PMID- 36750763
OWN - NLM
STAT- MEDLINE
DCOM- 20240214
LR  - 20240214
IS  - 1464-5165 (Electronic)
IS  - 0963-8288 (Linking)
VI  - 46
IP  - 4
DP  - 2024 Feb
TI  - Minimal clinically important difference of the functional independence measure in 
      older adults with hip fracture.
PG  - 812-819
LID - 10.1080/09638288.2023.2175386 [doi]
AB  - PURPOSE: To investigate the responsiveness and minimal clinically important 
      difference (MCID) of the Functional Independence Measure (FIM) from a clinician's 
      perspective in hip-fractured elderly undergoing inpatient rehabilitation. 
      MATERIALS AND METHODS: Data of 701 hip-fractured elderly admitted to our 
      rehabilitation institute were retrospectively collected. Ten a priori hypotheses 
      were formulated. RESULTS: The effect size of the FIM scores after treatment were 
      large (total = 1.38, motor = 1.78). Moderate correlations were found between the 
      change total score of FIM and Barthel Index (BI, r(s) = 0.51), Functional 
      Ambulation Categories (FAC, r(s) = 0.52) and a checklist regarding participants' 
      independence in transfers (r(s) = 0.59). The area under the receiving operating 
      characteristics were 0.82, 0.81, and 0.85 when BI, FAC and checklist were used as 
      anchors, respectively. Based on these findings, the FIM showed high 
      responsiveness (9/10 hypotheses met). Triangulation of findings showed that MCIDs 
      of 22 and 21 points were the most appropriate for the FIM total and motor score, 
      respectively. CONCLUSIONS: The FIM scale is appropriate for assessing 
      independence and functional recovery in hip-fractured elderly. Improvements of 22 
      and 21 points at the total and motor FIM were identified as indicators of minimal 
      clinical change in those admitted to a rehabilitation facility with an FIM total 
      score between 40 and 80.
FAU - Arcolin, Ilaria
AU  - Arcolin I
AUID- ORCID: 0000-0001-5948-2428
AD  - Division of Physical Medicine and Rehabilitation, Istituti Clinici Scientifici 
      Maugeri SpA SB, IRCCS, Scientific Institute of Veruno, Gattico-Veruno, Italy.
FAU - Godi, Marco
AU  - Godi M
AUID- ORCID: 0000-0002-8501-6524
AD  - Division of Physical Medicine and Rehabilitation, Istituti Clinici Scientifici 
      Maugeri SpA SB, IRCCS, Scientific Institute of Veruno, Gattico-Veruno, Italy.
FAU - Giardini, Marica
AU  - Giardini M
AUID- ORCID: 0000-0002-8910-2649
AD  - Division of Physical Medicine and Rehabilitation, Istituti Clinici Scientifici 
      Maugeri SpA SB, IRCCS, Scientific Institute of Veruno, Gattico-Veruno, Italy.
FAU - Guglielmetti, Simone
AU  - Guglielmetti S
AUID- ORCID: 0000-0002-7800-1420
AD  - Division of Physical Medicine and Rehabilitation, Istituti Clinici Scientifici 
      Maugeri SpA SB, IRCCS, Scientific Institute of Veruno, Gattico-Veruno, Italy.
FAU - Bellotti, Lucia
AU  - Bellotti L
AUID- ORCID: 0000-0002-2434-1083
AD  - Division of Physical Medicine and Rehabilitation, Istituti Clinici Scientifici 
      Maugeri SpA SB, IRCCS, Scientific Institute of Veruno, Gattico-Veruno, Italy.
FAU - Corna, Stefano
AU  - Corna S
AUID- ORCID: 0000-0002-7484-0171
AD  - Division of Physical Medicine and Rehabilitation, Istituti Clinici Scientifici 
      Maugeri SpA SB, IRCCS, Scientific Institute of Veruno, Gattico-Veruno, Italy.
LA  - eng
PT  - Journal Article
DEP - 20230207
PL  - England
TA  - Disabil Rehabil
JT  - Disability and rehabilitation
JID - 9207179
SB  - IM
MH  - Humans
MH  - Aged
MH  - Retrospective Studies
MH  - *Minimal Clinically Important Difference
MH  - Functional Status
MH  - *Hip Fractures/rehabilitation
MH  - Recovery of Function
MH  - Treatment Outcome
OAB - This study provides evidence of the high responsiveness of the Functional 
      Independence Measure (FIM) total score and of its motor subscore, while the 
      cognitive subscore is not responsive to change among older adults with hip 
      fractures hospitalized for rehabilitation.After a rehabilitative program, a 
      change of at least 22 points in the FIM total score is clinically important in 
      older adults with hip fractures.This change scores will be useful for researchers 
      and clinicians in order to determine a possible clinically meaningful improvement 
      in independence as a response to rehabilitation after a hip fracture.
OABL- eng
OTO - NOTNLM
OT  - Functional independence
OT  - hip fractures
OT  - minimal clinically important difference
OT  - patient outcome assessment
OT  - rehabilitation
OT  - responsiveness
EDAT- 2023/02/09 06:00
MHDA- 2024/02/13 12:45
CRDT- 2023/02/08 00:07
PHST- 2024/02/13 12:45 [medline]
PHST- 2023/02/09 06:00 [pubmed]
PHST- 2023/02/08 00:07 [entrez]
AID - 10.1080/09638288.2023.2175386 [doi]
PST - ppublish
SO  - Disabil Rehabil. 2024 Feb;46(4):812-819. doi: 10.1080/09638288.2023.2175386. Epub 
      2023 Feb 7.