Nutech functional score: A novel scoring system to assess spinal cord injury patients.
Nutech functional score: A novel scoring system to assess spinal cord injury patients.
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DOI：
10.5662/wjm.v7.i2.68
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发表时间：
2017-06-26
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影响因子：
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通讯作者：
Barthakur, Jitendra Kumar
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文献类型：
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作者：
Shroff, Geeta;Barthakur, Jitendra Kumar
目的：开发一种新的评分系统，Nutech功能评分（NFS）来评估脊髓损伤（SCI）患者。 方法：传统量表，美国脊髓损伤协会（ASIA）损伤量表是精确描述SCI严重程度的量表。然而，它存在多种局限性，导致对 SCI 患者的评估不完整。我们为 SCI 患者开发了 63 分评分系统，即 NFS。为每位患者记录了与 SCI 相关的常见或罕见症状列表。在这些列表的基础上，我们开发了 NFS。 结果：这些列表作为准备 NFS 的基础，这是一个 63 分的位置评分系统（每种症状进行细分，并根据位置得分）和方向评分系统（向不好的方向移动）。对于非进展性疾病，1、2、3、4、5 分别表示最差、不良、中等、良好和最佳（正常）。 SCI 的 NFS 根据所评估的身体受影响部位分为不同的组，即运动评估（肩、肘、腕、手指抓握、手指释放、髋、膝、踝和脚趾）、感觉评估、自主神经评估、褥疮评估和一般评估。由于基于概率的研究需要 (-1, 1) 范围或至少 (0, 1) 范围才能用于现实世界分析，因此将等级转换为相应的数值。 结论：NFS 可以被视为评估 SCI 患者改善情况的独特工具，因为它克服了 ASIA 损伤量表的局限性。
AIM: To develop a new scoring system, nutech functional scores (NFS) for assessing the patients with spinal cord injury (SCI).METHODS: The conventional scale, American Spinal Injury Association's (ASIA) impairment scale is a measure which precisely describes the severity of the SCI. However, it has various limitations which lead to incomplete assessment of SCI patients. We have developed a 63 point scoring system, i.e., NFS for patients suffering with SCI. A list of symptoms either common or rare that were found to be associated with SCI was recorded for each patient. On the basis of these lists, we have developed NFS.RESULTS: These lists served as a base to prepare NFS, a 63 point positional (each symptom is sub-graded and get points based on position) and directional (moves in direction BAD GOOD) scoring system. For non-progressive diseases, 1, 2, 3, 4, 5 denote worst, bad, moderate, good and best (normal), respectively. NFS for SCI has been divided into different groups based on the affected part of the body being assessed, i.e., motor assessment (shoulders, elbow, wrist, fingers-grasp, fingers-release, hip, knee, ankle and toe), sensory assessment, autonomic assessment, bed sore assessment and general assessment. As probability based studies required a range of (-1, 1) or at least the range of (0, 1) to be useful for real world analysis, the grades were converted to respective numeric values.CONCLUSION: NFS can be considered as a unique tool to assess the improvement in patients with SCI as it overcomes the limitations of ASIA impairment scale.