Development and validation of the Cerebral Performance Categories-Extended (CPC-E)

RESUSCITATION

卷:94

Article

Balouris, Sondra A.¹  Raina, Ketki D.²  Rittenberger, Jon C.³  Callaway, Clifton W.³  Rogers, Joan C.²  Holm, Margo B.² 

[1] Univ Pittsburgh, Sch Hlth & Rehabil Sci, Dept Rehabil Sci & Technol, Pittsburgh, PA 15260 USA

[2] Univ Pittsburgh, Sch Hlth & Rehabil Sci, Dept Occupat Therapy, Pittsburgh, PA 15260 USA

[3] Univ Pittsburgh, Sch Med, Dept Emergency Med, Pittsburgh, PA 15260 USA

关键词: Cardiac arrest;    Assessment;    Validity;    Reliability;    Psychometrics;    Outcomes;   

DOI  :  10.1016/j.resuscitation.2015.05.013

来源: Elsevier

【 摘 要 】

Background: Optimizing resuscitation efforts after cardiac arrest (CA) requires valid and reliable measurements of functional outcomes. The Cerebral Performance Category (CPC), the historical gold standard outcome measure post-CA, lacks psychometric validation. The purpose of this study was to establish the psychometric properties of a revised CPC: the CPC-Extended (CPC-E). Methods: The study had two phases: We established content validity of the CPC-E by identifying existing domains in the CPC, by adding new domains following a literature review, and iterative input from a panel of CA and rehabilitation experts. We tested the CPC-E's feasibility, intra-rater (IR) reliability and inter-rater reliability (IRR) using retrospective reviews of the electronic medical records (EMR) and in-person in-hospital administration. Results: The CPC-E has 10 domains. For both IR and IRR record reviews, 5110 domains had frequent missing data and in three instances, intraclass correlation coefficients (ICC) could not be calculated. Of the scores that could be calculated, ICC ranged from poor to high (n = 30; 0.46-1.0) and poor to high (n = 50; 0.16 to 0.93) for IR and IRR, respectively. No data were missing for the in-person IRR for the 10 domains and ICC ranged from good to excellent (n = 26; 0.79-1.00). In-hospital and post-discharge domains were completed in under 7 min. Conclusions: The CPC-E is a valid and clinically feasible outcome measure for describing post-CA impairment and disability status. In-person hospital administration of the CPC-E yields more complete data and good to excellent inter-rater reliability compared to retrospective EMR review. (C) 2015 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

Free