A feasibility study to assess pre-admission status and six month outcomes of major trauma patients admitted to an intensive care unit using the WHO DAS 2.0
A feasibility study to assess pre-admission status and six month outcomes of major trauma patients admitted to an intensive care unit using the WHO DAS 2.0
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DOI：
10.1016/j.jcrc.2018.08.030
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发表时间：
2018-12-01
影响因子：
3.7
通讯作者：
Gustafson, Owen
中科院分区：
文献类型：
--
作者：
Haylett, Rebekah;Gustafson, Owen
目的：报告评估ICU创伤患者入院前功能状态的可行性，在ICU出院后6个月使用标准化measurement.Materials和方法进行重复评估：前瞻性纵向观察队列设计招募了连续成人重大创伤入院到英国综合ICU，2016年11月1日至2017年11月1日之间。完成了12项世界卫生组织残疾量表2.0，以在ICU入院后尽快评估入院前功能状态。在ICU出院后6个月，通过ICU随访门诊、邮寄或电话重复进行。结果：ICU理疗团队在2.5小时内接受了使用该措施的培训。对57名参与者进行了初步评估。从入院到评估的平均时间为38小时，评估平均在3分钟内完成。6个月评分中位数为28.5分，较基线增加中位数15.5分。收到的答复20（65%）是通过邮政，4（13%）通过电话，7（23%）通过后续clinic.Conclusions：入院前功能的标准化评估是可行的。未来的研究应调查的临床相关性的分数和有效性的措施，创伤患者。(C)2018爱思唯尔公司All rights reserved.
Purpose: To report the feasibility of assessing pre-admission functional status of ICU trauma patients, with repeat assessment at six months post ICU discharge using a standardised measure.Materials and methods: A prospective longitudinal observational cohort design recruited consecutive adult major trauma admissions to a UK general ICU, between 1st November 2016 and 1st November 2017. The 12-item World Health Organisation Disability Schedule 2.0 was completed to assess pre-admission functional status as soon as possible after ICU admission. This was repeated at six months post ICU discharge, through ICU follow-up clinic, by post, or by telephone.Results: The ICU physiotherapy team were trained in the use of the measure in 2.5 h. Initial assessments were completed for 57 participants. Mean time from admission to assessment was 38 h, with assessments completed in an average of three minutes. The median six month score was 28.5, increasing from baseline by a median of 15.5 points. Of the responses received 20 (65%) were via post, 4 (13%) by telephone, and 7 (23%) via follow-up clinic.Conclusions: Standardised assessment of pre-admission function was feasible. Future research should investigate the clinical relevance of scores and the validity of the measure in trauma patients. (C) 2018 Elsevier Inc. All rights reserved.