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01-05-2015 | Systematic Review

Assessment of impairment and activity limitations in the critically ill: a systematic review of measurement instruments and their clinimetric properties

Authors: Selina M. Parry, Catherine L. Granger, Sue Berney, Jennifer Jones, Lisa Beach, Doa El-Ansary, René Koopman, Linda Denehy

Published in: Intensive Care Medicine | Issue 5/2015

Abstract

Purpose

To identify measures used to evaluate the broad constructs of functional impairment and limitations in the critically ill across the continuum of recovery, and to evaluate, synthesise and compare the clinimetric properties of the measures identified.

Methods

A systematic review of articles was carried out using the databases Medline (1950–2014), CINAHL (1982–2014), EMBASE (1980–2014), Cochrane Library (2014) and Scopus (1960–2014). Additional studies were identified by searching personal files. Eligibility criteria for selection: Search 1: studies which assessed muscle mass, strength or function using objective non-laboratory measures; Search 2: studies which evaluated a clinimetric property (reliability, measurement error, validity or responsiveness) for one of the measures identified in search one. Two independent reviewers assessed articles for inclusion and assessed risk of bias using the consensus-based standards for selection of health status measurement instruments checklist.

Results

Thirty-three measures were identified; however, only 20 had established clinimetric properties. Ultrasonography, dynamometry, physical function in intensive care test scored and the Chelsea critical care physical assessment tool performed the strongest for the measurement of impairment of body systems (muscle mass and strength) and activity limitations (physical function), respectively.

Conclusions

There is considerable variability in the type of measures utilized to measure physical impairments and limitations in survivors of critical illness. Future work should identify a core set of standardized measures, which can be utilized across the continuum of critical illness recovery embedded within the International Classification of Functioning framework. This will enable improved comparisons between future studies, which in turn will assist in identifying the most effective treatment strategies to ameliorate the devastating longer-term outcomes of a critical illness.

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Title: Assessment of impairment and activity limitations in the critically ill: a systematic review of measurement instruments and their clinimetric properties
Authors: Selina M. Parry
Catherine L. Granger
Sue Berney
Jennifer Jones
Lisa Beach
Doa El-Ansary
René Koopman
Linda Denehy
Publication date: 01-05-2015
Publisher: Springer Berlin Heidelberg
Published in: Intensive Care Medicine / Issue 5/2015
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-015-3672-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Assessment of impairment and activity limitations in the critically ill: a systematic review of measurement instruments and their clinimetric properties

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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