GeneralG20OutcomeImpairment幻灯片.pptVIP

* * * * * * * * * * * Clinical Outcomes in Trauma One of the key components is measure of ISS (Injury Severity Score) Not a good measure for most orthopedic injuries OTA has developed their own software to track orthopedic injuries more completely Extensive resources required for appropriate data collection Clinical Outcomes in Trauma Unrealistic to collect functional outcome data on all trauma patients Multicenter studies are the wave of the future for outcomes research Health-Related Quality-of-Life Instruments in Common Use for Musculoskeletal Problems Medical Outcomes Study Short Form 36 (SF-36) Sickness Impact Profile (SIP) Western Ontario and McMaster University Osteoarthritis Index (WOMAC) Nottingham Health Profile Quality-of-Life Instruments (cont) Quality of Well-Being Scale (QWB) Musculoskeletal Functional Assessment (MFA) AAOS Instruments Summary Our goal should be to fairly identify our patient’s impairments, assist in disability evaluation, and begin assessing patient’s outcomes based on their perceptions as well as our objective findings Thank You Return to General/Principles Index E-mail OTA about Questions/Comments If you would like to volunteer as an author for the Resident Slide Project or recommend updates to any of the following slides, please send an e-mail to ota@aaos.org * * * * * * * * * * * * * * * * * * * * * * * * * * Functional Outcomes and Physical Impairment Rating Tools in Orthopedic Trauma David Hubbard, MD West Virginia University, Morgantown, WV Created March 2004; Revised May 2011 Definition of Terms Disability Permanent impairment Handicap Definitions Disability assessed by non medical means represents an alteration of an individual’s capacity to meet personal, social, or occupational demands or to meet statutory or regulatory requirements. Definitions Permanent Impairment any anatomic loss or functional abnormality persisting after maximum medical improvement has been achieved. Definitions Handicap disadvantages that l