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Linking Crohn's disease health status measurements with International Classification of Functioning, Disability and Health and vocational rehabilitation outcomes


Autor/in:

Reichel, Christoph; Streit, Jürgen; Wunsch, Steffen


Herausgeber/in:

European Board of Physical and Rehabilitation Medicine


Quelle:

Journal of Rehabilitation Medicine (JRM), 2010, Volume 42 (Issue 1), Seite 74-80, Uppsala: Eigenverlag, ISSN: 1650-1977 (Print); 1651-2081 (Online)


Jahr:

2010



Link(s):


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Abstract:


Objective:

The International Classification of Functioning, Disability and Health (ICF) serves as a unifying model for rehabilitation medicine. Variables of the health status
measurements, the Crohn's Disease Activity Index and the Harvey-Bradshaw Index, have not been linked with the ICF categories and compared with other predictors of rehabilitation outcomes.

Methods:

Crohn's Disease Activity Index variables were linked with ICF categories using linking rules. A chart review included the patients of our in-patient rehabilitation centre during one year (n = 355) with International Classification of Disease Codes for Crohn's disease (ICD K50). We identified variables linked with clinical improvement (decrease in the Harvey-Bradshaw Index of ? 2 U) and rehabilitation success (conversion from unfit-to-work to fit-to-work) by multivariate logistic regression.

Results:

The ICF component, activities and participation, was not represented in the Crohn's Disease Activity Index and the Harvey-Bradshaw Index. A Harvey-Bradshaw Index ? 5 U was associated with clinical improvement during rehabilitation (odds ratio 5.65 (95% CI 3.41-9.35)). Normal C-reactive protein (odds ratio 2.8 (95% CI 1.1-7.0)) and higher body mass index (odds ratio (per 1 kg/m2 increase) 1.1 (95% CI 1.0-1.2)), but not Harvey-Bradshaw Index, were associated with vocational rehabilitation success in 124 patients who were initially unfit-to-work.

Conclusion:

Variables representing activities and participation as well as immune functions may improve Crohn's disease health status measurements on the basis of better
prediction of vocational rehabilitation success.


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Dokumentart:


Zeitschriftenbeitrag / Forschungsergebnis / Online-Publikation




Bezugsmöglichkeit:


Journal of Rehabilitation Medicine (JRM)
Homepage: https://www.medicaljournals.se/jrm/

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Referenznummer:

R/ZA5131


Informationsstand: 01.06.2010

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