对的临床评级尺度与全球评估的相关性
Susanna D Howard1, Shikha Singh2, Dominick Macaluso1
1Department of Neurosurgery, University of Pennsylvania, Philadelphia, PA, USA.
Clinical neurology and neurosurgery
|December 27, 2024
概括
发的Fahn-Tolosa-Marín临床评分表 (CRST) 更好地反映了检查员的看法,而不是患者的经验. 当前的CRST得分可能无法完全捕捉基本震以患者为中心的影响.
科学领域:
- 神经学 神经学
- 临床评估 临床评估
- 患者报告的结果
背景情况:
- 对于震的Fahn-Tolosa-Marín临床评级尺度 (CRST) 被广泛用于评估震的严重程度和治疗疗效.
- CRST可能无法充分捕捉患者对其功能障碍的看法.
- 评估临床评级与患者体验之间的一致性对于以患者为中心的护理至关重要.
研究的目的:
- 评估Fahn-Tolosa-Marín临床震评分表 (CRST) 评分和损伤的全球评估之间的关联.
- 为了比较CRST得分与检查员报告和患者报告的全球评估的相关性.
- 为了确定CRST子评分是否与患者报告的整体评估相关.
主要方法:
- 一项涉及116名基本震患者的横截面研究.
- 患者完成了法恩-托洛萨-马林临床评分表 (CRST).
- 从患者和检查员那里收集了对损伤的全球评估,比例为0-100%.
主要成果:
- 总CRST分数与审查员报告的整体评估有很强的相关性 (ρ=0.63,p<0.001).
- 总CRST得分与患者报告的全球评估没有显著关联 (ρ=0.15,p=0.13).
- CRST子得分 (A,B,C部分) 与患者报告的整体评估没有显著的相关性.
结论:
- 法恩-托洛萨-马林临床评分表 (CRST) 与检查人员的看法更接近,而不是患者报告的震损伤经历.
- CRST可能无法完全捕捉患者感知到的功能限制.
- 调查结果质疑CRST总和子分数作为精确的以患者为中心的基本震结果措施的相关性.
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