PB1371 - Translation and Validation of the Caprini Risk Assessment Score for Urdu Speakers

Background: Venous Thromboembolism (VTE) is a potentially fatal condition and determination of risk level and identification of risk factors for VTE should be performed for the post-operative period. The Caprini Risk Assessment Score (CRS), is a validated risk assessment tool used widely to predict post-operative VTE in the Western world, but it has limited utility among resource-poor and developing countries due to limited English language proficiency of potential instrument users.

Aims: We aimed to translate the CRS tool to Urdu and validate its use in the Urdu speaking population through correlation between self-administered and healthcare professional-administered scores.

Methods: The CRS was translated into Urdu by a certified translation service. Focus group interviews were conducted to identify comprehension challenges with the translation. For validation, self-administered CRS scores were compared to the advanced practice nurse (APN)-administered scores. The study was approved by the DePaul University, Chicago IRB under a waiver of informed consent.

Results: A 6-member focus group (average age 51.5y (range 38-68), 33% male, average education level grade 14 (range 8-16)) provided feedback for the final revisions of the translated tool. 30 volunteers (average age 50.1y (range 28-65), 50% male, average education level grade 15.4 (range 12-18) completed the final tool and were interviewed by the APN to obtain comparative scores. All participants were proficient in both English and Urdu. Using SPSS v.23, Pearson’s correlation coefficient between patient- and APN-administered scores was excellent (1.000).

Conclusion(s): The first Urdu version of the patient-completed risk assessment model is another step forward in addressing the huge economic and health burden related to VTE. One study limitation was the lack of volunteers with below high school education level.