Translation, validation, and usability of the International Society on Thrombosis and Haemostasis Bleeding Assessment Tool (Self-ISTH-BAT).

Publisher: Blackwell Country of Publication: England NLM ID: 8703985 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1600-0609 (Electronic) Linking ISSN: 09024441 NLM ISO Abbreviation: Eur J Haematol Subsets: MEDLINE

Publication: <2005->: Oxford : Blackwell
Original Publication: Copenhagen : Munksgaard, c1987-

Hemostasis* ; Language* ; Surveys and Questionnaires* ; Translating*; Blood Coagulation Disorders/*diagnosis ; Hemorrhage/*diagnosis ; Thrombosis/*diagnosis; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Denmark ; Female ; Humans ; International Cooperation ; Male ; Mass Screening ; Middle Aged ; Societies, Medical ; Young Adult

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.
(© 2021 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)

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Keywords: Danish; bleeding assessment tool; screening

Date Created: 20210319 Date Completed: 20211220 Latest Revision: 20211220

20231215

10.1111/ejh.13625

33740833