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Titre : | Construct Validity of the Chilean-Spanish Version of the Functional Status Score for the Intensive Care Unit: A Prospective Observational Study Using Actigraphy in Mechanically Ventilated Patients (2020) |
Auteurs : | Agustin Camus-Molina ; Felipe González-Seguel ; Ana Cristina Castro-Ávila ; Jaime Leppe |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 101, n° 11, 2020) |
Article en page(s) : | p. 1914-1921 |
Note générale : | https://doi.org/10.1016/j.apmr.2020.04.019 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Actigraphie ; Etudes de validation ; Évaluation de résultat (soins) ; Réadaptation ; Unités de soins intensifs |
Résumé : |
Objective
To evaluate the construct validity (hypotheses testing) of the Chilean-Spanish version of the Functional Status Score for the Intensive Care Unit (FSS-ICU) using continuous actigraphy from intensive care unit (ICU) admission to ICU discharge. Design The Chilean-Spanish version of the FSS-ICU was used in a prospective observational study to mainly evaluate its correlation with actigraphy variables. The FSS-ICU was assessed on awakening and at ICU discharge, while actigraphy variables were recorded from ICU admission to ICU discharge. Setting A 12-bed academic medical-surgical ICU. Participants Mechanically ventilated patients (N=30), of 92 patients screened. Interventions Not applicable. Main Outcome Measures Construct validity of the FSS-ICU Chilean-Spanish version was assessed by testing 12 hypotheses, including the correlation with activity counts, activity time (>99 counts/min), inactivity time (0-99 counts/min), muscle strength, ICU length of stay, and duration of mechanical ventilation. Results The median FSS-ICU was 19 points (interquartile range [IQR], 10-26 points) on awakening and 28.5 points (IQR, 22-32 points) at ICU discharge. There was no floor/ceiling effect of the FSS-ICU at awakening (0%/0%) and only a ceiling effect at ICU discharge that was acceptable (0%/10%). Less activity time was associated with better mobility on the FSS-ICU at both awakening (ρ=−0.62, P<.001 and icu discharge p activity counts time were not correlated as expected with the fss-icu.> Conclusions The Chilean-Spanish FSS-ICU had a strong correlation with inactivity time during the ICU stay. These findings enhance the available clinimetric properties of the FSS-ICU. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999320302872#! |