A four item scale based on gait for the immediate global assessment of acutely ill medical patients – one look is more than 1000 words - 21/03/14
, M. Clifford b, A. Ridley c, A. Murray d, M. Gleeson eAbstract |
Background |
Documentation of the global assessment of acutely ill medical patients is time consuming and may detract from patient care.
Setting |
Small Irish rural hospital.
Methods |
The clinical information required for the global assessment of 2954 patients attending the Medical Assessment Unit in a small rural hospital was collected for analysis in a computer database.
Results |
A four item scale based on whether the patients had a Stable gait, Unstable gait, needed Help to walk or was Bedridden (i.e. SUHB scale) was strongly correlated with 30-day in-hospital mortality, mental status, history of falls, manual handling requirements, and the presence of pressure sores, dementia and incontinence. The c statistics of the SUHB scale for 30-day in-hospital mortality, mental status, history of falls, manual handling requirements, and the presence of pressure sores, dementia and incontinence were 0.85, 0.79, 0.79, 0.94, 0.80, 0.86 and 0.88, respectively.
Conclusion |
A four item scale of gait instantly captures almost as much information as detailed documentation.
Le texte complet de cet article est disponible en PDF.Keywords : Frailty, Clinical assessment, Documentation
Plan
Vol 5 - N° 2
P. 92-96 - avril 2014 Retour au numéro
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