Fiser D H, Long N, Roberson P K, Hefley G, Zolten K, Brodie-Fowler M
Department of Pediatrics, University of Arkansas for Medical Sciences and Arkansas Children's Hospital, Little Rock 72202-3591, USA.
Crit Care Med. 2000 Jul;28(7):2616-20. doi: 10.1097/00003246-200007000-00072.
Given the current focus on outcomes, there is a crucial need for easily utilized measures that can effectively quantify morbidity or disability after a child's critical illness or injury. The purpose of this study is to significantly extend the research on two such promising measures: the Pediatric Overall Performance Category (POPC) and the Pediatric Cerebral Performance Category (PCPC).
Cross-sectional analysis of a sample of pediatric intensive care unit (PICU) discharges and a prospective follow-up of this cohort of children.
Arkansas Children's Hospital.
Two hundred children (ranging in age from birth to 21 yrs) discharged from a PICU.
None.
Data were collected at PICU discharge, hospital discharge, and 1- and 6-month follow-up assessments after hospital discharge. Measures utilized included the POPC (at PICU discharge), PCPC (at PICU discharge), Stanford-Binet Intelligence Scale, fourth edition (at hospital discharge), Bayley Scales of Infant Development, second edition (at hospital discharge), and the Vineland Adaptive Behavior Scales (at 1 and 6 months after discharge). Stanford-Binet Intelligence Quotients and Bayley Mental Developmental Index scores were significantly different across PCPC categories (p < .0001). Bayley Psychomotor Developmental Index scores and Vineland Adaptive Behavior Scales scores varied significantly across POPC categories (p < .0001). The test for linear trend was also significant for each of the comparisons.
The results of this study offer additional support for the use of the PCPC and POPC. These brief and easily completed measures can provide useful information regarding probable outcomes for pediatric intensive care patients when more extensive psychometric testing is not feasible or desirable.
鉴于当前对治疗结果的关注，迫切需要易于使用的测量方法，以便有效量化儿童危重病或受伤后的发病率或残疾情况。本研究的目的是大幅扩展对两种有前景的测量方法的研究：儿科总体表现类别（POPC）和儿科脑功能表现类别（PCPC）。
对儿科重症监护病房（PICU）出院样本进行横断面分析，并对该队列儿童进行前瞻性随访。
阿肯色儿童医院。
200名从PICU出院的儿童（年龄从出生到21岁）。
无。
在PICU出院时、医院出院时以及出院后1个月和6个月的随访评估中收集数据。使用的测量指标包括（PICU出院时的）POPC、（PICU出院时的）PCPC、第四版斯坦福-比奈智力量表（医院出院时）、第二版贝利婴儿发育量表（医院出院时）以及文兰适应行为量表（出院后1个月和6个月）。不同PCPC类别间的斯坦福-比奈智商和贝利心理发育指数得分存在显著差异（p < .0001）。不同POPC类别间的贝利心理运动发育指数得分和文兰适应行为量表得分差异显著（p < .0001）。各比较的线性趋势检验也具有显著性。
本研究结果为PCPC和POPC的使用提供了更多支持。当更广泛的心理测量测试不可行或不理想时，这些简短且易于完成的测量方法可为儿科重症监护患者的可能预后提供有用信息。
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