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[PMID]:10748811
[Au] Autor:Baldry Currens JA; Coats TJ
[Ad] Endereço:Academic Unit of Accident and Emergency, St Bartholomew's and The Royal London School of Medicine and Dentistry, UK. j.baldrycurrens@uel.ac.uk
[Ti] Título:The timing of disability measurements following injury.
[So] Source:Injury;31(2):93-8, 2000 Mar.
[Is] ISSN:0020-1383
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo: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 > 0.02). 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.
[Mh] Termos MeSH primário: Avaliação da Deficiência
Recuperação de Função Fisiológica
Ferimentos e Lesões/reabilitação
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Resgate Aéreo
Criança
Coleta de Dados/métodos
Feminino
Seres Humanos
Masculino
Meia-Idade
Avaliação de Resultados (Cuidados de Saúde)
Seleção de Pacientes
Padrões de Referência
Fatores de Tempo
Ferimentos e Lesões/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:0004
[Cu] Atualização por classe:041117
[Lr] Data última revisão:
041117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:000405
[St] Status:MEDLINE



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