Validation of the National Institutes of Health Stroke Scale, Modified Rankin Scale and Barthel Index in Brazil: The Role of Cultural Adaptation and Structured Interviewing

被引：199

作者：

Cincura, Carolina ^{[1
]}

Pontes-Neto, Octavio M. ^{[3
]}

Neville, Iuri S. ^{[1
]}

Mendes, Henrique F. ^{[3
]}

Menezes, Daniela F. ^{[1
]}

Mariano, Debora C. ^{[3
]}

Pereira, Issana F. ^{[1
]}

Teixeira, Larissa A. ^{[3
]}

Jesus, Pedro A. P. ^{[1
]}

de Queiroz, Danilo C. L. ^{[3
]}

Pereira, Davidson F. ^{[1
]}

Pinto, Elen ^{[1
]}

Leite, Joao P. ^{[3
]}

Lopes, Antonio A. ^{[2
]}

Oliveira-Filho, Jamary ^{[1
]}

机构：

[1] Univ Fed Bahia, Stroke Clin, Salvador, BA, Brazil

[2] Univ Fed Bahia, Epidemiol Unit, Salvador, BA, Brazil

[3] Univ Sao Paulo, Ribeirao Preto Med Sch, Neurol Serv, Sao Paulo, Brazil

来源：

CEREBROVASCULAR DISEASES | 2009年 / 27卷 / 02期

关键词：

Stroke; National Institutes of Health Stroke Scale; Modified Rankin Scale; Barthel Index; Stroke trials; Brazil; RELIABILITY;

D O I：

10.1159/000177918

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: We aimed to validate three widely used scales in stroke research in a multiethnic Brazilian population. Methods: The National Institutes of Health Stroke Scale (NIHSS), modified Rankin Scale (mRS) and Barthel Index (BI) were translated, culturally adapted and applied by two independent investigators. The mRS was applied with or without a previously validated structured interview. Interobserver agreement (kappa statistics) and intraclass correlation coefficients were calculated. Results: 84 patients underwent mRS (56 with and 28 without a structured interview), 57 BI and 62 NIHSS scoring. Intraclass correlation coefficient was 0.902 for NIHSS and 0.967 for BI. For BI, interobserver agreement was good (kappa = 0.70). For mRS, the structured interview improved interobserver agreement (kappa = 0.34 without a structured interview; 0.75 with a structured interview). Conclusion: The NIHSS, BI and mRS show good validity when translated and culturally adapted. Using a structured interview for the mRS improves interobserver concordance rates. Copyright (C) 2008 S. Karger AG, Basel

引用

页码：119 / 122

页数：4

共 10 条

[1] MEASUREMENTS OF ACUTE CEREBRAL INFARCTION - A CLINICAL EXAMINATION SCALE [J].