DEVELOPMENT OF AN EXTREMITY TRAUMA OUTCOME SCALE
肢体创伤结果量表的制定
基本信息
- 批准号:3331458
- 负责人:
- 金额:$ 32.14万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:1992
- 资助国家:美国
- 起止时间:1992-09-01 至 1995-08-31
- 项目状态:已结题
- 来源:
- 关键词:arm chordate locomotion data collection methodology /evaluation diagnosis design /evaluation functional ability health care professional practice human subject human therapy evaluation interview leg limb injury longitudinal human study musculoskeletal injury paralysis patient care management person with disability prognosis psychosocial rehabilitation questionnaires rehabilitation statistics /biometry trauma
项目摘要
Musculoskeletal injury is the leading cause of disability and loss of
work time in the most productive years of life. Modern orthopaedic
surgical and nonsurgical management techniques are widely believed to
favorably influence the length and depth of disability following injury.
There is, however, little consensus in the specific types of treatment
for extremity injuries even where agreement exists for operative
management. These variation are regional and are due to the lack of
controlled clinical research. Clinical research has not been focussed
on functional outcome following injury. Is due to the lack of an
available functional outcome instrument for extremity injury. Such an
instrument should include an assessment of the psychosocial impact of
the injury. This instrument would have broad application in defining
the natural history of individual injuries, comparing treatment methods
and defining outcomes based on differences in practitioner experience
and in treatment delivery settings.
An outcome scale will be developed in three phrases. The first phase is
concerned with development of the item pool. Item pool development will
begin with focus groups designed to elicit information that can be used
as cues in a semi-structured interview to be administered to patients
recovering from extremity trauma. Respondents will be selected from the
Harborview Medical Center Orthopaedic Trauma Database (HMC-OTD) which
currently includes over 1500 patients. A stratified sample of
approximately 300 patients will be obtained to ensure coverage of all
types, location, and stages of recovery from extremity trauma.
Additional items will be obtained from the literature and from
clinicians representing four professional groups (orthopaedic trauma
surgeons, orthopaedic surgeons, psychiatrists, and physical therapists).
Criteria will be developed and items will be converted to behavioral
statements that describe unique, specific dysfunctions resulting from
extremity trauma in several domains of functioning (e.g., physical,
mental, role). These statements will be incorporated into an extremity
trauma scale (ETS) that will be administered to a second independent
sample of 300 patients selected from the HMC-OTD using the same
stratification criteria. In addition to the functional status items,
objective measures of walking and range of motion will be incorporated
into the scale. The purpose of this phase of the study is to provide
data for item analysis, scaling, scoring, preliminary reliability and
validity. The ETS will be revised based on data obtained in this phase
of the study. The third phase is a prospective study in which 305
patients with upper and 305 with lower trauma will be followed for one
year post injury. The purpose of this phase of the study is to provide
data for assessment of: feasibility, further assessment of reliability;
final item selection; discriminant and convergent validity
(discrimination between types and locations of fractures that are known
to differ with respect to function; trauma versus non-trauma patients;
types of respondents, i.e., patients and orthopaedic trauma surgeons;
and stage of recovery) and redundancy with other frequently used
measures of functional status.
肌肉骨骼损伤是导致残疾和损失的主要原因
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Marc F. Swiontkowski其他文献
Reamed versus Non-Reamed Tibial Intramedullary Nailing
- DOI:
10.1007/s00068-003-1323-3 - 发表时间:
2003-10-01 - 期刊:
- 影响因子:2.200
- 作者:
Mohit Bhandari;Paul Tornetta;Marc F. Swiontkowski;Beate Hanson;Sheila Sprague;Emil H. Schemitsch;Gordon H. Guyatt - 通讯作者:
Gordon H. Guyatt
Marc F. Swiontkowski的其他文献
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{{ truncateString('Marc F. Swiontkowski', 18)}}的其他基金
Addressing the prescription opioid crisis from the provider side- optimizing research and intervention design for maximum impact on public health
从提供方解决处方阿片类药物危机——优化研究和干预设计,以最大程度地影响公共卫生
- 批准号:
9912244 - 财政年份:2019
- 资助金额:
$ 32.14万 - 项目类别:
Fixation using Alternative Implants for the Treatment of Hip Fractures: A Multi-c
使用替代植入物进行固定治疗髋部骨折:Multi-c
- 批准号:
7686815 - 财政年份:2008
- 资助金额:
$ 32.14万 - 项目类别:
Fixation using Alternative Implants for the Treatment of Hip Fractures: A Multi-c
使用替代植入物进行固定治疗髋部骨折:Multi-c
- 批准号:
7515956 - 财政年份:2008
- 资助金额:
$ 32.14万 - 项目类别:
Fixation using Alternative Implants for the Treatment of Hip Fractures: A Multi-c
使用替代植入物进行固定治疗髋部骨折:Multi-c
- 批准号:
7902140 - 财政年份:2008
- 资助金额:
$ 32.14万 - 项目类别:
Fixation using Alternative Implants for the Treatment of Hip Fractures: A Multi-c
使用替代植入物进行固定治疗髋部骨折:Multi-c
- 批准号:
8142946 - 财政年份:2008
- 资助金额:
$ 32.14万 - 项目类别:
SPRINT- Randomized Trial of Tibial Fracture Fixation
SPRINT- 胫骨骨折固定的随机试验
- 批准号:
6458137 - 财政年份:2002
- 资助金额:
$ 32.14万 - 项目类别:
SPRINT- Randomized Trial of Tibial Fracture Fixation
SPRINT- 胫骨骨折固定的随机试验
- 批准号:
7169352 - 财政年份:2002
- 资助金额:
$ 32.14万 - 项目类别:
SPRINT- Randomized Trial of Tibial Fracture Fixation
SPRINT- 胫骨骨折固定的随机试验
- 批准号:
6732006 - 财政年份:2002
- 资助金额:
$ 32.14万 - 项目类别:
SPRINT- Randomized Trial of Tibial Fracture Fixation
SPRINT- 胫骨骨折固定的随机试验
- 批准号:
6622838 - 财政年份:2002
- 资助金额:
$ 32.14万 - 项目类别: