The use of Functional Capacity Scale in the Assessment of Patients with Traumatic Brain Injury — Multicenter Studies

Introduction. One of the most serious life and health hazards of a modern man are injuries, one of which is traumatic brain injury (TBI). Among functional scales that are most commonly used for the assessment of the condition of a patient after TBI we can distinguish the Modified Rankin Scale, Disab...

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Main Authors: Robert Ślusarz, Regina Lorencowicz, Joanna Rosińczuk, Renata Jabłońska, Agnieszka Królikowska, Maciej Śniegocki
Format: Article
Language:English
Published: Państwowa Akademia Nauk Stosowanych we Włocławku 2014-06-01
Series:Pielęgniarstwo Neurologiczne i Neurochirurgiczne
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Online Access:https://apcz.umk.pl/PNIN/article/view/38722
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author Robert Ślusarz
Regina Lorencowicz
Joanna Rosińczuk
Renata Jabłońska
Agnieszka Królikowska
Maciej Śniegocki
author_facet Robert Ślusarz
Regina Lorencowicz
Joanna Rosińczuk
Renata Jabłońska
Agnieszka Królikowska
Maciej Śniegocki
author_sort Robert Ślusarz
collection DOAJ
description Introduction. One of the most serious life and health hazards of a modern man are injuries, one of which is traumatic brain injury (TBI). Among functional scales that are most commonly used for the assessment of the condition of a patient after TBI we can distinguish the Modified Rankin Scale, Disability Rating Scale (DRS), Barthel Index, Functional Independence Measure (FIM), Glasgow Outcome Scale and Extended Glasgow Outcome Scale (GOSE). Aim. The main aim of this work was to present Functional Capacity Scale in the assessment of patients after traumatic brain injury. Material and Methods. In the multicenter studies, there were 159 patients examined. They were hospitalized in neurosurgical wards in Bydgoszcz, Lublin and Wroclaw due to traumatic brain injury. The research was based on twofold assessment (on the day of admission — assessment 1 and discharge — assessment 2) of the condition of a patient after traumatic brain injury with the use of standardized research tools such as Glasgow Coma Scale (GCS), Functional Capacity Scale (FCS) and Glasgow Outcome Scale (GOS). The method used was direct observation with measurement. Results. The average result of functional capacity in FCS was 34,41 points (71.7%) on the day of admission, and 41,87 points (87.2%) on the day of discharge. After analyzing the differences between the FCS results of men and women, there was no difference between gender groups that would be statistically significant (p>0.05) both on the day of admission and discharge. The age groups remained in statistically significant, low correlation with the results of FCS on the day of admission (R=0.261; p=0.001) and were on the edge of significance (R=0.140; p=0.088) on the day of discharge. The place of residence did not differentiate (p>0.05) the functional capacity assessed with FCS. The results of FCS remained in statistically significant correlation with GCS results (p<0.05) both on the day of admission and discharge and GOS (p=0.000) results on the day of discharge. Conclusions. The FCS scale, suggested for functional assessment of patients with traumatic brain injury, is a tool that appropriately recognizes the functional condition of a patient with traumatic brain injury. It substantially correlates with GCS and GOS, which denotes that its construction and prognostic features are accurate. (JNNN 2014;3(4):175–182)
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language English
publishDate 2014-06-01
publisher Państwowa Akademia Nauk Stosowanych we Włocławku
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spelling doaj-art-1741828d2fcd4c72bb408a1aa329c5a72024-12-10T23:54:17ZengPaństwowa Akademia Nauk Stosowanych we WłocławkuPielęgniarstwo Neurologiczne i Neurochirurgiczne2084-80212299-03212014-06-013417518210.15225/PNN.2014.3.4.534334The use of Functional Capacity Scale in the Assessment of Patients with Traumatic Brain Injury — Multicenter StudiesRobert Ślusarz0Regina Lorencowicz1Joanna Rosińczuk2Renata Jabłońska3Agnieszka Królikowska4Maciej Śniegocki5Neurological and Neurosurgical Nursing Department, NCU, Torun, Poland Neurological Nursing Department, Lublin Medical University, PolandDepartment of Nervous System Diseases, Wroclaw Medical University, PolandNeurological and Neurosurgical Nursing Department, NCU, Torun, PolandNeurological and Neurosurgical Nursing Department, NCU, Torun, PolandNeurotraumatology Department, Nicolaus Copernicus University, Torun, PolandIntroduction. One of the most serious life and health hazards of a modern man are injuries, one of which is traumatic brain injury (TBI). Among functional scales that are most commonly used for the assessment of the condition of a patient after TBI we can distinguish the Modified Rankin Scale, Disability Rating Scale (DRS), Barthel Index, Functional Independence Measure (FIM), Glasgow Outcome Scale and Extended Glasgow Outcome Scale (GOSE). Aim. The main aim of this work was to present Functional Capacity Scale in the assessment of patients after traumatic brain injury. Material and Methods. In the multicenter studies, there were 159 patients examined. They were hospitalized in neurosurgical wards in Bydgoszcz, Lublin and Wroclaw due to traumatic brain injury. The research was based on twofold assessment (on the day of admission — assessment 1 and discharge — assessment 2) of the condition of a patient after traumatic brain injury with the use of standardized research tools such as Glasgow Coma Scale (GCS), Functional Capacity Scale (FCS) and Glasgow Outcome Scale (GOS). The method used was direct observation with measurement. Results. The average result of functional capacity in FCS was 34,41 points (71.7%) on the day of admission, and 41,87 points (87.2%) on the day of discharge. After analyzing the differences between the FCS results of men and women, there was no difference between gender groups that would be statistically significant (p>0.05) both on the day of admission and discharge. The age groups remained in statistically significant, low correlation with the results of FCS on the day of admission (R=0.261; p=0.001) and were on the edge of significance (R=0.140; p=0.088) on the day of discharge. The place of residence did not differentiate (p>0.05) the functional capacity assessed with FCS. The results of FCS remained in statistically significant correlation with GCS results (p<0.05) both on the day of admission and discharge and GOS (p=0.000) results on the day of discharge. Conclusions. The FCS scale, suggested for functional assessment of patients with traumatic brain injury, is a tool that appropriately recognizes the functional condition of a patient with traumatic brain injury. It substantially correlates with GCS and GOS, which denotes that its construction and prognostic features are accurate. (JNNN 2014;3(4):175–182)https://apcz.umk.pl/PNIN/article/view/38722traumatic brain injuryfunctional capacity scale
spellingShingle Robert Ślusarz
Regina Lorencowicz
Joanna Rosińczuk
Renata Jabłońska
Agnieszka Królikowska
Maciej Śniegocki
The use of Functional Capacity Scale in the Assessment of Patients with Traumatic Brain Injury — Multicenter Studies
Pielęgniarstwo Neurologiczne i Neurochirurgiczne
traumatic brain injury
functional capacity scale
title The use of Functional Capacity Scale in the Assessment of Patients with Traumatic Brain Injury — Multicenter Studies
title_full The use of Functional Capacity Scale in the Assessment of Patients with Traumatic Brain Injury — Multicenter Studies
title_fullStr The use of Functional Capacity Scale in the Assessment of Patients with Traumatic Brain Injury — Multicenter Studies
title_full_unstemmed The use of Functional Capacity Scale in the Assessment of Patients with Traumatic Brain Injury — Multicenter Studies
title_short The use of Functional Capacity Scale in the Assessment of Patients with Traumatic Brain Injury — Multicenter Studies
title_sort use of functional capacity scale in the assessment of patients with traumatic brain injury multicenter studies
topic traumatic brain injury
functional capacity scale
url https://apcz.umk.pl/PNIN/article/view/38722
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