丹麦文翻译和验证自报足部和踝关节评分（SEFAS）在踝关节相关骨折患者中的应用。
Danish translation and validation of the Self-reported foot and ankle score (SEFAS) in patients with ankle related fractures.
机构信息
Department of Orthopedic Surgery and Traumatology, Lillebaelt Hospital - University Hospital of Southern, Sygehusvej 24, 6000 Kolding Denmark; Department of Orthopedic Surgery and Traumatology, Odense University Hospital, J.B Winsløvvej 15, 5000, Odense, Denmark; Institute of Clinical Research, University of Southern, J.B Winsløvvej 19.3, 5000 Odense Denmark.
Department of Orthopedic Surgery and Traumatology, Lillebaelt Hospital - University Hospital of Southern, Sygehusvej 24, 6000 Kolding Denmark; Institute of Regional Health Research, University of Southern, J.B Winsløvvej 19.3, 5000 Odense Denmark.
出版信息
Foot Ankle Surg. 2021 Jul;27(5):521-527. doi: 10.1016/j.fas.2020.06.014. Epub 2020 Sep 23.
BACKGROUND
The Self-reported Foot and Ankle Score (SEFAS) is a patient-reported outcome measure used to evaluate foot and ankle disorders. The purpose of this study was to translate, cross-culturally adapt and validate the Danish language version of the SEFAS in patients with ankle-related fractures.
METHODS
Forward-backward translation, cross-cultural adaption and validation were performed. In total, 125 patients completed the SEFAS-DK and the Danish version of American Orthopaedic Foot and Ankle Score (AOFAS-DK) at three time points after the date of fracture. The evaluation was performed according to the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guidelines.
RESULTS
The intra-class correlation coefficient (ICC) level of the SEFAS-DK total score was 0.93 (95% confidence interval [CI]: 0.88-0.96). Cronbach's alpha (CA) for the SEFAS-DK was 0.93, while the floor and ceiling effect at week 6 post-injury was 22.4%. Construct validity was correlated with the AOFAS, and >75% of the pre-defined hypotheses could be confirmed. Responsiveness was analysed using longitudinal data. The minimal clinical important change (MCIC) showed that the SEFAS-DK detects changes in physical function over time.
CONCLUSION
The Danish version of the SEFAS showed overall good reliability, validity and responsiveness. SEFAS-DK can be used to evaluate physical function in patients with ankle-related fractures.
LEVEL OF EVIDENCE
level II, prospective cohort study.
背景
自报告足部和踝关节评分（SEFAS）是一种用于评估足部和踝关节疾病的患者报告结局测量方法。本研究的目的是翻译、跨文化适应和验证与踝关节相关骨折患者的丹麦文版 SEFAS。
方法
进行了正向-反向翻译、跨文化适应和验证。总共 125 名患者在骨折后 3 个时间点完成了 SEFAS-DK 和丹麦版美国矫形足踝协会评分（AOFAS-DK）。评估根据共识基础健康测量仪器选择标准（COSMIN）指南进行。
结果
SEFAS-DK 总分的组内相关系数（ICC）水平为 0.93（95%置信区间[CI]：0.88-0.96）。SEFAS-DK 的克朗巴赫系数（CA）为 0.93，而在受伤后第 6 周时的地板和天花板效应为 22.4%。结构有效性与 AOFAS 相关，超过 75%的预定义假设可以得到证实。使用纵向数据分析了反应性。最小临床重要变化（MCIC）表明 SEFAS-DK 可随时间检测到身体功能的变化。
结论
丹麦文版的 SEFAS 总体上具有良好的可靠性、有效性和反应性。SEFAS-DK 可用于评估与踝关节相关骨折患者的身体功能。
证据水平
II 级，前瞻性队列研究。
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