日本版动员量化得分的可靠性和有效性
Shinichi Watanabe1,2, Kota Yamauchi3, Daisetsu Yasumura4
1Department of Physical Therapy, Faculty of Rehabilitation, Gifu University of Medical Science, Gifu, JPN.
Cureus
|September 15, 2023
概括
经过验证的日本动员量化得分 (MQS) 准确地预测了在重症监护室 (ICU) 住院后患者在日常活动中的独立性. 较高的MQS得分与更好的功能结果相关,支持其在临床试验中的使用.
科学领域:
- 密集护理医学是密集护理的医学.
- 物理治疗是一种物理治疗.
- 康复科学是康复的科学.
背景情况:
- 动员量化得分 (MQS) 量化了ICU中的动员治疗,预测了功能结果.
- 以前的研究表明,MQS和日常生活活动 (ADL) 之间的依赖关系.
- 对于不同的ICU人群,需要MQS的验证日语版本.
研究的目的:
- 创建和验证日本版本的MQS.
- 评估MQS的可靠性和对日本ICU患者功能结果的预测价值.
- 建立一个可靠的工具来量化在ICU的早期动员.
主要方法:
- 在日本,对接受机械通风超过48小时的成年ICU患者进行前性研究.
- 日本的MQS每天两次由ICU物理治疗师进行.
- 主要结局:在出院时对ADL的依赖 (巴瑟尔指数<70或在医院死亡). 使用ICC.评估的评级者之间的可靠性.
主要成果:
- 38名患者在排除后被纳入. 对于MQS,评审者之间的可靠性 (ICC) 为0.98.
- 在ICU入院时增加的MQS显著与出院时ADL依赖性降低相关 (OR:0.76,p=0.009).
- 在ICU入院时高的MQS强烈预测出院时ADL依赖性降低 (OR:0.14,p=0.013).
结论:
- 经过验证的日本MQS证明了高级别之间的可靠性.
- 在日本的ICU患者中,MQS有效地预测了医院出院时的ADL依赖性.
- 这种经过验证的工具可以在未来的ICU临床试验中标准化动员评估,并可能改善患者的治疗结果.
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