PMID- 38490073
OWN - NLM
STAT- MEDLINE
DCOM- 20240424
LR  - 20240509
IS  - 1873-1465 (Electronic)
IS  - 0031-9406 (Linking)
VI  - 123
DP  - 2024 Jun
TI  - Physical function and activity of patients after open abdominal surgery: a 
      prospective cohort study comparing the clinimetric properties of two outcome 
      measures.
PG  - 142-150
LID - S0031-9406(24)00024-5 [pii]
LID - 10.1016/j.physio.2024.02.001 [doi]
AB  - OBJECTIVES: To measure and compare the clinimetric properties of the Chelsea 
      Critical Care Physical Assessment (CPAx) and Physical Function in Intensive Care 
      Test-scored (PFIT-s) for assessment of physical function and activity. DESIGN: 
      Prospective cohort design using crossover-randomisation of the sequence in which 
      participants were assessed with CPAx and PFIT-s. SETTING: Surgical and transplant 
      intensive care units (ICU) in an academic hospital. PARTICIPANTS: Adults who 
      underwent elective open abdominal surgery. Consecutive sampling was used to enrol 
      69 participants. INTERVENTIONS: Physical function and activity were assessed on 
      ICU days one, three, five and at ICU discharge using the CPAx and PFIT-s in 
      random order. MAIN OUTCOME MEASURES: Responsiveness to change, minimal clinically 
      important difference (MCID), floor and ceiling effect, and convergent validity. 
      RESULTS: CPAx demonstrated a large responsiveness (effect size index (ESI)= 0.83) 
      and PFIT-s moderate responsiveness (ESI=0.73) to change in scores. MCID for CPAx 
      was 2.1 (standard error of measurement (SEM) 1.1) and for PFIT-s 0.6 (SEM=0.3). 
      CPAx had no floor effect and a small ceiling effect (9%, n = 6) at ICU discharge 
      compared to 2% (n = 1) floor and 48% (n = 32) ceiling effects of PFIT-s. Moderate 
      convergent validity was found for both tools at ICU admission (n = 67, r = 0.62, 
      p < 0.001) and discharge (n = 67, r = 0.51, p < 0.001). CONCLUSION: CPAx is most 
      responsive to changes in physical function and activity scores, has no floor and 
      limited ceiling effects and moderate convergent validity, and is recommended for 
      similar cohorts. CONTRIBUTION OF THE PAPER.
CI  - Copyright (c) 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.
FAU - Fourie, Marelee
AU  - Fourie M
AD  - Michele Carr Physiotherapists, Wits Donald Gordon Medical Centre, 21 Eton Road, 
      Parktown, Johannesburg 2193, South Africa; Department of Physiotherapy, Faculty 
      of Health Sciences, University of the Witwatersrand, 27 St Andrews Road, 
      Parktown, Johannesburg 2193, South Africa.
FAU - van Aswegen, Heleen
AU  - van Aswegen H
AD  - Department of Physiotherapy, Faculty of Health Sciences, University of the 
      Witwatersrand, 27 St Andrews Road, Parktown, Johannesburg 2193, South Africa. 
      Electronic address: Helena.vanaswegen@wits.ac.za.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20240210
PL  - England
TA  - Physiotherapy
JT  - Physiotherapy
JID - 0401223
SB  - IM
MH  - Humans
MH  - Prospective Studies
MH  - Female
MH  - Male
MH  - Middle Aged
MH  - *Abdomen/surgery
MH  - *Intensive Care Units
MH  - Aged
MH  - Cross-Over Studies
MH  - Reproducibility of Results
MH  - Outcome Assessment, Health Care
MH  - Adult
MH  - Minimal Clinically Important Difference
MH  - Physical Functional Performance
MH  - Critical Care
OTO - NOTNLM
OT  - Abdominal surgery
OT  - Activity
OT  - CPAx
OT  - Minimum clinically important difference
OT  - PFIT-s
OT  - Responsiveness
EDAT- 2024/03/16 05:42
MHDA- 2024/04/25 00:54
CRDT- 2024/03/15 19:11
PHST- 2023/03/24 00:00 [received]
PHST- 2024/01/30 00:00 [revised]
PHST- 2024/02/06 00:00 [accepted]
PHST- 2024/04/25 00:54 [medline]
PHST- 2024/03/16 05:42 [pubmed]
PHST- 2024/03/15 19:11 [entrez]
AID - S0031-9406(24)00024-5 [pii]
AID - 10.1016/j.physio.2024.02.001 [doi]
PST - ppublish
SO  - Physiotherapy. 2024 Jun;123:142-150. doi: 10.1016/j.physio.2024.02.001. Epub 2024 
      Feb 10.