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• W2318442583 abstract "Background: Increasing emphasis is being placed on reporting outcomes beyond mortality following traumatic injury. We examined the functional status of patients in the acute phase after multiple trauma using a standardized scale, the Acute Care Index of Function (ACIF). Methods: We analyzed ACIF scores obtained during initial and discharge physical therapy evaluations of patients admitted to the trauma service. Over a two-year period, this included 526 patients. Demographic data, injury characteristics, and discharge destination were extracted from the institutional trauma registry for study. Results: Patients over 65 years of age constituted 37% of this group, while 29% were between 41-65, and 34% were less than 40 years of age (mean 54 ± 24 years). The most common mechanism of injury was falling (42%), followed by motor vehicle crash (41.8%). The proportion of patients with an ISS (Injury Severity Score) greater than 15 was 50.8%. The median initial ACIF score was 42.5 and the median discharge ACIF score was 71.8. Mean discharge ACIF scores for patients with ISS >15 were lower than scores for patients with ISS ≤ 15 (74.7 vs. 62.6, p < 0.0001). Discharge ACIF scores were also significantly different based on age. Mean values of discharge ACIF scores were calculated for six groups of discharge dispositions. Analysis of variance was used to compare the differences in these means for the three largest groups: home (93.7 ± 15.1), home with services (86.2 ± 16.4), and extended care facility (45.5 ± 20.1). Conclusion: The ACIF showed improvement over time in the acute phase after trauma. A relationship of discharge ACIF scores to discharge disposition was also found. Reporting functional outcomes in the acute care setting is feasible and offers additional opportunity for setting benchmarks in trauma care and for improvements in resource allocation." @default.
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• W2318442583 date "2013-01-01" @default.
• W2318442583 modified "2023-09-27" @default.
• W2318442583 title "Measuring Functional Status in the Acute Treatment Phase Following Trauma" @default.
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• W2318442583 doi "https://doi.org/10.1097/01592394-201304010-00003" @default.
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