康复学报2024，Vol.34Issue(6)：584-589,6.DOI:10.3724/SP.J.1329.2024.06008
《国际功能、残疾和健康分类康复组合》在股骨骨折患者康复结局评价中的应用
Application of the International Classification of Functioning,Disability and Health Rehabilita-tion Set for Evaluation of Rehabilitation Outcomes of Patients with Femoral Fracture
摘要
Abstract
Objective To explore the application of the International Classification of Functioning,Disability and Health Re-habilitation Set(ICF-RS)for evaluation of rehabilitation outcomes of patients with femoral fracture.Methods A total of 29 patients with femoral fracture in the Orthopedic Center of Guangdong Clifford Hospital from January 2022 to May 2023 were recruited.The ICF-RS mobile APP and clinical function examinations were used to evaluate the body function,activity function,participation func-tion and overall dysfunction before surgery(at admission),after surgery(the second day after operation)and after recovery(at dis-charge),respectively.The consistency between the ICF-RS mobile APP's artificial intelligence model prediction and the evaluators'function level assessments was compared.The medical expenses(surgical costs,medication costs,rehabilitation costs,examination costs and other costs)and the rate of functional improvement during hospitalization were analyzed.Results The ICF-RS evalua-tion results showed that patients had predominantly severe functional disabilities before and after surgery,and the degree of physical disabilities after surgery was worse than that before surgery,mainly manifested in categories b620(urination function),b455(exer-cise tolerance)and b710(joint mobility).Patients showed improvements in body,activity,participation and overall functions,with a significant reduction in the categories of severe functional disabilities after rehabilitation(P<0.05).The Kappa coefficients of the ar-tificial intelligence model prediction and the evaluators'assessments across the three dimensions of body function,activity function,and participation function,as well as overall function were all greater than 0.9.The average hospital stay was(29.5±12.1)days,and the average total medical expenses were(55 930.1±21 440.5)yuan,of which the average rehabilitation expenses were(8 168.7±5 817.4)yuan,accounting for 13.7%of the average total medical expenses.The overall functional improvement rate was≥35%(19 cases,65.52%)after rehabilitation.For each 1%improvement in functional disability,the average medical expenditure was 1 598 yuan,of which the average rehabilitation expenditure was 233 yuan.Conclusion The ICF-RS can be used to evaluate the body,activity and participation functions of patients with femoral fracture,and the ICF-RS artificial intelligence model prediction has a good consistency with the evaluators'assessments of functional levels.关键词
股骨骨折/康复结局评价/国际功能、残疾和健康分类康复组合Key words
femoral fracture/rehabilitation outcome evaluation/International Classification of Functioning,Disability and Health Rehabilitation Set引用本文复制引用
江潭耀,许秀,燕铁斌,李涛,于娜,陈向阳,张欣婷,张忠平..《国际功能、残疾和健康分类康复组合》在股骨骨折患者康复结局评价中的应用[J].康复学报,2024,34(6):584-589,6.基金项目
国家自然科学基金面上项目(82272614) （82272614）
广东省医学科研基金项目(B2022033) （B2022033）
广州市科技计划项目市校(院)联合资助项目(202201020079) （院）
