当前位置: X-MOL 学术Arch. Phys. Med. Rehabilit. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
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
Archives of Physical Medicine and Rehabilitation ( IF 4.3 ) Pub Date : 2020-11-01 , DOI: 10.1016/j.apmr.2020.04.019
Agustín Camus-Molina 1 , Felipe González-Seguel 1 , Ana Cristina Castro-Ávila 2 , Jaime Leppe 3
Affiliation  

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 (GT9X Link-ActiGraph). 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 Thirty mechanically-ventilated patients of 92 patients screened. INTERVENTIONS Not applicable. MAIN OUTCOME MEASURE 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 per minute), inactivity time (0-99 counts per minute), muscle strength, ICU length of stay, and duration of mechanical ventilation. RESULTS The median FSS-ICU was 19 (IQR 10-26) points on awakening and 28.5 (IQR 22-32) 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 (rho = -0.62, P<0.001) and ICU discharge (rho = -0.79, P<0.001). Activity counts and activity 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.

中文翻译:

智利-西班牙文版重症监护室功能状态评分的构建有效性:一项在机械通气患者中使用活动描记术的前瞻性观察研究

目的 使用从重症监护病房 (ICU) 入院到出院的连续活动图评估智利-西班牙文版重症监护病房 (FSS-ICU) 功能状态评分的结构效度(假设检验)。设计 FSS-ICU 的智利-西班牙版本用于一项前瞻性观察研究,主要评估其与活动记录变量的相关性 (GT9X Link-ActiGraph)。FSS-ICU 在苏醒和 ICU 出院时进行评估,而活动记录变量则从 ICU 入院到 ICU 出院进行记录。设置一个 12 张床位的学术型内外科 ICU。参与者 筛选了 92 名患者中的 30 名机械通气患者。干预 不适用。主要结果测量 FSS-ICU 智利-西班牙版本的结构有效性通过测试 12 个假设进行评估,包括与活动次数、活动时间(>99 次/分钟)、不活动时间(0-99 次/分钟)、肌肉力量、ICU 住院时间和机械通气时间的相关性。结果 苏醒时 FSS-ICU 中位数为 19 (IQR 10-26),ICU 出院时为 28.5 (IQR 22-32)。苏醒时 FSS-ICU 没有地板/天花板效应 (0%/0%),只有出院时的天花板效应是可以接受的 (0%/10%)。在清醒(rho = -0.62,P<0.001)和 ICU 出院(rho = -0.79,P<0.001)时,较少的活动时间与 FSS-ICU 上更好的活动能力相关。活动计数和活动时间与 FSS-ICU 的预期不相关。结论智利-西班牙FSS-ICU与ICU住院期间的不活动时间有很强的相关性。
更新日期:2020-11-01
down
wechat
bug