Department of Palliative Care, Policy and Rehabilitation, King's College London School of Medicine, London, UK.
Disabil Rehabil. 2012;34(9):715-20. doi: 10.3109/09638288.2011.615880. Epub 2011 Nov 24.
To describe the extended Rehabilitation Complexity Scale (RCS-E) and its factor structure, and to determine whether it provides added value over the RCS-version 2 to identify patients with highly complex rehabilitation needs.
A cohort analysis of prospectively-collected routine clinical data from 331 patients with complex neurological disabilities undergoing inpatient rehabilitation in a tertiary specialist neurorehabilitation unit in the UK. RCS-E and RCS-v2 scores were recorded in parallel by the multi-disciplinary team (MDT) at fortnightly intervals, alongside the Northwick Park nursing (NPDS) and therapy (NPTDA) dependency scales, capturing nursing care and therapy interventions in staff hours/week.
Very strong correlations were found between total RCS-v2 and RCS-E scores (ρ = 0.954); the RCS-E "Care & nursing" subscale and care/nursing hours/week (ρ = 0.838, p < 0.001); and the RCS-E "Therapy" subscale and total therapy hours/week (p = 0.697, p < 0.001). The RCS-E showed better discrimination for complex therapy needs than the RCS-v2, but not for complex care/nursing needs. The RCS-E factor structure was similar to the RCS-v2, with moderate internal consistency overall, separating into two distinct dimensions ("Nursing/medical care + Equipment" and "Therapy").
The RCS-E provides an equivalent measure of complexity to the RCS-v2, but offers added value in identifying patients with highly complex therapy and equipment needs.
描述扩展康复复杂度量表（RCS-E）及其因子结构，并确定其是否比 RCS-版本 2 更具价值，以识别具有高度复杂康复需求的患者。
对英国一家三级专科神经康复单位的 331 名患有复杂神经残疾的住院康复患者的前瞻性收集的常规临床数据进行队列分析。多学科团队（MDT）在两周的间隔内同时记录 RCS-E 和 RCS-v2 评分，以及北威克公园护理（NPDS）和治疗（NPTDA）依赖量表，以记录每周工作人员护理和治疗干预的护理小时数/周。
RCS-v2 和 RCS-E 总分之间存在非常强的相关性（ρ=0.954）；RCS-E“护理”子量表和护理/小时/周（ρ=0.838，p<0.001）；以及 RCS-E“治疗”子量表和每周总治疗时间（p=0.697，p<0.001）。RCS-E 对复杂治疗需求的区分能力优于 RCS-v2，但对复杂护理/小时/周的区分能力不如 RCS-v2。RCS-E 的因子结构与 RCS-v2 相似，整体内部一致性中等，分为两个不同维度（“护理/医疗护理+设备”和“治疗”）。
RCS-E 提供了与 RCS-v2 等效的复杂性衡量标准，但在识别具有高度复杂治疗和设备需求的患者方面具有额外的价值。
