昏迷恢复量表修订版可预测严重创伤性脑损伤急性康复中的残疾评定量表。
Coma Recovery Scale-Revised Predicts Disability Rating Scale in Acute Rehabilitation of Severe Traumatic Brain Injury.
机构信息
Physical Medicine & Rehabilitation, Loma Linda University, Loma Linda, CA.
Physical Medicine & Rehabilitation, Loma Linda University, Loma Linda, CA.
出版信息
Arch Phys Med Rehabil. 2023 Jul;104(7):1054-1061. doi: 10.1016/j.apmr.2023.01.007. Epub 2023 Feb 1.
OBJECTIVE
To explore the prognostic value of the Coma Recovery Scale-Revised (CRS-R) in predicting disability outcomes in patients with severe traumatic brain injury using the Disability Rating Scale (DRS).
DESIGN
Secondary analysis including linear and logistic regressions were performed.
SETTING
Data were collected in a previous clinical trial.
PARTICIPANTS
One hundred eighty-four participants across 3 countries (N=184).
MAIN OUTCOME MEASURES
Disability Rating Scales.
RESULTS
Analyses showed an inverse relation between CRS-R scores obtained at baseline and change in DRS scores at 6 weeks. Similarly, changes in CRS-R scores between baseline and 4 weeks were also found to have an inverse relation to change in DRS scores at 6 weeks.
CONCLUSIONS
This study generates a tool that can be used to predict the probability that a patient with severe traumatic brain injury lands in 1 of 3 disability categories. The CRS-R may be useful in prognostication of disability in patients with severe traumatic brain injury.
目的
使用残疾评定量表（DRS）探讨昏迷恢复量表修订版（CRS-R）对预测严重创伤性脑损伤患者残疾结局的预后价值。
设计
进行了线性和逻辑回归的二次分析。
设置
数据来自先前的一项临床试验。
参与者
来自 3 个国家的 184 名参与者（N=184）。
主要观察指标
残疾评定量表。
结果
分析显示，基线时 CRS-R 评分与 6 周时 DRS 评分的变化呈负相关。同样，基线时和 4 周时 CRS-R 评分的变化与 6 周时 DRS 评分的变化也呈负相关。
结论
本研究生成了一种工具，可用于预测严重创伤性脑损伤患者落入 3 种残疾类别的概率。CRS-R 可能对预测严重创伤性脑损伤患者的残疾情况有用。
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