Broslawski G E, Elkins M, Algus M
Department of Medical Education, Overlook Hospital, Summit, NJ, USA.
J Am Osteopath Assoc. 1995 Dec;95(12):712-7.
In a prospective, randomized study undertaken to determine if age, length of hospital stay, or severity of illness are predictors of future functional status after intensive care unit (ICU) admission, 45 patients were evaluated. Pre-ICU functional status was determined by using Activities of Daily Living (ADL), Instrumental Activities of Daily Living (IADL), Geriatric Depression Scale (GDS), and Mini-Mental State (MMS) examinations. Severity of illness was assessed by using the Acute Physiology Assessment and Chronic Health Evaluation (APACHE-II) system. There were no significant differences in age or APACHE-II score at 6-month followup. However, in those patients who had decreased ADL and IADL scores, ICU and total hospital length of stay were two and three times longer, respectively. Functional status at 6-months was unrelated to age or severity of illness, but correlated with the length of ICU and total hospital stay. Advanced age and severity of illness should not be used to predict future functional ability.
在一项旨在确定年龄、住院时间或疾病严重程度是否为重症监护病房（ICU）入院后未来功能状态预测因素的前瞻性随机研究中，对45名患者进行了评估。ICU前的功能状态通过日常生活活动（ADL）、工具性日常生活活动（IADL）、老年抑郁量表（GDS）和简易精神状态检查（MMS）来确定。疾病严重程度通过急性生理评估和慢性健康评估（APACHE-II）系统进行评估。在6个月的随访中，年龄或APACHE-II评分没有显著差异。然而，在ADL和IADL评分降低的患者中，ICU住院时间和总住院时间分别延长了两倍和三倍。6个月时的功能状态与年龄或疾病严重程度无关，但与ICU住院时间和总住院时间相关。不应将高龄和疾病严重程度用于预测未来的功能能力。
