Measuring outcome after cardiac arrest: construct validity of Cerebral Performance Category

Autor: M. Mak, V.R.M.P. Moulaert, R. W. M. Pijls, Jeanine A. Verbunt
Přispěvatelé: RS: FHML non-thematic output, RS: CAPHRI School for Public Health and Primary Care, RS: CAPHRI - R3 - Functioning, Participating and Rehabilitation, Revalidatiegeneeskunde, Promovendi PHPC, Cardiologie, RS: CAPHRI - R2 - Creating Value-Based Health Care
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Male
Cross-sectional study
030204 cardiovascular system & hematology
Emergency Nursing
Disability Evaluation
Cognition
0302 clinical medicine
Quality of life
International Classification of Functioning
Disability and Health
QUALITY-OF-LIFE
Surveys and Questionnaires
Outcome Assessment
Health Care
Medicine
Hypoxia
Brain
SCALE
INDEX
Outcome
Aged
80 and over
SURVIVORS
CFQ
Construct validity
Middle Aged
Cardiac arrest
International classification of functioning disability and health
Emergency Medicine
Female
Medical emergency
Cardiology and Cardiovascular Medicine
Adult
medicine.medical_specialty
THERAPEUTIC HYPOTHERMIA
Community integration
macromolecular substances
03 medical and health sciences
INJURY
Humans
Aged
business.industry
technology
industry
and agriculture
Reproducibility of Results
Level of functioning
030208 emergency & critical care medicine
medicine.disease
Heart Arrest
Cerebral Performance Category
Cross-Sectional Studies
Structured interview
Physical therapy
Cognition Disorders
business
Zdroj: Resuscitation, 100, 6-10. Elsevier Ireland Ltd
ISSN: 0300-9572
DOI: 10.1016/j.resuscitation.2015.12.005
Popis: Introduction: Approximately half of the survivors of cardiac arrest have cognitive impairments due to hypoxic brain injury. To describe the outcome after a cardiac arrest, the Cerebral Performance Category (CPC) is frequently used. Although widely used, its validity is still debatable.Objective: To investigate the construct validity of the Cerebral Performance Category in survivors of a cardiac arrest.Participants were 18 years and older that survived a cardiac arrest more than six months.Methods: Cross-sectional design. A method to administer the CPC in a structured and reproducible manner was developed. This 'Structured CPC' was administered by a structured interview. Construct variables were Cognitive Failure Questionnaire (CFQ), Barthel Index (BI), Frenchay Activity Index (FAI), Community Integration Questionnaire (CIQ) and Quality of Life after Brain Injury (Qolibri). Associations were tested based on Spearman correlation coefficients.Results: A total of 62 participants responded. In 58 (94%) patients the CPC was determined, resulting in CPC 1 (48%), CPC 2 (23%) and CPC 3 (23%). The CPC-scoring correlated significantly with the CFQ(r = -0.40); BI (r= -0.57); FAI (r= -0.65), CIQ(r = -0.53) and Qolibri (r= -0.67).Discussion and conclusions: In this study we developed the 'Structured CPC' to improve the transparency and reproducibility of the original CPC. A moderate correlation between the 'Structured CPC' and the constructs 'activities', 'participation' and 'quality of life' confirmed the validity of the 'Structured CPC'.Clinical message: The 'Structured CPC' can be used as an instrument to measure the level of functioning after cardiac arrest.
Databáze: OpenAIRE
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