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  1. Predicting future functional status for seriously ill hospitalized adults : the SUPPORT prognostic model.

    Article - En anglais

    Objective 

    To develop a model estimating the probability of an adult patient having severe functional limitations 2 months after being hospitalized with one of nine serious illnesses.

    Design 

    Prospective cohort study.

    Setting 

    Five teaching hospitals in the United States.

    Participants 

    1746 patients (model development) who survived 2 months and completed an interview, selected from 4301 patients in the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT) ; independent validation sample of 2478 patients.

    Measurements and Main Outcomes 

    Patient function 2 months after admission categorized as absence or presence of severe functional limitations (defined as Sickness Impact Profile scores =30 or as activities of daily living scores =4 [levels that require near-constant personal assistance]). A logistic regression model was constructed to predict severe functional limitation.

    Results 

    One third (n=590) of patients who were interviewed at 2 months had severe functional limitations.

    Changes in functional status were common : Of those with no baseline dependencies (not dependent on personal assistance), 21% were severely limited at 2 months ; of those with 4 or more baseline limitations, 30% had improved.

    The patient's ability to do activities of daily living was the most important predictor of functional status.

    Mots-clés Pascal : Maladie, Grave, Protocole expérimental, Evaluation, Santé, Fonctionnelle, Court terme, Résultat, Homme

    Mots-clés Pascal anglais : Disease, Severe, Experimental protocol, Evaluation, Health, Functional, Short term, Result, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0199255

    Code Inist : 002B30A03B. Création : 09/06/1995.