Table 2.
Panel of behavioural instruments specific to paediatric critical care
| COMFORT behavior scale | |
| Categories | Score |
| Alertness | 1–5 |
| Calmness/agitation | 1–5 |
| Respiratory response or cryinga | 1–5 |
| Physical movement | 1–5 |
| Muscle tone | 1–5 |
| Facial tension | 1–5 |
| Total score 6–30 | |
| Withdrawal Assessment Tool version 1 (WAT-1) | |
| Information from patient record | |
| Loose/watery stools | No = 0, yes = 1 |
| Vomiting/retching/gagging | No = 0, yes = 1 |
| Temperature > 37.8 °C | No = 0, yes = 1 |
| 2 min pre-stimulus observation | |
| State | SBS ≤ 0 = 0, SBS ≥ 1 = 1 |
| Tremor | No = 0, moderate/severe = 1 |
| Any sweating | No = 0, yes = 1 |
| Uncoordinated/repetitive movement | No = 0, moderate/severe = 1 |
| Yawning of sneezing | No = 0, yes = 1 |
| 1 min stimulus observation | |
| Startle to touch | No = 0, moderate/severe = 1 |
| Muscle tone | Normal = 0, increased = 1 |
| Post-stimulus recovery | |
| Time to gain calm state (SBS ≤ 0) | 0–2 |
| Total score 0–12 | |
| Sophia Observation withdrawal Symptoms-scale (SOS) | |
| Items | Score |
| Autonomic dysfunction | |
| Tachycardia | No = 0, yes = 1 (for all items) |
| Tachypnoea | |
| Fever (≥38.5 °C) | |
| Sweating | |
| CNS irritability | |
| Agitation | |
| Anxiety | |
| Tremors | |
| Increased muscle tension | |
| Inconsolable crying | |
| Grimacing | |
| Sleeplessness | |
| Motor disturbance | |
| Hallucinations | |
| Gastrointestinal dysfunction | |
| Vomiting | |
| Diarrhoea | |
| Total score 0–15 | |
SBS State Behavioural Scale
aCrying only in spontaneous breathing patients