活动测量对后急性护理,计算机调整的测试与"6-点击";他们同意在个人后血性急性中风?
Heather A Hayes1, Angela P Presson2, Chong Zhang2
1Department of Physical Therapy and Athletic Training, University of Utah, Salt Lake City, UT.
Archives of physical medicine and rehabilitation
|November 12, 2025
概括
在急性病后护理活动措施 (AM-PAC) 计算机适应性测试 (CAT) 和"6-Clicks"简体表格之间达成的协议显示,中风患者的结果差到中等. 这表明得分可能存在系统偏见,影响康复评估.
科学领域:
- 康复医学 康复医学 康复医学
- 神经学 神经学
- 生物统计学 生物统计学
背景情况:
- 准确的功能评估对于中风康复至关重要.
- 术后急性护理活动测量 (AM-PAC) 计算机适应性测试 (CAT) 和"6-Clicks"是测量功能状态的常见工具.
- 了解这些工具之间的共识对于一致的患者评估至关重要.
研究的目的:
- 为了评估AM-PAC CAT和"6-Clicks"简体表格之间的协议.
- 评估基本移动 (BM),日常活动 (DA) 和应用认知 (AC) 领域的协议.
- 确定中风患者评估中的潜在系统偏见.
主要方法:
- 一个前性的,纵向的队列研究的二次分析.
- 包括137名成年人,在急性住院期间经历过缺血性中风后.
- 使用类内相关系数,加权的 κ 统计,等价性测试和布兰德-阿尔特曼图表来评估协议.
主要成果:
- 类内相关系数表明差的协议 (BM=0.58,DA=0.64,AC=0.48) 的关系.
- 权重的 κ 值显示 BM (0.74) 和 DA (0.63) 的良好一致性,AC (0.53) 的中度一致性.
- 布兰德-阿尔特曼图表显示了系统偏差,与BM和DA中的CAT相比",6-Clicks"高估了得分.
结论:
- 在所有三个领域中,AM-PAC CAT和"6-Clicks"之间的协议差到适度.
- 在较高和较低的分数范围内存在系统偏差,特别是在基本的移动性和日常活动中.
- 这些发现突出了中风后个人功能状况评估中的潜在差异.
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