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Relationship between the functional status scale and the pediatric overall performance category and pediatric cerebral performance category scales.

Identifieur interne : 002474 ( PubMed/Corpus ); précédent : 002473; suivant : 002475

Relationship between the functional status scale and the pediatric overall performance category and pediatric cerebral performance category scales.

Auteurs : Murray M. Pollack ; Richard Holubkov ; Tomohiko Funai ; Amy Clark ; Frank Moler ; Thomas Shanley ; Kathy Meert ; Christopher J L. Newth ; Joseph Carcillo ; John T. Berger ; Allan Doctor ; Robert A. Berg ; Heidi Dalton ; David L. Wessel ; Rick E. Harrison ; J Michael Dean ; Tammara L. Jenkins

Source :

RBID : pubmed:24862461

English descriptors

Abstract

Functional status assessment methods are important as outcome measures for pediatric critical care studies.

DOI: 10.1001/jamapediatrics.2013.5316
PubMed: 24862461

Links to Exploration step

pubmed:24862461

Le document en format XML

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<div type="abstract" xml:lang="en">Functional status assessment methods are important as outcome measures for pediatric critical care studies.</div>
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<Title>JAMA pediatrics</Title>
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<ArticleTitle>Relationship between the functional status scale and the pediatric overall performance category and pediatric cerebral performance category scales.</ArticleTitle>
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<Abstract>
<AbstractText Label="IMPORTANCE" NlmCategory="OBJECTIVE">Functional status assessment methods are important as outcome measures for pediatric critical care studies.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To investigate the relationships between the 2 functional status assessment methods appropriate for large-sample studies, the Functional Status Scale (FSS) and the Pediatric Overall Performance Category and Pediatric Cerebral Performance Category (POPC/PCPC) scales.</AbstractText>
<AbstractText Label="DESIGN, SETTING, AND PARTICIPANTS" NlmCategory="METHODS">Prospective cohort study with random patient selection at 7 sites and 8 children's hospitals with general/medical and cardiac/cardiovascular pediatric intensive care units (PICUs) in the Collaborative Pediatric Critical Care Research Network. Participants included all PICU patients younger than 18 years.</AbstractText>
<AbstractText Label="MAIN OUTCOMES AND MEASURES" NlmCategory="METHODS">Functional Status Scale and POPC/PCPC scores determined at PICU admission (baseline) and PICU discharge. We investigated the association between the baseline and PICU discharge POPC/PCPC scores and the baseline and PICU discharge FSS scores, the dispersion of FSS scores within each of the POPC/PCPC ratings, and the relationship between the FSS neurologic components (FSS-CNS) and the PCPC.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">We included 5017 patients. We found a significant (P < .001) difference between FSS scores in each POPC or PCPC interval, with an FSS score increase with each worsening POPC/PCPC rating. The FSS scores for the good and mild disability POPC/PCPC ratings were similar and increased by 2 to 3 points for the POPC/PCPC change from mild to moderate disability, 5 to 6 points for moderate to severe disability, and 8 to 9 points for severe disability to vegetative state or coma. The dispersion of FSS scores within each POPC and PCPC rating was substantial and increased with worsening POPC and PCPC scores. We also found a significant (P < .001) difference between the FSS-CNS scores between each of the PCPC ratings with increases in the FSS-CNS score for each higher PCPC rating.</AbstractText>
<AbstractText Label="CONCLUSIONS AND RELEVANCE" NlmCategory="CONCLUSIONS">The FSS and POPC/PCPC system are closely associated. Increases in FSS scores occur with each higher POPC and PCPC rating and with greater magnitudes of change as the dysfunction severity increases. However, the dispersion of the FSS scores indicated a lack of precision in the POPC/PCPC system when compared with the more objective and granular FSS. The relationship between the PCPC and the FSS-CNS paralleled the relationship between the FSS and POPC/PCPC system.</AbstractText>
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<ForeName>Murray M</ForeName>
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</AffiliationInfo>
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<ForeName>Tomohiko</ForeName>
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<Affiliation>Department of Pediatrics, Washington University School of Medicine, St Louis, Missouri10Department of Biochemistry, Washington University School of Medicine, St Louis, Missouri.</Affiliation>
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<LastName>Berg</LastName>
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<Affiliation>Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.</Affiliation>
</AffiliationInfo>
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<LastName>Dalton</LastName>
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<Affiliation>Department of Critical Care Medicine, Phoenix Children's Hospital, Phoenix, Arizona2Department of Child Health, University of Arizona College of Medicine-Phoenix.</Affiliation>
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<AffiliationInfo>
<Affiliation>Department of Pediatrics, University of California, Los Angeles.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Dean</LastName>
<ForeName>J Michael</ForeName>
<Initials>JM</Initials>
<AffiliationInfo>
<Affiliation>Department of Pediatrics, University of Utah School of Medicine, Salt Lake City.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Jenkins</LastName>
<ForeName>Tammara L</ForeName>
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<AffiliationInfo>
<Affiliation>Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland.</Affiliation>
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