Cargando…

Translation, cross-cultural adaptation and validation of the Cincinnati prehospital stroke scale in Brazil

BACKGROUND: Use of internationally standardized instruments to assist healthcare professionals in accurately recognizing stroke early is recommended. The process of translation and cross-cultural adaptation is important for ensuring that scales are interpreted in the same way in different languages,...

Descripción completa

Detalles Bibliográficos
Autores principales: de ALMEIDA, Priscila Masquetto Vieira, BAZAN, Rodrigo, PONTES-NETO, Octávio Marques, MINELLI, César, CORRENTE, José Eduardo, MODOLO, Gabriel Pinheiro, LUVIZUTTO, Gustavo José, MONDELLI, Alessandro Lia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Academia Brasileira de Neurologia - ABNEURO 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9231455/
https://www.ncbi.nlm.nih.gov/pubmed/33978092
http://dx.doi.org/10.1590/0004-282X-anp-2020-0246
_version_ 1784735342074527744
author de ALMEIDA, Priscila Masquetto Vieira
BAZAN, Rodrigo
PONTES-NETO, Octávio Marques
MINELLI, César
CORRENTE, José Eduardo
MODOLO, Gabriel Pinheiro
LUVIZUTTO, Gustavo José
MONDELLI, Alessandro Lia
author_facet de ALMEIDA, Priscila Masquetto Vieira
BAZAN, Rodrigo
PONTES-NETO, Octávio Marques
MINELLI, César
CORRENTE, José Eduardo
MODOLO, Gabriel Pinheiro
LUVIZUTTO, Gustavo José
MONDELLI, Alessandro Lia
author_sort de ALMEIDA, Priscila Masquetto Vieira
collection PubMed
description BACKGROUND: Use of internationally standardized instruments to assist healthcare professionals in accurately recognizing stroke early is recommended. The process of translation and cross-cultural adaptation is important for ensuring that scales are interpreted in the same way in different languages, thus ensuring applicability in several countries. OBJECTIVE: To translate into Brazilian Portuguese, cross-culturally adapt and validate the Cincinnati Prehospital Stroke Scale, using a representative sample of the Brazilian population. METHOD: The present study included patients with suspected stroke who were treated at a Brazilian emergency medical service and referred to a stroke center. A systematic process of translation and cross-cultural adaptation of the original scale and application of the final instrument was performed. Statistical analysis was used to assess the sensitivity, specificity and accuracy of the scale. Cohen’s kappa coefficient was used to assess inter-rater reliability. RESULTS: After translation and cross-cultural adaptation, the scale was applied to 64 patients. It showed 93.0% accuracy and 92.4% sensitivity in relation to the final “gold standard” diagnosis. Cohen’s kappa coefficient was calculated using data from 26 patients (40.6%) and showed excellent inter-rater reliability between items on the scale (0.8385 to 1.0000). CONCLUSION: The scale demonstrated excellent accuracy, sensitivity and inter-rater reliability. It was a useful tool for assisting healthcare professionals during initial assessments on patients with suspected stroke and significantly contributed to early recognition of stroke in a simple and quick manner.
format Online
Article
Text
id pubmed-9231455
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Academia Brasileira de Neurologia - ABNEURO
record_format MEDLINE/PubMed
spelling pubmed-92314552022-12-08 Translation, cross-cultural adaptation and validation of the Cincinnati prehospital stroke scale in Brazil de ALMEIDA, Priscila Masquetto Vieira BAZAN, Rodrigo PONTES-NETO, Octávio Marques MINELLI, César CORRENTE, José Eduardo MODOLO, Gabriel Pinheiro LUVIZUTTO, Gustavo José MONDELLI, Alessandro Lia Arq Neuropsiquiatr Original Article BACKGROUND: Use of internationally standardized instruments to assist healthcare professionals in accurately recognizing stroke early is recommended. The process of translation and cross-cultural adaptation is important for ensuring that scales are interpreted in the same way in different languages, thus ensuring applicability in several countries. OBJECTIVE: To translate into Brazilian Portuguese, cross-culturally adapt and validate the Cincinnati Prehospital Stroke Scale, using a representative sample of the Brazilian population. METHOD: The present study included patients with suspected stroke who were treated at a Brazilian emergency medical service and referred to a stroke center. A systematic process of translation and cross-cultural adaptation of the original scale and application of the final instrument was performed. Statistical analysis was used to assess the sensitivity, specificity and accuracy of the scale. Cohen’s kappa coefficient was used to assess inter-rater reliability. RESULTS: After translation and cross-cultural adaptation, the scale was applied to 64 patients. It showed 93.0% accuracy and 92.4% sensitivity in relation to the final “gold standard” diagnosis. Cohen’s kappa coefficient was calculated using data from 26 patients (40.6%) and showed excellent inter-rater reliability between items on the scale (0.8385 to 1.0000). CONCLUSION: The scale demonstrated excellent accuracy, sensitivity and inter-rater reliability. It was a useful tool for assisting healthcare professionals during initial assessments on patients with suspected stroke and significantly contributed to early recognition of stroke in a simple and quick manner. Academia Brasileira de Neurologia - ABNEURO 2021-04-23 /pmc/articles/PMC9231455/ /pubmed/33978092 http://dx.doi.org/10.1590/0004-282X-anp-2020-0246 Text en https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Original Article
de ALMEIDA, Priscila Masquetto Vieira
BAZAN, Rodrigo
PONTES-NETO, Octávio Marques
MINELLI, César
CORRENTE, José Eduardo
MODOLO, Gabriel Pinheiro
LUVIZUTTO, Gustavo José
MONDELLI, Alessandro Lia
Translation, cross-cultural adaptation and validation of the Cincinnati prehospital stroke scale in Brazil
title Translation, cross-cultural adaptation and validation of the Cincinnati prehospital stroke scale in Brazil
title_full Translation, cross-cultural adaptation and validation of the Cincinnati prehospital stroke scale in Brazil
title_fullStr Translation, cross-cultural adaptation and validation of the Cincinnati prehospital stroke scale in Brazil
title_full_unstemmed Translation, cross-cultural adaptation and validation of the Cincinnati prehospital stroke scale in Brazil
title_short Translation, cross-cultural adaptation and validation of the Cincinnati prehospital stroke scale in Brazil
title_sort translation, cross-cultural adaptation and validation of the cincinnati prehospital stroke scale in brazil
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9231455/
https://www.ncbi.nlm.nih.gov/pubmed/33978092
http://dx.doi.org/10.1590/0004-282X-anp-2020-0246
work_keys_str_mv AT dealmeidapriscilamasquettovieira translationcrossculturaladaptationandvalidationofthecincinnatiprehospitalstrokescaleinbrazil
AT bazanrodrigo translationcrossculturaladaptationandvalidationofthecincinnatiprehospitalstrokescaleinbrazil
AT pontesnetooctaviomarques translationcrossculturaladaptationandvalidationofthecincinnatiprehospitalstrokescaleinbrazil
AT minellicesar translationcrossculturaladaptationandvalidationofthecincinnatiprehospitalstrokescaleinbrazil
AT correntejoseeduardo translationcrossculturaladaptationandvalidationofthecincinnatiprehospitalstrokescaleinbrazil
AT modologabrielpinheiro translationcrossculturaladaptationandvalidationofthecincinnatiprehospitalstrokescaleinbrazil
AT luvizuttogustavojose translationcrossculturaladaptationandvalidationofthecincinnatiprehospitalstrokescaleinbrazil
AT mondellialessandrolia translationcrossculturaladaptationandvalidationofthecincinnatiprehospitalstrokescaleinbrazil