Validation of the Frenchay activity index on stroke victims

Maiana Monteiro; Iara Maso; Adriana Campos Sasaki; Nestor Barreto Neto; Jamary Oliveira Filho; Elen Beatriz Pinto

doi:10.1590/0004-282X20170014

Arquivos de Neuro-Psiquiatria, Table of Contents

CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2017; 75(03): 167-171
DOI: 10.1590/0004-282X20170014

ARTICLE

Validation of the Frenchay activity index on stroke victims

Validação do índice de atividades de Frenchay em indivíduos após AVC

Maiana Monteiro

¹Universidade Federal da Bahia, Ambulatório de Doenças Cerebrovasculares, Salvador BA, Brasil;

²Escola Bahiana de Medicina e Saúde Pública, Salvador BA, Brasil;

,

Iara Maso

²Escola Bahiana de Medicina e Saúde Pública, Salvador BA, Brasil;

³Hospital Geral Roberto Santos, Unidade de AVC, Salvador BA, Brasil.

,

Adriana Campos Sasaki

¹Universidade Federal da Bahia, Ambulatório de Doenças Cerebrovasculares, Salvador BA, Brasil;

²Escola Bahiana de Medicina e Saúde Pública, Salvador BA, Brasil;

,

Nestor Barreto Neto

¹Universidade Federal da Bahia, Ambulatório de Doenças Cerebrovasculares, Salvador BA, Brasil;

,

Jamary Oliveira Filho

¹Universidade Federal da Bahia, Ambulatório de Doenças Cerebrovasculares, Salvador BA, Brasil;

,

Elen Beatriz Pinto

¹Universidade Federal da Bahia, Ambulatório de Doenças Cerebrovasculares, Salvador BA, Brasil;

²Escola Bahiana de Medicina e Saúde Pública, Salvador BA, Brasil;

› Author Affiliations

Abstract

ABSTRACT

Purpose

To evaluate the inter-rater reliability and predictive validity of the Frenchay Activities Index (FAI) in patients after stroke.

Methods

One hundred sixty-one patients were selected for consecutive application of the FAI and National Institutes of Health Stroke Scale (NIHSS). Spearman’s test was used for correlation between different scales. The FAI and NIHSS association was evaluated using ordinal logistic regression. Additionally, 36 patients underwent FAI rating on the same day by two independent evaluators.

Results

A negative correlation between the FAI and the NIHSS scores (p = 0.017 r = -0.22) was found. Adjusting all variables with possible association with the NIHSS, ordinal logistic regression showed that the FAI had a significant association with NIHSS scores (OR 0.93, 95% CI 0.87 to 0.99, p: 0.033). The inter-rater agreement was considered good, k = 0.66 (0.54 to 0.78), p < 0.001.

Conclusions

The FAI is a valid and useful method to assess instrumental activities before acute stroke in a Brazilian population.

RESUMO

Objetivo

Avaliar a confiabilidade inter-examinador e a validade preditiva do Índice de Atividades de Frenchay (FAI) em pacientes após acidente vascular cerebral.

Métodos

161 pacientes foram selecionados para aplicação consecutiva da FAI e NIH Stroke Scale (NIHSS). O teste de Spearman foi utilizado para correlação entre as diferentes escalas. A associação FAI e NIHSS foi avaliada por meio de regressão logística ordinal. Adicionalmente, 36 pacientes foram submetidos à aplicação do FAI por dois avaliadores independentes, no mesmo dia.

Resultados

Foi encontrada uma correlação negativa entre o FAI e o NIHSS (r = -0,22; p = 0,017). Ajustando todas as variáveis com possível associação com NIHSS, a regressão logística ordinal demonstrou que o FAI tem associação significativa com o NIHSS (OR 0,93, 95% CI 0,87-0,99, p: 0,033). A concordância entre avaliadores foi considerada boa, k = 0,66 (0,54-0,78), p < 0,001.

Conclusões

FAI é um método válido e útil para avaliar atividades instrumentais antes de AVC agudo em uma população brasileira.

stroke - activities of daily living - validation studies

acidente vascular cerebral - atividades cotidianas - estudo de validação

Full Text

References

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