Translation, inter-rater reliability, agreement, and internal consistency of the Spanish version of the cumulated ambulation score in patients after hip fracture

Abstract

To translate the Cumulated Ambulation Score (CAS) into Spanish (CAS-E) and to examine the interrater reliability and agreement of the CAS-E.2 Materials and Methods: Two occupational therapists, independently reviewed 60 patients consecutively admitted to a traumatology service of a public hospital with a hip fracture, and rated the three CAS activities from 0 to 2, within the first post-surgery week. We determined the internal consistency of CAS-E using Cronbach's α coefficient. To test reliability, we used weighted kappa statistics, the standard error of measurement (SEM) and the smallest real difference (SRD). We determined the systematic between-rater bias using the McNemar-Bowker test.Results: No between-rater bias was seen, and the Cronbach's α for the CAS-E was 0.89. The weighted kappa was ≥ 0.83 for the three individual activities and the total CAS-E, while the observed agreement was ≥ 0.87. The SEM and the SRD for the total CAS-E (0-6 points) were 0.18 and 0.83 points, respectively. Conclusions:We present the CAS for use in Spanish speaking countries and provide evidence for excellent relative and absolute reliability of the CAS-E to assess basic mobility for patients with hip fracture in an acute care hospital.

Translation, reliability, agreement and validity of the Turkish version of Cumulated Ambulation Score in patients with hip fracture

“…The overall almost perfect reliability and high agreement of the CAS, as confirmed in the present study, were also reported for the Spanish version of the CAS. [15] The validity analysis showed that there is moderate positive correlation between CAS-TR and the Turkish version of modified Barthel scales assessed at postoperative days 2 and 30. Grana et al [14] had used Katz Activities of Daily Living scale for validity analysis of Italian version of CAS.…”

“…The overall almost perfect reliability and high agreement of the CAS, as confirmed in the present study, were also reported for the Spanish version of the CAS. [ 15 ]…”

“…[12,13] The CAS was developed in Denmark and first published by Foss et al [8] in 2006, and examined for reliability and described in details by Kristensen et al [9] in 2009. The CAS has been published in scientific journals in English, [9] Italian [14] and Spanish [15] languages, but it is also available in Swedish, Norwegian and Indonesian-Bahasa languages at ResearchGate. Additionally, versions in Portuguese, Japanese, French, Estonian, Dutch and Spanish-Argentinian languages are in preparation.…”

Translation, Inter-rater Reliability, Agreement, and Internal Consistency of the Japanese Version of the Cumulated Ambulation Score in Patients after Hip Fracture Surgery

“…Although our patients were slightly older than those in previous studies in Denmark, Spain, and Turkey, the reliability and consistency of the translated CAS-JP were consistent with previous studies. [17][18][19] Because the CAS can be used with high reliability by dif- Getting in and out of bed (0-2) 1.10 (0.48) Sit-to-stand-to-sit from chair with armrests (0-2)…”

“…The CAS was developed in Denmark; it was subsequently translated into several languages including English, Italian, Spanish, and Turkish and is now used in many countries. [17][18][19] Approved versions are also available in Swedish, Norwegian, Indonesian-Bahasa, and French, and the CAS is used at the national level in the Danish and Irish multidisciplinary hip fracture database. In Japan, the mean age of patients with hip fracture has been increasing, as has also been seen in other countries.…”