Reliability and utility of the Acute Care Index of Function in intensive care patients: An observational study
Author(s)
Bissett, Bernie
Green, Margot
Marzano, Vince
Byrne, Susannah
Leditschke, Anne
Neeman, Teresa
Boots, Robert
Paratz, Jenny
Griffith University Author(s)
Year published
2016
Metadata
Show full item recordAbstract
Objectives: To establish the inter-rater reliability of the Acute Care Index of Function (ACIF) in intensive
care unit (ICU) patients and determine whether ACIF scores have predictive utility beyond ICU discharge.
Background: Accurate and reliable measures of physical function are required to describe the recovery
trajectory of ICU survivors. The clinimetric properties of the ACIF are yet to be established in ICU patients.
Methods: Prospective observational study in a single tertiary ICU. ACIF scores were recorded independently
by 2 physiotherapists across a convenience sample of 100 physiotherapy assessments, and at ...
View more >Objectives: To establish the inter-rater reliability of the Acute Care Index of Function (ACIF) in intensive care unit (ICU) patients and determine whether ACIF scores have predictive utility beyond ICU discharge. Background: Accurate and reliable measures of physical function are required to describe the recovery trajectory of ICU survivors. The clinimetric properties of the ACIF are yet to be established in ICU patients. Methods: Prospective observational study in a single tertiary ICU. ACIF scores were recorded independently by 2 physiotherapists across a convenience sample of 100 physiotherapy assessments, and at ICU discharge. Results: Inter-rater reliability of total ACIF scores was very strong (ICC ¼ 0.94). ACIF <0.40 at ICU discharge predicted hospital discharge to a destination other than home (area under ROC ¼ 0.79, 95% CI 0.64e0.89) (sensitivity 0.78). Conclusion: The ACIF has excellent inter-rater reliability in ICU patients and scores at ICU discharge predict the likelihood of discharge home.
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View more >Objectives: To establish the inter-rater reliability of the Acute Care Index of Function (ACIF) in intensive care unit (ICU) patients and determine whether ACIF scores have predictive utility beyond ICU discharge. Background: Accurate and reliable measures of physical function are required to describe the recovery trajectory of ICU survivors. The clinimetric properties of the ACIF are yet to be established in ICU patients. Methods: Prospective observational study in a single tertiary ICU. ACIF scores were recorded independently by 2 physiotherapists across a convenience sample of 100 physiotherapy assessments, and at ICU discharge. Results: Inter-rater reliability of total ACIF scores was very strong (ICC ¼ 0.94). ACIF <0.40 at ICU discharge predicted hospital discharge to a destination other than home (area under ROC ¼ 0.79, 95% CI 0.64e0.89) (sensitivity 0.78). Conclusion: The ACIF has excellent inter-rater reliability in ICU patients and scores at ICU discharge predict the likelihood of discharge home.
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Journal Title
Heart & Lung: The Journal of Acute and Critical Care
Volume
45
Issue
1
Subject
Cardiovascular medicine and haematology
Cardiovascular medicine and haematology not elsewhere classified
Nursing