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首页> 外文期刊>Geriatrics & gerontology international. >Development and psychometric properties of the Basic Amputee Mobility Score for use in patients with a major lower extremity amputation
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Development and psychometric properties of the Basic Amputee Mobility Score for use in patients with a major lower extremity amputation

机译：主要下肢截肢患者的基本截肢行动率分数的发展和心理性能

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Abstract Aim To develop and examine the psychometric properties, including responsiveness and interrater reliability, of a new outcome measure for the evaluation of basic mobility activities after a major lower extremity amputation – The Basic Amputee Mobility Score (BAMS). Methods The four following essential activities were chosen through consensus meetings with experienced amputee physiotherapists: (i) supine in bed to sitting on the edge of the bed; (ii) bed to wheelchair transfer; (iii) indoor wheelchair mobility; and (iv) get up from a wheelchair to standing on the non‐amputated leg. Each activity is scored from 0 to 2 (0 = not able to; 1 = able to with assistance/guiding; and 2 = independent), and cumulated to a 1‐day BAMS score of 0–8. Validity and responsiveness were established in 106 consecutive in‐hospital patients with a major dysvascular lower extremity amputation, while reliability and agreement were examined in an additional sample of 30 patients. Results The 30‐day mortality risk was reduced by 88% (HR = 0.12, 95% CI 0.02–0.68) for those out of bed (BAMS ≥2 points) at the first physiotherapy assessment, while BAMS scores improved between the first and the discharge assessment, with a standardized response mean of 1.3. Reliability assessments resulted in a weighted Kappa value of 0.98, a standard error of measurement of 0.32 and a minimal detectable change of 0.89 points. No systematic between‐rater bias was seen ( P = 0.3). Conclusions The BAMS was feasible in all patients, and showed a large responsiveness, excellent interrater reliability and with a change of 1 point indicating a real change in performances. Geriatr Gerontol Int 2018; 18: 138–145 .
机译：摘要旨在开发和检查心理学的性能，包括响应能力和Interrader可靠性，在主要的下肢截肢后评估基本流动活动的新成果措施 - 基本截肢者移动得分（BAM）。方法通过与经验丰富的截肢物理治疗师的共识会议选择以下四项必要活动：（i）仰卧在床上坐在床边; （ii）轮椅转移床; （iii）室内轮椅移动; （iv）从轮椅上站起来站在非截肢的腿上。每个活动都被评定为0到2（0 =不能; 1 =能够在辅助/引导;和2 =独立），并累积到1天的BAMS得分为0-8。有效性和响应性在106名连续的内部患者中建立了具有重大血管下肢截肢的患者，而在30名患者的其他样本中检查了可靠性和协议。结果30天死亡率风险减少88％（HR = 0.12,95％CI 0.02-0.68），用于在第一次物理疗法评估时（BAMS≥2分），而BAMS分数在第一和第一个排放评估，标准化响应均值为1.3。可靠性评估导致加权Kappa值为0.98，测量标准误差为0.32，最小可检测变化为0.89点。没有看到在rater偏差之间（p = 0.3）。结论BAM在所有患者中是可行的，并且表现出大量的响应性，优异的Interriter可靠性，并且改变了1点，表明表演的真正变化。 GeriaTr Gerontol int 2018; 18：138-145。

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