Fernández Sanz A, Ruiz Serrano J, Tejada Meza H, Marta Moreno J
Servicio de Neurología, Hospital Universitario Miguel Servet, Zaragoza, España.
Servicio de Medicina Física y Rehabilitación, Hospital Universitario Miguel Servet, Zaragoza, España.
Neurologia (Engl Ed). 2022 May;37(4):271-276. doi: 10.1016/j.nrl.2019.03.003. Epub 2019 May 29.
The modified Rankin Scale (mRS) is the main functional assessment tool used after stroke. The simplified mRS questionnaire (smRSq) has recently been validated in English, and represents a simpler, reliable scale with an excellent reproducibility via telephone. The present study aims to validate a Spanish-language version of the telephone smRSq.
We conducted a prospective cohort study, assessing 50 patients 3 months after they presented an ischaemic stroke. We assessed the Spanish-language smRSq by telephone and in person, the mRS with a structured interview, the Spanish-language smRSq, and the Stroke Impact Scale-16. Inter-rater reliability, test-retest reliability, construct validity, and criterion validity were assessed.
Inter-rater reliability showed strong agreement (k=0.810); test-retest reliability and criterion validity showed moderate agreement (k=0.639 and k=0.759, respectively), and construct validity showed moderate agreement (Spearman correlation coefficient=-0.728).
The Spanish-language telephone smRSq is reliable and simple, and saves time in the functional assessment after a stroke.
改良Rankin量表（mRS）是卒中后使用的主要功能评估工具。简化的mRS问卷（smRSq）最近已通过英文验证，它是一种更简单、可靠的量表，通过电话具有出色的可重复性。本研究旨在验证西班牙语版的电话smRSq。
我们进行了一项前瞻性队列研究，对50例缺血性卒中患者发病3个月后进行评估。我们通过电话和面对面方式评估西班牙语版smRSq，通过结构化访谈评估mRS、西班牙语版smRSq以及卒中影响量表-16。评估了评分者间信度、重测信度、结构效度和效标效度。
评分者间信度显示出高度一致性（k = 0.810）；重测信度和效标效度显示出中度一致性（分别为k = 0.639和k = 0.759），结构效度显示出中度一致性（Spearman相关系数 = -0.728）。
西班牙语版电话smRSq可靠且简单，在卒中后的功能评估中节省时间。
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