Demographics in Development of a Quantitative Functional Status Scale (FSS) for Pediatric Patients

Demographics
Study Description
The purpose of the FSS (Functional Status Scale) study was to create a functional status outcome measure for large outcome studies that is well defined, quantitative, rapid, reliable, minimally dependent on subjective assessments, and applicable to hospitalized pediatric patients across a wide range of ages and inpatient environments. This study was designed with the intention that FSS would be used throughout the world of pediatric medicine as an assessment tool. FSS domains of functioning included mental status, sensory functioning, communication, motor functioning, feeding, and respiratory status, categorized from normal (score=1) to very severe dysfunction (score=5). The Adaptive Behavior Assessment System II (ABAS II) established construct validity and calibration within domains. Primary care nurses completed the ABAS II. Seven CPCCRN institutions provided PICU patients within 24 hours before or after PICU discharge, high-risk non-PICU patients within 24 hours after admission, and technology-dependent children.

人口统计学特征
研究概况
本FSS（功能状态量表，Functional Status Scale）研究旨在为大型结局研究开发一款定义明确、量化可测、操作便捷、耗时短暂、信度优良且主观评估依赖度极低的功能状态结局评估工具，且可适用于不同年龄段、不同住院环境下的住院儿科患者。本研究的设计初衷是使FSS能够作为一款评估工具，在全球儿科医学领域得到广泛应用。FSS的功能评估维度涵盖精神状态、感知功能、沟通能力、运动功能、进食状态与呼吸功能，评分区间从正常（得分=1）至极重度功能障碍（得分=5）。适应性行为评估系统第二版（Adaptive Behavior Assessment System II，ABAS II）用于确立各维度的结构效度与校准标准，评估填写工作由初级护理护士完成。7家CPCCRN机构招募了儿科重症监护病房（Pediatric Intensive Care Unit，PICU）出院前后24小时内的患者、入院后24小时内的高危非PICU患者，以及依赖医疗技术的儿童患者。