床上运动功能下降与住院康复癌症患者出院后的死亡率有关
Ishan Roy1, Julia Marks, Julia Fram
1From the Shirley Ryan AbilityLab, Chicago, Illinois (IR, JN, JF, PJ, GS); Northwestern University Feinberg School of Medicine, Chicago, Illinois (IR, JM, JF, PJ, GS); and Robert H. Lurie Cancer Center, Northwestern University, Chicago, Illinois (IR).
在接受住院康复的癌症患者的床位移动性预测死亡率. 床上移动性和理能力较低的得分与较高的死亡风险有关,这表明它们在预后评估中可以被使用.
科学领域:
- 康复医学 康复医学 康复医学
- 在瘤学瘤学.
- 预测生物标志物 预测生物标志物
背景情况:
- 准确的预后对于在住院癌症患者中设定康复目标至关重要.
- 目前癌症患者的预后工具有限.
- 床上移动性被探索为死亡率的潜在预测因素.
研究的目的:
- 调查是否床上流动性预测住院康复的癌症患者的死亡率.
- 确定改善癌症康复诊断准确性的临床指标.
主要方法:
- 对187名接受住院康复治疗的癌症患者进行了回顾性队列研究.
- 功能独立度量 (FIM) 评分和6个月死亡率的分析.
- 单变量和多变量分析以评估与死亡率的关联.
主要成果:
- 在出院6个月后,71%的生存率.
- 床上移动性FIM分数 (放电,增益,效率) 与死亡率相反相关.
- 在多变量分析中,床上的移动性和护理独立预测死亡率.
结论:
- 较低的床位移动性FIM在出院时的得分和较低的得分变化与死亡风险增加有关.
- 床上移动性显示出作为住院癌症患者临床预后工具的潜力.
- 建议在前性研究中进一步验证.
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