Ebrahim S, Nouri F, Barer D
J Epidemiol Community Health. 1985 Mar;39(1):86-9. doi: 10.1136/jech.39.1.86.
A ranked activities of daily living (ADL) scale has been developed for stroke patients, on which an individual's score predicts his/her overall function ability. With an unranked scale the same total score can be obtained from different combinations of items and gives little idea of the patient's general pattern or degree of disability. The items in the scale are easy to assess on both inpatients and outpatients, and accepted criteria for valid ranking are fulfilled. A strong relation was found between scale score one month post-stroke and length of stay in hospital. Low scores at one month were also associated with high mortality during the subsequent five months. "Formal" and "informal" methods of ADL assessment were compared, and only small and unimportant differences were found. Assessments by postal questionnaire were also evaluated and agreed well with formal assessments carried out by visiting the patients' homes. Use of some or all of these methods would help to simplify and standardise follow up records for both routine care and research.
已为中风患者制定了日常生活活动（ADL）分级量表，个体在该量表上的得分可预测其整体功能能力。对于非分级量表，不同的项目组合可能会得到相同的总分，这几乎无法反映患者的总体残疾模式或程度。该量表中的项目对住院患者和门诊患者都易于评估，并且满足有效分级的公认标准。研究发现中风后一个月的量表得分与住院时间之间存在密切关系。一个月时得分较低也与随后五个月的高死亡率相关。对ADL评估的“正式”和“非正式”方法进行了比较，发现差异很小且不重要。还对通过邮寄问卷进行的评估进行了评价，其结果与上门对患者进行的正式评估结果吻合良好。使用这些方法中的部分或全部将有助于简化和规范常规护理及研究的随访记录。
