From the Anesthesiology Service, Durham VA Medical Center, Durham, North Carolina.
Emory University School of Medicine, Atlanta, Georgia.
Anesth Analg. 2020 Nov;131(5):e209-e212. doi: 10.1213/ANE.0000000000004666.
Using the 12-item World Health Organization Disability Assessment Schedule (WHODAS-12), we measured the prevalence of disability in all eligible patients during a 4-month period who were presenting for preoperative evaluation at a US Veterans Affairs hospital. Overall disability was at least moderate in more than half of these patients (total n = 472 at Durham, NC). Two of the 6 WHODAS domains, "Getting Around" and "Participation in Society," contributed most to the overall scores-25% and 20%, respectively. Further studies are needed to determine the impact of domain-specific disabilities on postoperative outcomes and to identify potential interventions to address these vulnerabilities.
我们使用 12 项世界卫生组织残疾评估量表（WHODAS-12），在 4 个月的时间里，对在美国退伍军人事务医院接受术前评估的所有符合条件的患者进行了残疾情况普查。在这些患者中（北卡罗来纳州达勒姆共 472 人），超过一半的患者至少存在中度残疾。WHODAS 的 6 个领域中，“行动”和“参与社会”这两个领域对总评分的贡献最大，分别为 25%和 20%。需要进一步研究以确定特定领域残疾对术后结果的影响，并确定解决这些脆弱性的潜在干预措施。
