期刊
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE
卷 52, 期 3, 页码 527-533出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/00005373-200203000-00018
关键词
functional outcomes; quality of life; trauma outcomes; head injury; cognitive function; SF-36
资金
- ODCDC CDC HHS [R49/CCR302486] Funding Source: Medline
Background: The purpose of this study was to evaluate the validity of the Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) for examining outcomes after multiple trauma and to investigate whether the addition of items selected to measure cognitive function could improve the sensitivity of the SF-36 for identifying differences In outcomes for patients with and without head injury. Methods: One thousand two hundred thirty patients discharged from 12 trauma centers were interviewed 1 year after injury. The interview included the SF-36 supplemented with four items chosen to assess cognitive function. Results: The resulting cognitive function scale is internally consistent and measures a component of health that is independent of the dimensions incorporated in the SF-36. It correlates well with established measures of brain injury severity and discriminates among patients with and without brain injury. Conclusion: This study underscores the need to supplement the SF-36 with a measure of cognitive function when evaluating outcome from multiple trauma involving head injury. Further studies are needed to validate the specific items chosen for measuring cognitive function.
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