Miskelly F G, Subhani J M
Care of the Elderly Department, Charing Cross Hospital, London.
Br J Clin Pract. 1993 Nov-Dec;47(6):289-91.
The aim of this study was to determine whether the Barthel Index (BI) or Folstein's Mini-Mental State Examination (MMSE) could distinguish between patients who might continue at home with domiciliary care and those requiring institutional long-term care. The results of the BI and the MMSE were compared with decisions made by an expert multidisciplinary team, including geriatricians. A Barthel score of 15 or less had a sensitivity of 90%, a specificity of 83% and a predictive value of 84% for determining those patients requiring nursing home placement. The BI proved to be a simple, accurate and reliable indicator of patients requiring nursing home care. The MMSE was of no predictive value in distinguishing the patients' discharge destinations.
本研究的目的是确定巴氏指数（BI）或福尔斯坦简易精神状态检查表（MMSE）能否区分可能在家接受家庭护理的患者和需要机构长期护理的患者。将BI和MMSE的结果与包括老年病学家在内的多学科专家团队做出的决策进行比较。巴氏评分15分及以下在确定那些需要入住养老院的患者时，灵敏度为90%，特异性为83%，预测值为84%。事实证明，BI是需要养老院护理患者的一个简单、准确且可靠的指标。MMSE在区分患者出院去向方面没有预测价值。
