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Standardized Assessment of Global activities in the Elderly scale in adult cardiac surgery patients.
Spence, Jessica; Bosch, Jackie; Chongsi, Edward; Lee, Shun Fu; Thabane, Lehana; Mendoza, Pablo; Belley-Côté, Emilie; Whitlock, Richard; Brady, Kate; McIntyre, William F; Lamy, Andre; Devereaux, P J.
Afiliación
  • Spence J; Department of Anesthesia and Critical Care, McMaster University, Hamilton, ON, Canada; Department of Health Research Methods, Evaluation, and Impact, McMaster University, Hamilton, ON, Canada; Population Health Research Institute, Hamilton, ON, Canada. Electronic address: spencej@phri.ca.
  • Bosch J; Population Health Research Institute, Hamilton, ON, Canada; School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
  • Chongsi E; Population Health Research Institute, Hamilton, ON, Canada.
  • Lee SF; Population Health Research Institute, Hamilton, ON, Canada.
  • Thabane L; Department of Health Research Methods, Evaluation, and Impact, McMaster University, Hamilton, ON, Canada; Population Health Research Institute, Hamilton, ON, Canada.
  • Mendoza P; Department of Health Research Methods, Evaluation, and Impact, McMaster University, Hamilton, ON, Canada; Population Health Research Institute, Hamilton, ON, Canada.
  • Belley-Côté E; Department of Health Research Methods, Evaluation, and Impact, McMaster University, Hamilton, ON, Canada; Population Health Research Institute, Hamilton, ON, Canada; Department of Medicine (Cardiology), McMaster University, Hamilton, ON, Canada.
  • Whitlock R; Department of Health Research Methods, Evaluation, and Impact, McMaster University, Hamilton, ON, Canada; Population Health Research Institute, Hamilton, ON, Canada; Department of Surgery (Cardiac Surgery), McMaster University, Hamilton, ON, Canada.
  • Brady K; Population Health Research Institute, Hamilton, ON, Canada.
  • McIntyre WF; Department of Health Research Methods, Evaluation, and Impact, McMaster University, Hamilton, ON, Canada; Population Health Research Institute, Hamilton, ON, Canada; Department of Medicine (Cardiology), McMaster University, Hamilton, ON, Canada.
  • Lamy A; Department of Health Research Methods, Evaluation, and Impact, McMaster University, Hamilton, ON, Canada; Population Health Research Institute, Hamilton, ON, Canada; Department of Surgery (Cardiac Surgery), McMaster University, Hamilton, ON, Canada.
  • Devereaux PJ; Department of Health Research Methods, Evaluation, and Impact, McMaster University, Hamilton, ON, Canada; Population Health Research Institute, Hamilton, ON, Canada; Department of Medicine (Cardiology), McMaster University, Hamilton, ON, Canada.
Br J Anaesth ; 127(4): 539-546, 2021 Oct.
Article en En | MEDLINE | ID: mdl-34330417
ABSTRACT

BACKGROUND:

Different instruments have been used to assess ability to perform everyday functional activities, such as activities of daily living (ADL) and instrumental activities of daily living (IADL). No measures of functional activity have been validated in cardiac surgery. We assessed the reliability and validity of the Standardized Assessment of Global activities in the Elderly (SAGE) scale.

METHODS:

We undertook an observational sub-study of VISION Cardiac Surgery. Patients were assessed post-discharge after cardiac surgery using SAGE and comparator measures to determine convergent validity. A blinded independent assessor administered SAGE by phone within 7 days to determine test-retest reliability. We sought to demonstrate a correlation of ≥0.5 between SAGE and each corresponding measure. We also sought to define the SAGE score corresponding to severe functional disability, defined using the World Health Organisation Disability Assessment Schedule (WHODAS).

RESULTS:

There were 152 patients included. Inter-rater reliability was excellent (intra-class correlation coefficient=0.99; 95% confidence interval [CI], 0.98-0.99). Convergent validity was evident, ranging from adequate for the overall SAGE score (0.54; 95% CI, 0.42-0.65) to very good for the SAGE mobility sub-score (0.80; 95% CI, 0.73-0.85). SAGE was initially poorly correlated with the IADL index (-0.24) but increased to -0.60 after post-hoc adjustment of SAGE scoring. A SAGE score ≥7 was associated with severe functional disability and occurred in 42/152 (27.6%) of patients.

CONCLUSION:

These results demonstrate the reliability and validity of the SAGE scale as a measure of global function in patients discharged home after cardiac surgery. CLINICAL TRIAL REGISTRATION NCT01842568.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Actividades Cotidianas / Encuestas y Cuestionarios / Evaluación de la Discapacidad / Procedimientos Quirúrgicos Cardíacos Tipo de estudio: Clinical_trials / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Br J Anaesth Año: 2021 Tipo del documento: Article
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Actividades Cotidianas / Encuestas y Cuestionarios / Evaluación de la Discapacidad / Procedimientos Quirúrgicos Cardíacos Tipo de estudio: Clinical_trials / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Br J Anaesth Año: 2021 Tipo del documento: Article