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Titre : | Concurrent Validation of the Inpatient Rehabilitation Facility Patient Assessment Instrument Version 1.4; Sections GG, B, and C (2023) |
Auteurs : | Erin Y. Harmon ; Matthew B. Sonagere |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 12, 2023) |
Article en page(s) : | p. 1995-2001 |
Note générale : | https://doi.org/10.1016/j.apmr.2023.07.009 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Activités de la vie quotidienne ; Administration des services de santé ; Évaluation des résultats et des processus en soins de santé ; Réadaptation |
Résumé : | Objective To validate Sections GG (Self-Care and Mobility Assessment), B (Hearing, Speech, and Vision), and C (Cognitive Patterns) of the Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility Patient Assessment Instrument (CMS-IRF PAI) Version 1.4 in comparison with Functional Independence Measure (FIM) motor subscale (FIMm) and cognitive subscale (FIMc). Design Retrospective cohort. Setting Single inpatient rehabilitation facility. Participants Cohort of 1296 patients admitted for rehabilitation after stroke, between October 1, 2016, and October 1, 2019. Interventions Not applicable. Main Outcome Measures Sections GG, B, and C scores were compared with FIMm and FIMc using Spearman's and Bland-Altman Analyses. Results Sections GG and FIMm were highly correlated on admission (?=0.919, P<.001 and discharge p ceiling effects at were more pronounced for section gg bland-altman analyses revealed a bias toward higher scores on vs fimm admission showed greater gains in function particularly walking stairs comparable self-care items accounted smaller percentage of the compared with internal validity scale consisting b c was good alpha="0.868)" highly correlated fimc but rated patients level cognition had effect conclusion subscales biased ratings ability. may limit discrimination independence. clinical acceptability total as an outcome measure predictor long-term outcomes requires further study.> |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999323004227 |