• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>ANZ journal of surgery. >Illness wellness scale: novel grading system for performance status of patients under surgical care
【24h】

Illness wellness scale: novel grading system for performance status of patients under surgical care

机译：Illness wellness scale: novel grading system for performance status of patients under surgical care

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相关主题

摘要

Abstract Background Grading the illness using clinical parameters is essential for the daily progress of inpatients. Existing systems do not incorporate these parameters holistically. The study was designed to internally validate the illness wellness scale, based upon clinical assessment of the patients requiring surgical care, for their risk stratification and uniformity of communication between health care providers. Methods Prospective observational study conducted at a tertiary care hospital. An expert panel devised the scale, and it was modified after feedback from 100 health care providers. A total of 210 patients (150 for internal validation and 60 for inter‐observer variability) who required care under the department of surgical disciplines were enrolled. This included patients presenting to surgery OPD, admitted to COVID/non‐COVID surgical wards and ICUs, aged ≥16?years. Results The response rate of the final illness wellness scale was 95 with 86 positive feedback and a mean of 1.7 on the Likert scale for ease of use (one being very easy and five being difficult). It showed excellent consistency and minimal inter‐observer variability with the intra‐class correlation coefficient (ICC) above 0.9. In the internal validation cohort (n?=?150), univariate and multivariable analysis of factors affecting mortality revealed that categorical risk stratification, age?≥?60?years, presence or absence of co‐morbidities especially hypertension and chronic kidney disease significantly affect mortality. Conclusions The Illness wellness scale is an effective tool for uniformly communicating between health care professionals and is also a strong predictor of risk stratification and mortality in patients requiring surgical care.

著录项

获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号