TY - JOUR PY - 2015// TI - Measuring scales used for assessment of patients with traumatic brain injury: multicenter studies JO - Patient preference and adherence A1 - Ślusarz, Robert A1 - Jabłońska, Renata A1 - Królikowska, Agnieszka A1 - Haor, Beata A1 - Barczykowska, Ewa A1 - Biercewicz, Monika A1 - Głowacka, Mariola A1 - Szrajda, Justyna SP - 869 EP - 875 VL - 9 IS - N2 - BACKGROUND: Application of adequate numeric scales is essential for assessment of a patient's condition. The scales most commonly used by the therapeutic team for assessment of a patient with traumatic brain injury (TBI) include deficit scales, functional scales, and scales assessing quality of life. The purpose of this study was to establish the relationships between the particular scales used for assessment of patients with TBI.

METHODS: This multicenter study included 159 patients with TBI. The direct observation technique was used. Two measurements were made (at hospital admission and discharge) using standardized assessment scales, ie, the Glasgow Coma Scale (GCS), the Functional Capacity Scale (FCS), the Functional Index "Repty" (FIR), and the Glasgow Outcome Scale.

RESULTS: Patients with mild impairment of consciousness were most numerous in the examined group at both admission and discharge, ie, 118 (78.8%) and 134 patients (89.3%), respectively. The mean score for functional capacity measured with the FCS was 34.41 points (71.7%) on the day of admission and 41.87 points (87.2%) on the day of discharge from hospital. A significant correlation was found between results obtained using the GCS and results on the FIR, on both the day of admission [R t(n-2) =7.612=0.530; P=0.00] and the day of discharge [R t(n-2) =8.998=0.595; P=0.00]. Further, a high correlation was found between the FCS and the FIR (r s= -0.854 on day of admission and r s= -0.840 on day of discharge).

CONCLUSION: The majority of examined patients had mild impairment of consciousness. A moderate correlation was found between the GCS and the scales assessing activities of daily living. A high correlation was found between FCS and FIR, which may result from the similarities between the analyzed tools in the scope of their construction and application.

Language: en

LA - en SN - 1177-889X UR - http://dx.doi.org/10.2147/PPA.S83551 ID - ref1 ER -