Application of a new rating scale of brain dysfunction to monitoring rehabilitation in 65 patients with severe head injury.

Bulletin of clinical neurosciences Pub Date : 1984-01-01
A S Dekaban, C E Robinson
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Abstract

Sixty-five patients with severe head injury sustained in motor vehicle accidents (MVA) are the subject of the prospective investigation. For assessment of results of a particular treatment, planning of long-range management and predicting the outcome in terms of employment or of self-care, it is essential to monitor sequentially the progress of recovery. A comprehensive semiquantitative rating Scale g was developed and its application during repeated examinations demonstrated. The Scale g is open-ended, as it allows physicians and investigators in the health field to produce their own schedules of any disability provided that seven levels of that particular dysfunction are defined according to the principles of Scale g. The progress of recovery in motor deficits, dysarthria, mental impairment, and self-care was assessed using appropriate schedules according to Scale g in 65 inpatients at their first admission to the rehabilitation center and at their discharge. The change was made evident by showing patients' advancement, if present, to the higher functional level. It was estimated at the time of discharge that 23.1% can be expected to return to full-time employment, 38.5% are likely to perform part-time lesser work, 13.8% may be able to perform certain, non remunerative chores at home, 24.6% would not be able to do any work--about one-third of them will permanently require long-care facility.

新脑功能障碍评定量表在重型颅脑损伤患者康复监测中的应用。
本文对65例机动车事故严重颅脑损伤患者进行前瞻性研究。为了评估特定治疗的效果,规划长期管理和预测就业或自我保健方面的结果,有必要对康复进展进行顺序监测。开发了一种综合半定量评定量表g,并演示了其在重复检查中的应用。g量表是开放式的,因为它允许卫生领域的医生和调查人员根据g量表的原则确定特定功能障碍的七个级别,从而制定他们自己的任何残疾时间表。根据g量表,在65名住院患者首次进入康复中心和出院时,使用适当的时间表评估了运动缺陷、构音障碍、精神障碍和自我护理方面的恢复进展。这种变化通过显示患者的进步(如果存在的话)到更高的功能水平而变得明显。据估计,在出院时,23.1%的人有望重返全职工作,38.5%的人可能会做一些兼职工作,13.8%的人可能会在家里做一些没有报酬的家务,24.6%的人将无法做任何工作——其中约三分之一的人将永久需要长期护理设施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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