Premium
Translation, validation, and usability of the International Society on Thrombosis and Haemostasis Bleeding Assessment Tool (Self‐ISTH‐BAT)
Author(s) -
Hansen Rasmus Søgaard,
Carlsen Mette,
Rasmussen Kristina Fruerlund,
Vinholt Pernille Just
Publication year - 2021
Publication title -
european journal of haematology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 84
eISSN - 1600-0609
pISSN - 0902-4441
DOI - 10.1111/ejh.13625
Subject(s) - usability , thrombosis , medicine , computer science , human–computer interaction
Background Bleeding questionnaires are effective and recommended screening tools for potential bleeding disorder, but healthcare practitioner–administered bleeding assessment tools (expert‐ISTH‐BATs) are time‐consuming. A patient‐administered ISTH‐BAT (self‐ISTH‐BAT) has been developed and validated. We translated, validated, and evaluated the usability of self‐ISTH‐BAT. Methods We conducted a forward–backward translation of self‐ISTH‐BAT from English to Danish. Expert‐ISTH‐BAT and Danish self‐ISTH‐BAT were administered to 106 random individuals aged ≥18 years attending Odense University Hospital between August and November 2020 for elective blood sampling. Results comprise a score of bleeding symptoms. Results Mean age of included individuals were 49 years (range: 18‐83), and 59% were female. Median self‐ISTH‐BAT score was 2 (range: 0‐18) and 1 (range: 0‐22) for expert‐ISTH‐BAT ( P = .09). All organ systems had ≥90% exact score agreement between expert‐ISTH‐BAT and self‐ISTH‐BAT, except gastrointestinal bleeding (77%) and other bleedings (72%). We found an acceptable correlation ( r 2 = .80) between expert‐ISTH‐BAT and self‐ISTH‐BAT. The self‐ISTH‐BAT had 82% sensitivity and 89% specificity at the recommended cutoff for expert‐BAT (female:<6; male:<4). At this cutoff, 10 had abnormal self‐ISTH‐BAT scores with normal expert‐ISTH‐BAT. Three (3%) had normal self‐ISTH‐BAT with abnormal expert‐ISTH‐BAT. Conclusion Self‐ISTH‐BAT can replace expert‐ISTH‐BAT as a screening tool for bleeding disorders in Danish individuals as only 3% were not identified with the self‐ISTH‐BAT tool.