Objectives: Determine agreement between Pediatric Cerebral Performance Category (PCPC) scores integrated into clinical workflow and traditional investigator-assigned scores.
Design: Longitudinal study.
Setting: A single-center quaternary-care academic institution.
Subjects: Children admitted to the PICU between November 2019 and April 2020.
Interventions: Providers assigned PCPC scores as part of daily workflow. Investigators assigned scores using retrospective chart review.
Measurements and main results: 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.
Conclusions: 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.
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