 62% were in a private hospital. The median NPS was 10 (IQR, 10-10), and the median EMPATHIC-30 score was 5.7 (IQR, 5.4-5.9). Compared with the gold standard, the NPS had a sensitivity of 100% at all cutoff points, except at cutoff 10, where the sensitivity was slightly lower (97.5%). As for specificity, NPS performance was poorer, with values ranging from 0% (NPS ≥ 5) to 47.4% (NPS = 10). Conclusions NPS proved to be a sensitive tool to assess parental satisfaction, but with poor ability to identify dissatisfied users in the sample.

Net Promoter Score (NPS) as a tool to assess parental satisfaction in pediatric intensive care units.

OBJECTIVE: To verify the performance of the Net Promoter Score (NPS) as a tool to assess parental satisfaction in pediatric intensive care units (PICUs). METHODS: The authors conducted an observational cross-sectional multicenter study in the PICUs of 5 hospitals in Brazil. Eligible participants were all parents or legal guardians of PICU-admitted children, aged 18 years or over. The NPS was administered together with the EMpowerment of PArents in THe Intensive Care (EMPATHIC-30), used as the gold standard, and a sociodemographic questionnaire. For analysis, the results were dichotomized into values greater than or equal to the median of the tests. The associations between the 2 tools were evaluated and the distribution of their results was compared. RESULTS: The parents or legal guardians of 78 PICU-admitted children were interviewed. Of the respondents, 85% were women and 62% were in a private hospital. The median NPS was 10 (IQR, 10-10), and the median EMPATHIC-30 score was 5.7 (IQR, 5.4-5.9). Compared with the gold standard, the NPS had a sensitivity of 100% at all cutoff points, except at cutoff 10, where the sensitivity was slightly lower (97.5%). As for specificity, NPS performance was poorer, with values ranging from 0% (NPS ≥ 5) to 47.4% (NPS = 10). CONCLUSIONS: NPS proved to be a sensitive tool to assess parental satisfaction, but with poor ability to identify dissatisfied users in the sample.

Perfil dos pacientes internados por bronquiolite viral aguda em uma unidade de terapia intensiva em hospital infantil do sul do Brasil / Profile of patients admitted in an intensive care unit for acute viral bronchiolitis in a South Brazilian children’s hospital

Introdução: Bronquiolite Viral Aguda (BVA) é uma infecção respiratória que compromete vias aéreas de pequeno calibre e pode necessitar de suporte ventilatório e, nos casos mais complicados, suporte hemodinâmico. O principal agente etiológico é o Vírus Sincicial Respiratório (VSR). O objetivo deste trabalho é descrever o perfil epidemiológico de crianças com este diagnóstico em uma unidade de terapia intensiva pediátrica. Métodos: Estudo descritivo aplicado em pacientes com diagnóstico de BVA internados na Unidade de Terapia Intensiva do Hospital da Criança Conceição. Resultados: No período do estudo, ocorreram 193 casos, correspondendo a 15,8% do total de internações, com tempo aproximado de internação de 7,5 dias, acometendo crianças com uma média de idade de 3,4 meses. O VSR foi o agente etiológico mais frequente. Suporte ventilatório foi necessário em 48,2% dos pacientes e hemodinâmicos, em 28,3%. A taxa de mortalidade foi de 1,5%. Conclusão: Em uma Unidade de Terapia Intensiva Pediátrica de Porto Alegre foi estudado 193 casos de BVA, correspondendo a 15,8% do total de internações por este diagnóstico, com taxa de mortalidade de 1,5%. O principal agente etiológico causador foi o VSR e foi identificada maior prevalência de ventilação mecânica nos pacientes de menor peso e menor idade.

Introduction: Acute Viral Bronchiolitis (AVB) is a respiratory infection that affects the small-caliber airways and may require ventilatory support and, in more complicated cases, hemodynamic support. The main etiologic agent is Respiratory Syncytial Virus (RSV). The aim of this work is to describe the epidemiological profile of children with this diagnosis in a pediatric intensive care unit. Methods: A descriptive study of patients with AVB admitted to the Intensive Care Unit at Hospital da Criança Conceição. Results: In the study period there occurred 193 cases, corresponding to 15.8% of total admissions, with an approximate length of stay of 7.5 days, involving children with a mean age of 3.4 months. Respiratory syncytial virus was the most common etiologic agent. Ventilatory support was necessary in 48.2% of patients and hemodynamic support in 28.3%. The mortality rate was 1.5%. Conclusion: In a pediatric intensive care unit in Porto Alegre, 193 cases of BVA were studied, corresponding to 15.8% of total admissions for this diagnosis with a mortality rate of 1.5%. The main etiologic agent was RSV and a higher prevalence of mechanical ventilation was identified for lower weight and younger patients.