Fleming J M, Maas F
Department of Occupational Therapy, University of Queensland, Australia.
Arch Phys Med Rehabil. 1994 Feb;75(2):156-63.
In this correlational study, we investigated the prediction of functional status on discharge from head injury rehabilitation in 64 adults with traumatic closed head injury. Subjects were rated on Rappaport's Disability Rating Scale during rehabilitation to obtain the Disability Rating Score on admission to rehabilitation, recovery rate during the first month of rehabilitation, and discharge Disability Rating Score. Potential prognostic variables included demographic and social characteristics, severity of injury indicators, head injury deficits present on admission to rehabilitation, and initial Disability Rating Score, and recovery rate. Multiple regression analyses were performed to determine if discharge Disability Rating Score could be predicted from subsets of the potential prognostic variables. Significant contributions were made to the regression equations by initial Disability Rating Score, recovery rate, post-traumatic amnesia and cognitive deficits. A single multiple regression containing the four significant predictors retained initial Disability Rating Score and recovery rate as significant. The findings were cross-validated on a new sample of 30 head injury patients. Initial Disability Rating Score on admission to rehabilitation emerged as a useful predictor of rehabilitation outcome.
在这项相关性研究中，我们调查了64名患有创伤性闭合性颅脑损伤的成年人颅脑损伤康复出院时功能状态的预测情况。在康复期间，根据拉帕波特残疾评定量表对受试者进行评分，以获得康复入院时的残疾评定分数、康复第一个月的恢复率以及出院时的残疾评定分数。潜在的预后变量包括人口统计学和社会特征、损伤严重程度指标、康复入院时存在的颅脑损伤缺陷、初始残疾评定分数以及恢复率。进行了多元回归分析，以确定是否可以从潜在预后变量子集中预测出院时的残疾评定分数。初始残疾评定分数、恢复率、创伤后遗忘症和认知缺陷对回归方程有显著贡献。包含四个显著预测因素的单一多元回归显示，初始残疾评定分数和恢复率仍然显著。这些结果在30名颅脑损伤患者的新样本上进行了交叉验证。康复入院时的初始残疾评定分数成为康复结果的一个有用预测指标。
