Stubbs Peter W, Pallesen Hanne, Pedersen Asger R, Nielsen Jørgen F
Hammel Neurorehabilitation and Research Centre, Aarhus University , Hammel , Denmark.
Disabil Rehabil. 2014;36(26):2278-81. doi: 10.3109/09638288.2014.904935. Epub 2014 Mar 28.
In some hospitals, patients exhibit significant heterogeneity of function at admission and discharge. The current study aims to assess if concurrent usage of the Early Functional Assessment (EFA) and Functional Independence Measure (FIM) is warranted and practical in rehabilitation centers with diverse patient groups and outcomes.
This retrospective study examined a data set of all patients with concurrent EFA and FIM scores admitted to a single rehabilitation center (4076 scores from 1251 patients). The patients had acquired brain injury of multiple etiologies and a range of severities.
The EFA scale was more able to characterize the function of lower functioning patients according to the FIM while the FIM scale was more able to characterize the function of higher functioning patients according to the EFA. This was highlighted by 21% of assessments with the lowest FIM score (18) having corresponding EFA scores of 22-76 and 27% of assessments with the highest EFA score (>90) having corresponding FIM scores of 38-126.
In rehabilitation centers with diverse patient groups and outcomes, the FIM and EFA scale could be used to characterize the heterogeneity of function in patients with acquired brain injury. The EFA/FIM scale could be used concurrently in certain patients providing a more complete view of patients throughout the rehabilitation process.
在一些医院，患者入院和出院时功能存在显著异质性。本研究旨在评估在患者群体和治疗结果各异的康复中心，同时使用早期功能评估（EFA）和功能独立性测量（FIM）是否合理且可行。
这项回顾性研究检查了一家康复中心所有同时有EFA和FIM评分的患者数据集（来自1251名患者的4076个评分）。这些患者有多种病因导致的获得性脑损伤，严重程度各异。
根据FIM，EFA量表更能描述功能较低患者的功能，而根据EFA，FIM量表更能描述功能较高患者的功能。这一点在以下情况中得到凸显：21%的FIM评分最低（18分）的评估对应的EFA评分为22 - 76分，27%的EFA评分最高（>90分）的评估对应的FIM评分为38 - 126分。
在患者群体和治疗结果各异的康复中心，FIM和EFA量表可用于描述获得性脑损伤患者功能的异质性。EFA/FIM量表可同时用于某些患者，以便在整个康复过程中更全面地了解患者情况。
