Predictive Validity of the Postural Assessment Scale for Stroke (PASS) to Classify the Functionality in Stroke Patients: A Retrospective Study

The analysis of the predictive validity of a scale allows us to establish objectives in rehabilitation and to make decisions in the clinical setting. The objective of this study was to determine the validity of the Postural Assessment Scale for Stroke (PASS) to predict functionality at each stage of...

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Autores: Estrada Barranco, Cecilia, Sanz Esteban, Ismael, Giménez Mestre, María José, Cano de la Cuerda, Roberto, Molina Rueda, Francisco
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universidad Europea (UEM)
Repositorio:ABACUS. Repositorio de Producción Científica
Idioma:inglés
OAI Identifier:oai:abacus.universidadeuropea.com:11268/12683
Acceso en línea:http://hdl.handle.net/11268/12683
Access Level:acceso abierto
Palabra clave:Rehabilitación Neurológica
Equilibrio Postural
Accidente cerebrovascular
Rehabilitación médica
Enfermedad cardiovascular
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dc.title.none.fl_str_mv Predictive Validity of the Postural Assessment Scale for Stroke (PASS) to Classify the Functionality in Stroke Patients: A Retrospective Study
title Predictive Validity of the Postural Assessment Scale for Stroke (PASS) to Classify the Functionality in Stroke Patients: A Retrospective Study
spellingShingle Predictive Validity of the Postural Assessment Scale for Stroke (PASS) to Classify the Functionality in Stroke Patients: A Retrospective Study
Estrada Barranco, Cecilia
Rehabilitación Neurológica
Equilibrio Postural
Accidente cerebrovascular
Rehabilitación médica
Enfermedad cardiovascular
title_short Predictive Validity of the Postural Assessment Scale for Stroke (PASS) to Classify the Functionality in Stroke Patients: A Retrospective Study
title_full Predictive Validity of the Postural Assessment Scale for Stroke (PASS) to Classify the Functionality in Stroke Patients: A Retrospective Study
title_fullStr Predictive Validity of the Postural Assessment Scale for Stroke (PASS) to Classify the Functionality in Stroke Patients: A Retrospective Study
title_full_unstemmed Predictive Validity of the Postural Assessment Scale for Stroke (PASS) to Classify the Functionality in Stroke Patients: A Retrospective Study
title_sort Predictive Validity of the Postural Assessment Scale for Stroke (PASS) to Classify the Functionality in Stroke Patients: A Retrospective Study
dc.creator.none.fl_str_mv Estrada Barranco, Cecilia
Sanz Esteban, Ismael
Giménez Mestre, María José
Cano de la Cuerda, Roberto
Molina Rueda, Francisco
author Estrada Barranco, Cecilia
author_facet Estrada Barranco, Cecilia
Sanz Esteban, Ismael
Giménez Mestre, María José
Cano de la Cuerda, Roberto
Molina Rueda, Francisco
author_role author
author2 Sanz Esteban, Ismael
Giménez Mestre, María José
Cano de la Cuerda, Roberto
Molina Rueda, Francisco
author2_role author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Rehabilitación Neurológica
Equilibrio Postural
Accidente cerebrovascular
Rehabilitación médica
Enfermedad cardiovascular
topic Rehabilitación Neurológica
Equilibrio Postural
Accidente cerebrovascular
Rehabilitación médica
Enfermedad cardiovascular
description The analysis of the predictive validity of a scale allows us to establish objectives in rehabilitation and to make decisions in the clinical setting. The objective of this study was to determine the validity of the Postural Assessment Scale for Stroke (PASS) to predict functionality at each stage of recovery in stroke patients. Methods: A retrospective study was carried out collecting data from patients admitted to a neurorehabilitation hospital. All patients having suffered a stroke less than two months before hospital admission were included in the study. The balance was measured with the PASS scale and the functionality with the Functional Independence Measure (FIM) scale. Simple linear regressions were performed to model the relationship between the PASS and FIM scores in the acute, subacute and chronic stages (6 and 12 months), as well as between the PASS scores at admission and the FIM values in the chronic stage. Results: The PASS scale showed a good predictive validity (R-2 values from 0.54 to 0.87; beta values from 1.99 to 2.62; p < 0.001) for FIM scores at acute, subacute and chronic stages, with lower goodness-of-fit for PASS scores at admission and FIM scores at 12 months (R-2 = 0.383; beta = 1.61 (0.96-2.26); p < 0.001). Cut-off points in the PASS scale to predict high functional level were 17.5 for the acute stage and 16.5 for the subacute and chronic stages. A score of 8.5 on the PASS scale measured in the acute phase predicted a high functional level at 12 months. Conclusion: The PASS scale is a useful tool to classify the functionality of stroke patients in the acute, subacute and chronic phases. The PASS score upon admission into the hospital can predict the functionality of the stroke patients after 12 months. However, future studies should be carried out to corroborate our findings with larger sample sizes.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022-01-01
2022
2022-01-01
2024
2024-02-10
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/11268/12683
url http://hdl.handle.net/11268/12683
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:ABACUS. Repositorio de Producción Científica
instname:Universidad Europea (UEM)
instname_str Universidad Europea (UEM)
reponame_str ABACUS. Repositorio de Producción Científica
collection ABACUS. Repositorio de Producción Científica
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling Predictive Validity of the Postural Assessment Scale for Stroke (PASS) to Classify the Functionality in Stroke Patients: A Retrospective StudyEstrada Barranco, CeciliaSanz Esteban, IsmaelGiménez Mestre, María JoséCano de la Cuerda, RobertoMolina Rueda, FranciscoRehabilitación NeurológicaEquilibrio PosturalAccidente cerebrovascularRehabilitación médicaEnfermedad cardiovascularThe analysis of the predictive validity of a scale allows us to establish objectives in rehabilitation and to make decisions in the clinical setting. The objective of this study was to determine the validity of the Postural Assessment Scale for Stroke (PASS) to predict functionality at each stage of recovery in stroke patients. Methods: A retrospective study was carried out collecting data from patients admitted to a neurorehabilitation hospital. All patients having suffered a stroke less than two months before hospital admission were included in the study. The balance was measured with the PASS scale and the functionality with the Functional Independence Measure (FIM) scale. Simple linear regressions were performed to model the relationship between the PASS and FIM scores in the acute, subacute and chronic stages (6 and 12 months), as well as between the PASS scores at admission and the FIM values in the chronic stage. Results: The PASS scale showed a good predictive validity (R-2 values from 0.54 to 0.87; beta values from 1.99 to 2.62; p < 0.001) for FIM scores at acute, subacute and chronic stages, with lower goodness-of-fit for PASS scores at admission and FIM scores at 12 months (R-2 = 0.383; beta = 1.61 (0.96-2.26); p < 0.001). Cut-off points in the PASS scale to predict high functional level were 17.5 for the acute stage and 16.5 for the subacute and chronic stages. A score of 8.5 on the PASS scale measured in the acute phase predicted a high functional level at 12 months. Conclusion: The PASS scale is a useful tool to classify the functionality of stroke patients in the acute, subacute and chronic phases. The PASS score upon admission into the hospital can predict the functionality of the stroke patients after 12 months. However, future studies should be carried out to corroborate our findings with larger sample sizes.El análisis de la validez predictiva de una escala nos permite establecer objetivos en la rehabilitación y tomar decisiones en el ámbito clínico. El objetivo de este estudio fue determinar la validez de la Escala de Evaluación Postural para Accidente Cerebrovascular (PASS) para predecir la funcionalidad en cada etapa de la recuperación en pacientes con accidente cerebrovascular. Métodos: Se llevó a cabo un estudio retrospectivo recogiendo datos de pacientes ingresados en un hospital de neurorehabilitación. Se incluyeron en el estudio todos los pacientes que habían sufrido un accidente cerebrovascular menos de dos meses antes del ingreso hospitalario. El equilibrio se midió con la escala PASS y la funcionalidad con la escala de Medida de Independencia Funcional (FIM). Se realizaron regresiones lineales simples para modelar la relación entre las puntuaciones de PASS y FIM en las etapas aguda, subaguda y crónica (6 y 12 meses), así como entre las puntuaciones PASS al ingreso y los valores de FIM en la etapa crónica. Resultados: La escala PASS mostró una buena validez predictiva (valores de R2 de 0.54 a 0.87; valores de β de 1.99 a 2.62; p < 0.001) para las puntuaciones FIM en las etapas aguda, subaguda y crónica, con una bondad de ajuste menor para las puntuaciones PASS al ingreso y FIM a los 12 meses (R2 = 0.383; β = 1.61 (0.96–2.26); p < 0.001). Los puntos de corte en la escala PASS para predecir un nivel funcional alto fueron 17.5 para la etapa aguda y 16.5 para las etapas subaguda y crónica. Una puntuación de 8.5 en la escala PASS medida en la fase aguda predijo un nivel funcional alto a los 12 meses. Conclusión: La escala PASS es una herramienta útil para clasificar la funcionalidad de los pacientes con accidente cerebrovascular en las fases aguda, subaguda y crónica. La puntuación PASS al ingreso en el hospital puede predecir la funcionalidad de los pacientes con accidente cerebrovascular después de 12 meses. Sin embargo, se deben realizar estudios futuros para corroborar nuestros hallazgos con muestras más grandes.20242024-02-1020222022-01-0120222022-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/11268/12683reponame:ABACUS. Repositorio de Producción Científicainstname:Universidad Europea (UEM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:abacus.universidadeuropea.com:11268/126832026-06-11T12:41:27Z
score 15.301603

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