Functional Status Scale: Cross-Cultural Adaptation and Validation in Brazil.

Autor:	Pereira GA; Department of Physical Therapy, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil., Schaan CW; Department of Physical Therapy, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil., Ferrari RS; Department of Physical Therapy, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil., Normann TC; Department of Physical Therapy, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil., Rosa NV; Department of Physical Therapy, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil., Ricachinevsky CP; Pediatric Intensive Care Unit, Hospital da Criança Santo Antônio, Irmandade Santa Casa de Misericórdia de Porto Alegre, Porto Alegre (RS), Brazil., Reppold CT; Department of Physical Therapy, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil., Lukrafka JL; Department of Physical Therapy, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil.
Jazyk:	angličtina
Zdroj:	Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies [Pediatr Crit Care Med] 2019 Oct; Vol. 20 (10), pp. e457-e463.
DOI:	10.1097/PCC.0000000000002051
Abstrakt:	Objective: The goal of the present study was to perform a cross-cultural adaptation and clinical validation of the Functional Status Scale for use in the Brazilian population. Design: Cross-cultural adaptation study followed by a cross-sectional validation study. Setting: Single-center PICU at a hospital in Porto Alegre, Brazil. Patients: Children and adolescents of both sexes, 1 month and under 18 years old, who had been treated at the PICU. Interventions: The cross-cultural adaptation consisted of the following stages: translation, synthesis of the translated versions, back translations, synthesis of the back translations, committee review, and pretesting. For the clinical validation stage, the Brazilian Functional Status Scale was applied within 48 hours after discharge from the PICU. The Brazilian Functional Status Scale's reliability and validity properties were tested. Measurements and Main Results: A total of 314 patients were evaluated. Median age was 24 months (7.0-105.0 mo), 54.1% were males, and their overall functional score was 9 ± 2.8. The Brazilian Functional Status Scale demonstrated excellent interobserver reliability, with an intraclass correlation coefficient of 0.98, and κ coefficients between 0.716 and 1.000 for the functional domains, which indicated good to excellent agreement. Using the Bland-Altman method, we confirmed low variability among the evaluator's responses (0.93 to -1.06 points). Regarding the Brazilian Functional Status Scale's content validity, there was a correlation between length of PICU stay (r = 0.378; p < 0.001) and time on invasive mechanical ventilation (r = 0.261; p < 0.05), and the test could discriminate between groups with different comorbidity levels (p < 0.001). Conclusions: The Functional Status Scale has been culturally adapted and validated for use in Brazil and is now available for use in the assessment of functionality in Brazilian children and adolescents.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu