the academic medical center linear disability score for evaluation of physical reserve on admission to the icu can we query the relatives学术医学中心线性残疾分数评价物理储备进入icu我们可以查询的亲戚.pdf

Hofhuis et al. Critical Care 2011, 15:R212 /content/15/5/R212 RESEARCH Open Access The Academic Medical Center Linear Disability Score for evaluation of physical reserve on admission to the ICU: can we query the relatives? 1* 2 1 3 1 1,4 José GM Hofhuis , Marcel GW Dijkgraaf , Aly Hovingh , Richard L Braam , Lisa van de Braak , Peter E Spronk and Johannes H Rommes1 Abstract Introduction: Evaluating the pre-morbid functional status in critically ill patients is important and frequently done using the physical component score (PCS) of the Short Form 36, although this approach has its limitations. The Academic Medical Center Linear Disability Score (ALDS) is a recently developed generic item bank used to measure the disability status of patients with a broad range of diseases. We aimed to study whether proxy scoring with the ALDS could be used to assess the patients’ functional status on admission for cardiac care unit (CCU) or ICU patients and how the ALDS relates to the PCS using the Short Form 12 (SF-12). Methods: Patients and proxies completed the ALDS and SF-12 score in the first 72 hours following ICU scheduled surgery (n = 14), ICU emergency admission (n = 56) and CCU emergency admission (n = 70). Results: In all patients (n = 140) a significant intra-class correlation was found for the ALDS (0.857), the PCS (0.798) and the mental component score (0.679) between patients and their proxy. In both scheduled and emergency admissions, a significant correlation was found between patients and their proxy for the ALDS, although the lowest correlation was found for the ICU scheduled admissions (0.755) compared with the ICU emergency admissions (0.889). In CCU patients, the highest s