Adolfsson-Björnsson活动量表(ABAS)改善了患者特征的描述

L. Adolfsson, Per Lundin, Hanna C. Björnsson Hallgren
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摘要

背景和目的:年龄和性别被认为是外科手术决策的重要因素,并被用作临床试验的纳入标准。个人需求和活动水平很少被考虑。因此,开发了一种自我管理的量表,定义涉及上肢的主观评估活动水平。本研究的主要目的是提出量表。其次考察其信度及其与年龄、性别的相关性。患者和方法:编制了一份量表,分为8个类别,从极难活动到非难活动,根据手的优势度进行分类。对103名年龄在20-86岁的健康男女进行了信度检验。241例上肢不同损伤的患者完成了量表,中位年龄58岁(范围18-97)。参与者被指示标记代表他们正常活动水平的活动。然后用Spearman相关系数(SCC)研究与年龄和性别的相关性。结果:活动水平范围从1,对应于最小的手臂使用,到8定义为精英运动。重测时,优势组组内相关系数(ICC)为0.89,非优势组组内相关系数为0.90。性别、年龄和活动水平之间的相关性较弱。解释:本量表使用可靠、可行。年龄和性别与活动量及活动量高低呈弱相关,在所有年龄和性别中均有发现。活动量表可以改善临床试验中患者的描述,并有助于治疗决策,但主要不是用于测量治疗结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Adolfsson-Björnsson Activity Scale (ABAS) Improves Description of Patient Characteristics
(ABAS) Abstract Background and purpose: Age and gender have been regarded important for surgical decision making and used as inclusion criteria for clinical trials. Individual demands and level of activity have been less considered. A self-administered scale, defining subjectively assessed level of activity involving the upper extremities was therefore developed. The primary purpose of this study was to present the scale. Secondarily to investigate its reliability and correlation with age and gender. Patients and Methods: A scale with 8 categories ranging from extremely demanding to non-demanding activities, separated according to hand dominance, was constructed. Reliability testing was performed on 103 healthy individuals of both genders with a wide age range (20-86). 241 patients, median age 58 years (range 18-97), with different upper extremity injuries completed the scale. Participants were instructed to mark activities representative for their normal activity level. Correlation with age and gender was then investigated using Spearman Correlation Coefficient (SCC). Results: The level of activity ranged from 1, corresponding to minimal use of the arm, to 8 defined as elite sports. For test-retest Intraclass Correlation Coefficient (ICC) was 0.89 for the dominant and 0.90 for the non-dominant arm. Correlations between gender, age and level of activity were weak. Interpretation: The scale was found reliable and feasible to use. Age and gender were weakly correlated with level of activity and patients with low and high activities found in all ages and both genders. The activity scale allows improved description of patients included in clinical trials and can aid in treatment decision making but is primarily not intended for measurement of treatment outcome.
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