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VALIDITY OF SCALES FOR THE FUNCTIONAL ASSESSMENT OF CRITICALLY ILL PATIENTS

Validez y confiabilidad de las escalas de evaluación funcional en pacientes críticamente enfermos. Revisión sistemática

dc.contributoren-US
dc.contributorUniversidad San Sebastiánes-ES
dc.creatorLibuy H, Marcela
dc.creatorSzita C, Paola
dc.creatorHermosilla P, Juan
dc.creatorArellano S, Daniel
dc.creatorRodríguez-Núñez, Iván
dc.creatorBáez R, Claudio; Universidad San Sebastián
dc.date2017-10-11
dc.date.accessioned2019-11-11T18:26:33Z
dc.date.available2019-11-11T18:26:33Z
dc.identifierhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/5824
dc.identifier.urihttps://revistaschilenas.uchile.cl/handle/2250/110728
dc.descriptionThe decrease in mortality in critical patient units led to an increase in intensive care unit acquired weakness (ICUAW), which significantly affects the functional performance and quality of life of patients. There are several scales that measure functionality in critical patients. The aim of this systematic review is to determine the criterion validity and reliability of the scales that evaluate functionality in critically ill adult patients. We considered studies in critically ill adult subjects of both genders that determined the psychometric properties of the scales that evaluate functionality. Six minutes’ walk test (6MWT), timed up and go (TUG), the Medical Research Council sum score (MRC-SS), grip strength, discharge destination and need for rehabilitation at discharge were considered as gold standards. Three scales were identified: PFIT-s, Perme MS, and DEMMI. PFIT-s has a positive correlation with 6MWT, MRC-SS and grip strength, and a negative correlation with TUG. It also predicts the need for rehabilitation at discharge and discharge to the home. DEMMI has a positive correlation with MRC-SS. the interobserver reliability was evaluated in three articles, demonstrating an almost perfect association. The intraobserver agreement was considered good in one report. With this information, it is not possible to determine which is the instrument with better measurement properties.en-US
dc.descriptionThe decrease in mortality in critical patient units led to an increase in intensive care unit acquired weakness (ICUAW), which significantly affects the functional performance and quality of life of patients. There are several scales that measure functionality in critical patients. The aim of this systematic review is to determine the criterion validity and reliability of the scales that evaluate functionality in critically ill adult patients. We considered studies in critically ill adult subjects of both genders that determined the psychometric properties of the scales that evaluate functionality. Six minutes’ walk test (6MWT), timed up and go (TUG), the Medical Research Council sum score (MRC-SS), grip strength, discharge destination and need for rehabilitation at discharge were considered as gold standards. Three scales were identified: PFIT-s, Perme MS, and DEMMI. PFIT-s has a positive correlation with 6MWT, MRC-SS and grip strength, and a negative correlation with TUG. It also predicts the need for rehabilitation at discharge and discharge to the home. DEMMI has a positive correlation with MRC-SS. the interobserver reliability was evaluated in three articles, demonstrating an almost perfect association. The intraobserver agreement was considered good in one report. With this information, it is not possible to determine which is the instrument with better measurement properties.es-ES
dc.formatapplication/pdf
dc.languagespa
dc.publisherRevista Médica de Chilees-ES
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/5824/3374
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dc.sourceRevista Médica de Chile; Vol. 145, núm. 9 (2017): SEPTIEMBRE 2017es-ES
dc.source0034-9887
dc.subjectCritical Care Outcomes; Intensive Care Units; Mobility Limitation; Recovery of Function; Validation Studiesen-US
dc.subjectCritical Care Outcomes; Intensive Care Units; Mobility Limitation; Recovery of Function; Validation Studieses-ES
dc.titleVALIDITY OF SCALES FOR THE FUNCTIONAL ASSESSMENT OF CRITICALLY ILL PATIENTSen-US
dc.titleValidez y confiabilidad de las escalas de evaluación funcional en pacientes críticamente enfermos. Revisión sistemáticaes-ES
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.typees-ES


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