Physiotherapy Department, St Vincent's Hospital, Melbourne, Victoria, Australia.
Health Services and Outcomes Research, Center for Youth Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.
Geriatr Gerontol Int. 2018 Jul;18(7):1058-1063. doi: 10.1111/ggi.13308. Epub 2018 Mar 23.
To determine whether progress in goal attainment is a more responsive measure of functional improvement than the Functional Independence Measure, and whether it is a more accurate predictor of discharge destination in the early phase of a Geriatric Evaluation and Management episode.
The present study was a prospective audit of goal achievement, functional ability and discharge destination. A total of 83 patients were included in this study. Logistic regression was carried out with the outcome variable discharge destination (home vs residential care), and the predictors being goal attainment, age at admission and change in the Functional Independence Measure motor function scale from admission to 2 weeks.
Of the predictors, goal attainment was the only significant predictor. The overall amount of variability in the discharge destination explained by the predictors was 25% (Nagelkerke pseudo R ).
Progressive goal attainment might be a better predictor of improvement in function and discharge destination than change in the Functional Independence Measure. Geriatr Gerontol Int 2018; 18: 1058-1063.
确定目标实现的进展是否比功能独立性测量更能反映功能改善，以及它是否能更准确地预测老年评估和管理阶段早期的出院去向。
本研究是对目标实现、功能能力和出院去向的前瞻性审核。共有 83 名患者纳入本研究。使用逻辑回归分析因变量（出院去向：家庭与养老院），预测因子为目标实现、入院时的年龄以及入院至 2 周时功能独立性测量运动功能量表的变化。
在预测因子中，目标实现是唯一具有显著意义的预测因子。预测因子可解释出院去向的总变异性为 25%（奈格尔克伪 R ）。
与功能独立性测量的变化相比，渐进的目标实现可能是功能改善和出院去向的更好预测指标。老年医学与老年病学国际 2018；18:1058-1063。
