Translation, cross-cultural adaptation and validation of the Cincinnati prehospital stroke scale in Brazil
ABSTRACT 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...
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| Format: | Article |
| Language: | English |
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Academia Brasileira de Neurologia (ABNEURO)
2021-05-01
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| Series: | Arquivos de Neuro-Psiquiatria |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2021000400272&tlng=en |
| _version_ | 1818975068142698496 |
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| author | Priscila Masquetto Vieira de ALMEIDA Rodrigo BAZAN Octávio Marques PONTES-NETO César MINELLI José Eduardo CORRENTE Gabriel Pinheiro MODOLO Gustavo José LUVIZUTTO Alessandro Lia MONDELLI |
| author_facet | Priscila Masquetto Vieira de ALMEIDA Rodrigo BAZAN Octávio Marques PONTES-NETO César MINELLI José Eduardo CORRENTE Gabriel Pinheiro MODOLO Gustavo José LUVIZUTTO Alessandro Lia MONDELLI |
| author_sort | Priscila Masquetto Vieira de ALMEIDA |
| collection | DOAJ |
| description | ABSTRACT 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. |
| first_indexed | 2024-12-20T15:50:04Z |
| format | Article |
| id | doaj.art-0700ce657feb4a218003796c1d91cfae |
| institution | Directory Open Access Journal |
| issn | 1678-4227 |
| language | English |
| last_indexed | 2024-12-20T15:50:04Z |
| publishDate | 2021-05-01 |
| publisher | Academia Brasileira de Neurologia (ABNEURO) |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj.art-0700ce657feb4a218003796c1d91cfae2022-12-21T19:34:44ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272021-05-0179427227710.1590/0004-282x-anp-2020-0246Translation, cross-cultural adaptation and validation of the Cincinnati prehospital stroke scale in BrazilPriscila Masquetto Vieira de ALMEIDAhttps://orcid.org/0000-0002-8516-9491Rodrigo BAZANhttps://orcid.org/0000-0003-3872-308XOctávio Marques PONTES-NETOhttps://orcid.org/0000-0003-0317-843XCésar MINELLIhttps://orcid.org/0000-0002-3969-6629José Eduardo CORRENTEhttps://orcid.org/0000-0001-5478-4996Gabriel Pinheiro MODOLOhttps://orcid.org/0000-0003-1057-5089Gustavo José LUVIZUTTOhttps://orcid.org/0000-0002-6914-7225Alessandro Lia MONDELLIhttps://orcid.org/0000-0002-4401-5656ABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2021000400272&tlng=enStrokeEarly DiagnosisEmergency Medical ServiceSensitivity and Specificity |
| spellingShingle | Priscila Masquetto Vieira de ALMEIDA Rodrigo BAZAN Octávio Marques PONTES-NETO César MINELLI José Eduardo CORRENTE Gabriel Pinheiro MODOLO Gustavo José LUVIZUTTO Alessandro Lia MONDELLI Translation, cross-cultural adaptation and validation of the Cincinnati prehospital stroke scale in Brazil Arquivos de Neuro-Psiquiatria Stroke Early Diagnosis Emergency Medical Service Sensitivity and Specificity |
| 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 | Stroke Early Diagnosis Emergency Medical Service Sensitivity and Specificity |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2021000400272&tlng=en |
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