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Validation of a Patient-Completed Caprini Risk Assessment Tool for Spanish, Arabic, and Polish Speakers

Targeted prophylaxis for venous thromboembolism (VTE) using the Caprini risk score (CRS) is effective reducing postoperative VTE. Despite its availability as preventive strategy, risk scoring remains underutilized. Critics to the CRS contend the time it takes to complete, and its limitation to Engli...

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Autores principales: Paz Rios, Luis H., Fuentes, Harry E., Oramas, Diana M., Andrade, Xavier A., Al-Ogaili, Ahmed, Iskander, Mina, Iskander, Fady, Iskandar, Amir Nagui Abdalla, Kowacz, Wictoria, Iwanski, Adam, Acob, Christine, Diaz Quintero, Luis, Salazar-Adum, Juan Pablo, Tafur, Alfonso, Caprini, Joseph A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6714665/
https://www.ncbi.nlm.nih.gov/pubmed/29258392
http://dx.doi.org/10.1177/1076029617746505
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author Paz Rios, Luis H.
Fuentes, Harry E.
Oramas, Diana M.
Andrade, Xavier A.
Al-Ogaili, Ahmed
Iskander, Mina
Iskander, Fady
Iskandar, Amir Nagui Abdalla
Kowacz, Wictoria
Iwanski, Adam
Acob, Christine
Diaz Quintero, Luis
Salazar-Adum, Juan Pablo
Tafur, Alfonso
Caprini, Joseph A.
author_facet Paz Rios, Luis H.
Fuentes, Harry E.
Oramas, Diana M.
Andrade, Xavier A.
Al-Ogaili, Ahmed
Iskander, Mina
Iskander, Fady
Iskandar, Amir Nagui Abdalla
Kowacz, Wictoria
Iwanski, Adam
Acob, Christine
Diaz Quintero, Luis
Salazar-Adum, Juan Pablo
Tafur, Alfonso
Caprini, Joseph A.
author_sort Paz Rios, Luis H.
collection PubMed
description Targeted prophylaxis for venous thromboembolism (VTE) using the Caprini risk score (CRS) is effective reducing postoperative VTE. Despite its availability as preventive strategy, risk scoring remains underutilized. Critics to the CRS contend the time it takes to complete, and its limitation to English language. Aim is to create and validate patient-completed CRS tools for Spanish, Arabic, and Polish speakers. We translated the first patient-completed CRS to Spanish, Arabic, and Polish. We conducted a pilot study followed by the validation study. Using PASS version 11, we determined that a sample size of 37 achieved a power of 80%, to detect a difference of 0.1 between the null hypothesis correlation of 0.5 and the alternative hypothesis correlation of 0.7 using a 2-sided hypothesis test, significance level of .05. We tabulated and categorized scores using SPSS version 23 to estimate κ, linear correlation, and Bland Altman test. κ value >0.8 was defined as “almost perfect agreement.” From 129 recruited patients, 50 (39%) spoke Spanish, 40 (31%) spoke Arabic, and 39 (30%) spoke Polish; average age 51 (16.69) years, 58 (45%) were men, with less than college education (67%). Mean (standard deviation) CRS was 5 (3.90), the majority (63%) above moderate VTE risk. We report excellent agreement comparing physician and patient results (κ = 0.93) and high correlation 0.97 (P < .01) for the overall score. Bland Altman did not show trend for extreme values. We created and validated the first Spanish, Arabic, and Polish versions of the patient-completed CRS, with excellent correlation and agreement when compared to CRS-trained physician-completed form. Based on these results, the physician needs to calculate the body mass index. Completing the form was not time-consuming.
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spelling pubmed-67146652019-09-04 Validation of a Patient-Completed Caprini Risk Assessment Tool for Spanish, Arabic, and Polish Speakers Paz Rios, Luis H. Fuentes, Harry E. Oramas, Diana M. Andrade, Xavier A. Al-Ogaili, Ahmed Iskander, Mina Iskander, Fady Iskandar, Amir Nagui Abdalla Kowacz, Wictoria Iwanski, Adam Acob, Christine Diaz Quintero, Luis Salazar-Adum, Juan Pablo Tafur, Alfonso Caprini, Joseph A. Clin Appl Thromb Hemost Original Articles Targeted prophylaxis for venous thromboembolism (VTE) using the Caprini risk score (CRS) is effective reducing postoperative VTE. Despite its availability as preventive strategy, risk scoring remains underutilized. Critics to the CRS contend the time it takes to complete, and its limitation to English language. Aim is to create and validate patient-completed CRS tools for Spanish, Arabic, and Polish speakers. We translated the first patient-completed CRS to Spanish, Arabic, and Polish. We conducted a pilot study followed by the validation study. Using PASS version 11, we determined that a sample size of 37 achieved a power of 80%, to detect a difference of 0.1 between the null hypothesis correlation of 0.5 and the alternative hypothesis correlation of 0.7 using a 2-sided hypothesis test, significance level of .05. We tabulated and categorized scores using SPSS version 23 to estimate κ, linear correlation, and Bland Altman test. κ value >0.8 was defined as “almost perfect agreement.” From 129 recruited patients, 50 (39%) spoke Spanish, 40 (31%) spoke Arabic, and 39 (30%) spoke Polish; average age 51 (16.69) years, 58 (45%) were men, with less than college education (67%). Mean (standard deviation) CRS was 5 (3.90), the majority (63%) above moderate VTE risk. We report excellent agreement comparing physician and patient results (κ = 0.93) and high correlation 0.97 (P < .01) for the overall score. Bland Altman did not show trend for extreme values. We created and validated the first Spanish, Arabic, and Polish versions of the patient-completed CRS, with excellent correlation and agreement when compared to CRS-trained physician-completed form. Based on these results, the physician needs to calculate the body mass index. Completing the form was not time-consuming. SAGE Publications 2017-12-19 2018-04 /pmc/articles/PMC6714665/ /pubmed/29258392 http://dx.doi.org/10.1177/1076029617746505 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Articles
Paz Rios, Luis H.
Fuentes, Harry E.
Oramas, Diana M.
Andrade, Xavier A.
Al-Ogaili, Ahmed
Iskander, Mina
Iskander, Fady
Iskandar, Amir Nagui Abdalla
Kowacz, Wictoria
Iwanski, Adam
Acob, Christine
Diaz Quintero, Luis
Salazar-Adum, Juan Pablo
Tafur, Alfonso
Caprini, Joseph A.
Validation of a Patient-Completed Caprini Risk Assessment Tool for Spanish, Arabic, and Polish Speakers
title Validation of a Patient-Completed Caprini Risk Assessment Tool for Spanish, Arabic, and Polish Speakers
title_full Validation of a Patient-Completed Caprini Risk Assessment Tool for Spanish, Arabic, and Polish Speakers
title_fullStr Validation of a Patient-Completed Caprini Risk Assessment Tool for Spanish, Arabic, and Polish Speakers
title_full_unstemmed Validation of a Patient-Completed Caprini Risk Assessment Tool for Spanish, Arabic, and Polish Speakers
title_short Validation of a Patient-Completed Caprini Risk Assessment Tool for Spanish, Arabic, and Polish Speakers
title_sort validation of a patient-completed caprini risk assessment tool for spanish, arabic, and polish speakers
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6714665/
https://www.ncbi.nlm.nih.gov/pubmed/29258392
http://dx.doi.org/10.1177/1076029617746505
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