Vol. 21 No. 1 (2022)
Original Articles

Translation and cross-cultural adaptation of the air medical prehospital triage score for helicopter transport of trauma patients to brazilian portuguese

Published 2022-07-04

Keywords

  • Prehospital care,
  • Air ambulances,
  • Helicopter,
  • Triage,
  • Translation

How to Cite

1.
Alvim-Oliveira R, L. Bernardes-Oliveira C, S. Reis A, B. Brown J, C. Sá-Caputo D, Bernardo-Filho M. Translation and cross-cultural adaptation of the air medical prehospital triage score for helicopter transport of trauma patients to brazilian portuguese. BJHBS [Internet]. 2022 Jul. 4 [cited 2024 Oct. 11];21(1):11-20. Available from: https://bjhbs.hupe.uerj.br/bjhbs/article/view/21

Abstract

Introduction: The transport of patients by airplanes or helicopters reduces treatment time, while improving the chances of survival and the quality of life. Due to its costly maintenance and operation service, the air transport of victims depends on appropriate triage criteria for patients eligible for this type of transport. The Air Medical Prehospital Triage (AMPT) Score for Helicopter Transport of Trauma Patients quickly classifies the likelihood of trauma victims benefiting or not from helicopter transport. Objectives: The aim of this study was to translate the AMPT Score and cross-culturally adapt it to Brazilian Portuguese. Methods: This study followed international guidelines for standardized translation processes and was developed from: translation, synthesis, back translation, assessment of equivalences by the expert committee, proposal of the previous version of AMPT Score, application of pre-test/post-test and proposition of the final version of the translated scale. Results: The Wilcoxon Test comparing the experts’ assessment with the positive expected resulted in a p-value = 0.0625 (General) CI 95%. The Content Validity Index (CVI) of the experts committee was calculated as 0.9479. The pre-test data resulted in a Cronbach’s Alpha of 0.920 ± 7.26. The free-marginal Kappa coefficient of pre-test data was 0.89 (95% CI for 0.86, 0.93). The post-test data resulted in a Cronbach’s Alpha of 0.925 ± 5.36. The Wilcoxon Test comparing pre-test with post-test resulted in a p-value of 0.0942. Conclusions: The process resulted in a translation of the AMPT Score with the appropriate equivalences proposed by the literature that is statistically reliable and will be of great value to professionals who work with transporting trauma victims in helicopters.

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References

  1. Butler DP, Anwar I, Willett K. Is it the H or the EMS in HEMS that has an impact on trauma patient mortality? A systematic review of the evidence. Emerg Med J. 2010;27(9):692–701. doi: 10.1136/emj.2009.087486
  2. Assa A, Landau DA, Barenboim E, et al. Role of air-medical evacuation in mass-casualty incidents-A train collision experience. Prehosp Disaster Med. 2009;24(3):271–6. doi: 10.1017/S1049023X00006920
  3. Lyon RM, Sanders J. The Swiss bus accident on 13 March 2012: Lessons for pre-hospital care. Crit Care. 2012;16(4):2010–1. doi: 10.1186/cc11370
  4. Phillips M, Arthur AO, Chandwaney R, et al. Helicopter transport effectiveness of patients for primary percutaneous coronary intervention. Air Med J. 2013;32(3):144–52. doi: 10.1016/j.amj.2012.08.007
  5. Gearhart PA, Wuerz R, Localio AR. Cost-effectiveness analysis of helicopter ems for trauma patients. J Trauma Nurs. 1998;5(1):18–9. doi: 10.1097/00043860-199801000-00006
  6. Silbergleit R, Scott PA, Lowell MJ, et al. Cost-effectiveness of helicopter transport of stroke patients for thrombolysis. Acad Emerg Med. 2003;10(9):966–72. doi: 10.1197/S1069-6563(03)00316-6
  7. Englum BR, Rialon KL, Kim J, et al. Current use and outcomes of helicopter transport in pediatric trauma: a review of 18,291 transports. J Pediatr Surg. 2017;52(1):140–4. doi: 10.1016/j.jpedsurg.2016.10.030
  8. Grantham W, To P, Watson J, et al. Retrospective Review of Air Transportation Use for Upper Extremity Amputations at a Level-1 Trauma Center. J Hand Microsurg. 2016;08(02):086–90. doi: 10.1055/s-0036-1583299
  9. Wai AKC. Prehospital Trauma Life Support. Eur J Emerg Med. 8a ed. 2012 Dec;19(6):412. doi: 10.1097/MEJ.0b013e32835538b8
  10. Morais ÊM de, Agostini FCAD, Oliveira NA de. Role of aerospace care nursing in Brazil: Integrative review. Brazilian J Heal Biomed Sci. 2021;20(1):63–72. doi: 10.12957/bjhbs.2021.59747
  11. Brown JJB, Gestring ML, Guyette FX, et al. Development and validation of the air medical prehospital triage score. Ann Surg. 2016;264(2):378–85. doi: 10.1097/SLA.0000000000001496
  12. Brown JB, Gestring ML, Guyette FX, et al. External validation of the Air Medical Prehospital Triage score for identifying trauma patients likely to benefit from scene helicopter transport. J Trauma Acute Care Surg. 2017;82(2):270–9. doi: 10.1097/TA.0000000000001326
  13. Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Épidemiology. 1993;46(12):1417–32. doi: 10.1016/0895-4356(93)90142-N
  14. Beaton DE, Bombardier C, Guillemin F, et al. Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures. Spine (Phila Pa 1976). 2000;25(24):3186–91. doi: 0362-2436
  15. Lino VTS, Pereira SRM, Camacho LAB, et al. Adaptação transcultural da Escala de Independência em Atividades da Vida Diária (Escala de Katz). Cad Saude Publica. 2008;24(1):103–12. doi: 10.1590/s0102-311x2008000100010
  16. Hilton A, Skrutowski M. Translating instruments into other lnguages: development and testing processes. Cancer Nurs. 2002;25(1):1–7. doi: 10.1097/00002820-200202000-00001
  17. Reichenheim ME, Moraes CL, Hasselmannb MH. Equivalencia semantica da versão em português do instrumento Abuse Assessment Screen para rastrear a violência contra a mulher grávida. Rev Saude Publica. 2000;34(6):610–6. doi: 10.1590/S0034-89102000000600008
  18. Society IB. Probability Tables for Individual Comparisons by Ranking Methods Author ( s ): Frank Wilcoxon Published by: International Biometric Society Stable [Internet]. [cited 2019 Jan 15]. Available from: http://www.jstor.org/stable/3001946. 2010;3(3):119–22
  19. Lynn MR. Determination and quantification of content validity. Nurs Res. 1986;35:382–5. doi: 10.1097/00006199-198611000-00017
  20. Souza AC de, Alexandre NMC, Guirardello E de B. Propriedades psicométricas na avaliação de instrumentos: avaliação da confiabilidade e da validade. Epidemiol e Serv saude Rev do Sist Unico Saude do Bras. 2017;26(3):649–59. doi: 10.5123/S1679-49742017000300022
  21. Landis JR, Koch GG. The Measurement of Observer Agreement for Categorical Data. Biometrics. 1977;33(1):159-74. doi: 10.2307/2529310. Available from: http://www.jstor.org/stable/2529310
  22. Salmond SS. Evaluating the Reliability and Validity of Measurement Instruments. Orthop Nurs. 2008;27(1):28–30. doi: 10.1097/01.NOR.0000310608.00743.54
  23. Cook DA, Beckman TJ. Current concepts in validity and reliability for psychometric instruments: Theory and application. Am J Med. 2006;119(2):166.e7-166.e16. doi: 10.1016/j.amjmed.2005.10.036
  24. Dicionário Aurélio [Internet]. [cited 2019 Jan 15]. Available from: https://dicionariodoaurelio.com/mutilada
  25. Gentile JK de A, Himuro HS, Rojas SSO, et al. Condutas no paciente com trauma crânioencefálico. [Internet]. Rev Bras Clin Med. 2011;9(jan-fev):74–82. [cited 2019 Dez 28]. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/lil-577701
  26. Cambridge Dictionary [Internet]. [cited 2019 Jan 15]. Available from: https://dictionary.cambridge.org/pt/dicionario/ingles/mangled
  27. Michaelis. Michaelis Dicionário Escolar Língua Portuguesa. São Paulo: Editora Melhoramentos; 2016
  28. Malachias M, Plavnik FL, Machado CA, et al. 7th Brazilian Guideline of Arterial Hypertension: Chapter 1 - Concept, Epidemiology and Primary Prevention. Arq Bras Cardiol. 2016;107(3 Suppl 3):1–6. doi: 10.5935/abc.2013s010
  29. Netter FH. Atlas de Anatomia Humana. 6a Ed. Rio de Janeiro: Elsevier; 2014
  30. Alexandre NMC, Coluci MZO. Validade de conteúdo nos processos de construção e adaptação de instrumentos de medidas. Cienc e Saude Coletiva. 2011;16(7):3061–8. doi: 10.1590/S1413-81232011000800006
  31. Polit DF, Beck CT. The content validity index: are you know what’s being reported? Critique and recommendations. Res Nurs Health. 2006;29:489–97. doi: 10.1002/nur.20147
  32. Aldrete JA, Kroulik D. A postanesthetic recovery score. Anesth Analg. 1970;49(6):924–34. doi: 10.1213/00000539-197011000-00020
  33. Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974 Jul 13;2(7872):81-4. doi: 10.1016/s0140-6736(74)91639-0
  34. Champion H, Sacco W, Copes W, et al. A revision of the trauma score. J Trauma. 1989;29:623–9. doi: 10.1097/00005373-198905000-00017
  35. Trivedi V, Iyer VN. Utility of the Richmond Agitation-Sedation Scale in evaluation of acute neurologic dysfunction in the intensive care unit. J Thorac Dis. 2016;8(5):E292–4. doi: 10.21037/jtd.2016.03.71
  36. Sessler CN, Gosnell MS, Grap MJ, et al. The Richmond Agitation-Sedation Scale: Validity and reliability in adult intensive care unit patients. Am J Respir Crit Care Med. 2002;166(10):1338–44. doi: 10.1164/rccm.2107138
  37. Zausig YA, Bayer Y, Hacke N, et al. Simulation as an additional tool for investigating the performance of standard operating procedures in anaesthesia. Br J Anaesth. 2007;99(5):673–8. doi: 10.1093/bja/aem240
  38. Landis JR, Koch GG. The Measurement of Observer Agreement for Categorical Data. Biometrics. 1977;33(1):159. doi: 10.2307/2529310
  39. Arafat S, Chowdhury H, Qusar M, et al. Cross Cultural Adaptation and Psychometric Validation of Research Instruments: a Methodological Review. J Behav Heal. 2016;5(3):129. doi: 10.5455/jbh.20160615121755
  40. Arafat S. Validation study can be a separate study design. Int J Med Sci Public Heal. 2016;5(11):2421. doi: 10.5455/ijmsph.2016.19042016471