Scheuringer Monika, Grill Eva, Boldt Christine, Mittrach René, Müllner Petra, Stucki Gerold
ICF Research Branch of the WHO FIC Collaborating Center (DIMDI), IMBK, Ludwig-Maximilians-University, Munich, Germany.
Disabil Rehabil. 2005;27(7-8):419-29. doi: 10.1080/09638280400014089.
To identify outcome measures cited in published studies focusing on rehabilitation in the acute hospital and in early post-acute rehabilitation facilities, and to identify and quantify the concepts contained in these measures using the ICF as a reference.
Electronic searches of Medline, Embase, CINAHL, Pedro and the Cochrane Library from 1997 to March 2002 were carried out. In a first step, abstracts of the retrieved studies were checked and data on the outcome measures and certain characteristics of the included studies were extracted. In a second step, the items of the questionnaires and their underlying concepts were specified. These concepts were then linked to ICF categories using standardized linkage rules.
From the 1,657 abstracts retrieved, 259 studies met the inclusion criteria. In a second step, 277 formal assessment instruments and 351 single clinical measures were retrieved. A total of 1,353 concepts were extracted from the clinical and technical measures. Ninety-six percent of these concepts could be linked to ICF categories. Fifty-six second-level ICF categories representing the concepts contained in the measures. Twenty-six (46%) of the 56 categories belong to the component Body Functions, five (9%) to the component Body Structures, and 25 (45%) to the component Activities and Participation.
The ICF provides a valuable reference to identify and quantify the concepts of outcome measures focusing on rehabilitation in the acute hospital and in early post-acute rehabilitation facilities. Our findings indicate a need to define and to agree on 'what should be measured' in rehabilitation care to allow for a comparison of patient populations.
确定已发表研究中提及的、聚焦于急性医院和急性后期早期康复机构康复情况的结局指标，并以《国际功能、残疾和健康分类》（ICF）为参考，识别并量化这些指标中包含的概念。
对1997年至2002年3月期间的Medline、Embase、CINAHL、Pedro和Cochrane图书馆进行电子检索。第一步，检查检索到的研究的摘要，并提取有关结局指标的数据以及纳入研究的某些特征。第二步，明确问卷项目及其潜在概念。然后使用标准化的关联规则将这些概念与ICF类别相联系。
从检索到的1657篇摘要中，259项研究符合纳入标准。在第二步中，检索到277种正式评估工具和351项单一临床指标。从临床和技术指标中总共提取了1353个概念。其中96%的概念可与ICF类别相联系。56个二级ICF类别代表了这些指标中包含的概念。56个类别中的26个（46%）属于“身体功能”组件，5个（9%）属于“身体结构”组件，25个（45%）属于“活动和参与”组件。
ICF为识别和量化聚焦于急性医院和急性后期早期康复机构康复情况的结局指标中的概念提供了有价值的参考。我们的研究结果表明，需要在康复护理中明确并就“应测量什么”达成一致，以便对患者群体进行比较。
