The timing of disability measurements following injury
The timing of disability measurements following injury
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DOI：
10.1016/s0020-1383(99)00244-2
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发表时间：
2000-03-01
影响因子：
2.5
通讯作者：
Coats, TJ
中科院分区：
文献类型：
--
作者：
Currens, JAB;Coats, TJ
创伤后的残疾具有巨大的个人、社会和经济代价。目前，残疾衡量没有标准化，伤害和残疾衡量之间也不存在商定的时间间隔。这项研究旨在确定衡量创伤后残疾的最佳时间。对201例创伤患者分别于伤后3、6、12、24个月进行功能独立性评定(FIM)和格拉斯哥预后评分(GOS)。最佳测量时间被定义为达到稳定状态的点，即当进一步的功能改善停止时。在3至6个月的评估(P<；0.002)和6至12个月的评估(P<；0.002)中，运动FIM显示出显著的变化。12个月后没有统计学上显著的变化(p>；0.2)。对于认知性FIM，在3到6个月之间有显著变化(p=0.02)，但在6个月之后没有显著变化(p>；0.2)。对于GOS，在3到6个月(p<；0.002)和6到12个月(p<；0.002)之间有显著变化，但在12个月之后(p<；0.2.)没有显著变化。伤残测量应在受伤后12个月，当患者达到稳定状态时进行。这一测量时间应作为创伤数据库和结果研究的标准。(C)2000爱思唯尔科学有限公司。保留所有权利。
Disability following trauma has profound personal, social and economic costs. Currently, measurement of disability is not standardised and no agreed time interval between injury and disability measurement exists. This study was designed to define the best time at which to measure disability following trauma. The functional independence measurement (FIM) and Glasgow outcome scale (GOS) were assessed at 3, 6, 12 and more than 24 months after injury for 201 trauma patients. The best time to measure was defined as the point at which a steady state was reached, i.e. when further functional improvement ceased. Motor FIM showed significant change between 3 and 6 month assessments (p < 0.002) and 6 and 12 months (p < 0.002). No statistically significant change occurred beyond 12 months (p > 0.2). For Cognitive FIM, there was significant change between 3 and 6 months (p = 0.02), but not beyond 6 months (p > 0.2). For GOS there was significant change between 3 and 6 months (p < 0.002) and 6 and 12 months (p < 0.002) but not beyond 12 months (p > 0.2). Disability measurements should be performed 12 months after injury, when patients have reached a steady state. This time of measurement should be adopted as the standard for trauma databases and outcome studies. (C) 2000 Elsevier Science Ltd. All rights reserved.