• Natalie E Wilson, Felice Su, Allie DaCar, Nathan Chang, Kristopher Kapphahn, Alan R Schroeder, Daniel S Tawfik, Lynda Knight, and Lindsey Rasmussen.
• Department of Pediatrics - Critical Care Medicine, University of Rochester, Golisano Children's Hospital, Rochester, NY.
• Pediatr Crit Care Me. 2023 Jul 1; 24 (7): e317e321e317-e321.

ObjectivesDetermine agreement between Pediatric Cerebral Performance Category (PCPC) scores integrated into clinical workflow and traditional investigator-assigned scores.DesignLongitudinal study.SettingA single-center quaternary-care academic institution.SubjectsChildren admitted to the PICU between November 2019 and April 2020.InterventionsProviders assigned PCPC scores as part of daily workflow. Investigators assigned scores using retrospective chart review.Measurements And Main ResultsOf 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.ConclusionsProvider-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.Copyright © 2023 by the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.

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