Sophia Wang is an assistant professor, Department of Psychiatry, and the outreach, recruitment, and engagement core leader, Indiana Alzheimer's Disease Research Center, Indiana University School of Medicine, Indianapolis.
Yameena Jawed is a fellow, Division of Sleep Medicine, Department of Neurology, University of California San Francisco.
Am J Crit Care. 2022 Mar 1;31(2):137-144. doi: 10.4037/ajcc2022451.
Cognitive impairment is common in intensive care unit survivors, pointing to the potential utility of a caregiver-based tool to screen for post-intensive care syndrome.
To validate the Healthy Aging Brain Care Monitor, Caregiver Version (HABC-M CG), as a caregiver-based tool to screen for post-intensive care syndrome.
A total of 116 patients who survived a stay in the intensive care unit completed standardized assessments of cognition, psychological symptoms, and physical functioning, and their caregivers completed the HABC-M CG. The Cronbach α was used to measure the internal consistency of the scale items. Validity of the HABC-M CG versus comparison tests was measured using the Spearman rank correlation. Generalized linear models were used to adjust for age, sex, and education level.
The total scale and all subscales of the HABC-M CG showed excellent internal consistency (Cronbach α = 0.88-0.93). Scores on the psychological subscale correlated with standardized measures of depressive symptoms (Spearman ρ = 0.58). Scores on the cognitive subscale correlated with the Mini-Mental State Examination score (Spearman ρ = -0.33). Scores on the functional subscale correlated with scores on the Physical Self-Maintenance Scale (Spearman ρ = -0.36).
The HABC-M CG is a valid informant-based clinical tool for the assessment of symptoms of post- intensive care syndrome.
认知障碍在重症监护病房幸存者中很常见，这表明 caregiver 为基础的工具在筛选 ICU 后综合征方面具有潜在的应用价值。
验证基于 caregiver 的 Healthy Aging Brain Care Monitor，Caregiver Version（HABC-M CG）作为筛选 ICU 后综合征的工具。
共有 116 名在重症监护病房住院的患者完成了认知、心理症状和身体功能的标准化评估，他们的照顾者完成了 HABC-M CG。使用 Cronbach α 来衡量量表项目的内部一致性。使用 Spearman 等级相关来衡量 HABC-M CG 与比较测试的有效性。使用广义线性模型来调整年龄、性别和教育水平。
HABC-M CG 的总评分和所有子量表都表现出极好的内部一致性（Cronbach α = 0.88-0.93）。心理子量表的得分与抑郁症状的标准化测量值相关（Spearman ρ = 0.58）。认知子量表的得分与 Mini-Mental State Examination 评分相关（Spearman ρ = -0.33）。功能子量表的得分与身体自我维护量表的得分相关（Spearman ρ = -0.36）。
HABC-M CG 是一种有效的基于 caregiver 的临床工具，用于评估 ICU 后综合征的症状。
