Objective: The posttraumatic stress disorder (PTSD) Checklist is one of the most widely used screening tool in assessing PTSD symptomatology. Several changes to PTSD definition were made in the recent revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The aim of the study was to assess psychometric properties of the Turkish version of the PTSD Checklist for DSM-5 (PCL-5), the revised version conforming to the advances in DSM-5. Method: Psychiatric outpatients with PTSD (n = 29) and major depressive disorder (n = 73) and a community group (n = 360) included in the study. Respondents completed the PCL-5, Trauma Symptom Checklist-40, Life Events Checklist for DSM-5, Dissociative Experiences Scale, Beck Anxiety Inventory, Beck Depression Inventory and Posttraumatic Cognitions Inventory. Results: We found a four-factor solution best fit to the data providing support for the vast array of PTSD research. The PCL-5 demonstrated good reliability with composite reliability coefficients of re-experiencing (.79-.92), avoidance (.73-.91), negative alterations (.85-.90) and hyperarousal (.81-.88) and temporal reliability with two-week test retest intra-correlation coefficients of .70, .64, .78, and .76, respectively. Strong associations of the total and subscale scores of the PCL-5 with other measures of trauma-related symptoms were indicative of construct validity of the screening tool. The current investigation suggested a cut-off score ≥47 for PTSD diagnosis, with .76 sensitivity and .69 specificity. Conclusion: The PCL-5 is a promising screening tool with sound psychometric properties.
ARTICLE HISTORY
ObjectiveAcute kidney injury (AKI) is one of the most important complications after
coronary artery bypass grafting (CABG) procedure. Serum albumin, which is an
acute phase reactant, is suggested to be associated with AKI development
subsequent to various surgical procedures. In this study, we research the
relation between preoperative serum albumin levels and postoperative AKI
development in diabetes mellitus (DM) patients undergoing isolated CABG.MethodsWe included a total of 634 diabetic patients undergoing CABG (60.5±9.1
years, 65.1% male) into this study, which was performed between September
2009 and January 2014 in a single center. The relation between preoperative
serum albumin levels and postoperative AKI development was observed. AKI was
evaluated and diagnosed using the Kidney Disease: Improving Global Outcomes
(KDIGO) classification.ResultsAKI was diagnosed in 230 (36.3%) patients. Multiple logistic regression
analysis was performed to determine the independent predictors of AKI
development. Proteinuria (odds ratio [OR] and 95% confidence interval [CI],
1.066 [1.002-1.135]; P=0.043) and low preoperative serum
albumin levels (OR and 95% CI, 0.453 [0.216-0.947];
P=0.035) were found to be independent predictors of AKI.
According to the receiver operating characteristic curve analysis, albumin
level <3mg/dL (area under the curve: 0.621 [0.572-0.669],
P<0.001) had 83% sensitivity and 10% specificity on
predicting the development of AKI.ConclusionWe observed that a preoperative low serum albumin level was associated with
postoperative AKI development in patients with DM who underwent isolated
CABG procedure. We emphasize that this adjustable albumin level should be
considered before the operation since it is an easy and clinically
implementable management for the prevention of AKI development.
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