ICU Mobility Scale: Difference between revisions
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'''Original Editor '''- [[User:Redisha Jakibanjar|Redisha Jakibanjar]] | |||
'''Original Editor '''- [[User: | |||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | ||
Revision as of 17:21, 12 September 2020
Original Editor - Redisha Jakibanjar
Top Contributors - Redisha Jakibanjar and Kim Jackson
Objective[edit | edit source]
Intended Population[edit | edit source]
- The patient's admitted in ICU [2]
Method of Use[edit | edit source]
Health professionals working in the ICU setting can easily use the outcome tool in the patient to check the highest mobility level of the patient.[1]
Evidence[edit | edit source]
Reliability[edit | edit source]
- Intraclass correlation: 0.80 (0.75-0.84)[1]
- Interrater reliability with kappa score: 0.84 for senior and junior physiotherapists, 0.77 for senior physiotherapists and nurses and 0.90 for junior physiotherapists and nurses[1].
Validity[edit | edit source]
Construct validity[edit | edit source]
- The convergent validity was assessed by finding the correlation between ICU mobility scale and muscle strength and was found to be moderate(r=0.64, P<0.001)[3]
- The divergent validity was assessed by finding the correlation between weight and gender of the patient and no correlation was found.[3]
Predictive validity[edit | edit source]
- The mobility score was associated with survival of patient to 90 days with OR, 1.38; 95% CI, 1.14–1.66[3]
- The mobility score was associated with a discharge home (OR, 1.16; 95% CI, 1.02–1.32). Patients who score high in the ICU mobility scale were discharged directly at home rather than in any rehabilitation center or other centers.[3]
- The mobility score wasn't associated with return to work at 6months. [3]
Responsiveness[edit | edit source]
- The effect size for the change in score from admission to discharge from ICU to 6 months follow up was large i.e, 0.8 between each time point
- Around 86% of survivors had improved in the ICU score between the start and discharge from ICU and 92% had shown improvement between discharge and 6 months follow up.[3]
Floor and ceiling effect[edit | edit source]
- ICU mobility scale has acceptable floor and ceiling effect [3]
Minimal Important Difference[edit | edit source]
- 0.89-3[2]
Links[edit | edit source]
http://www.mobilization-network.org/Network/Documents_files/icu_mobility_scale.pdf
References[edit | edit source]
- ↑ 1.0 1.1 1.2 1.3 Hodgson C, Needham D, Haines K, Bailey M, Ward A, Harrold M, Young P, Zanni J, Buhr H, Higgins A, Presneill J. Feasibility and inter-rater reliability of the ICU Mobility Scale. Heart & Lung. 2014 Jan 1;43(1):19-24.
- ↑ 2.0 2.1 2.2 Tipping CJ, Holland AE, Harrold M, Crawford T, Halliburton N, Hodgson CL. The minimal important difference of the ICU mobility scale. Heart & Lung. 2018 Sep 1;47(5):497-501.Tipping CJ, Holland AE, Harrold M, Crawford T, Halliburton N, Hodgson CL. The minimal important difference of the ICU mobility scale. Heart & Lung. 2018 Sep 1;47(5):497-501.
- ↑ 3.0 3.1 3.2 3.3 3.4 3.5 3.6 Tipping CJ, Bailey MJ, Bellomo R, Berney S, Buhr H, Denehy L, Harrold M, Holland A, Higgins AM, Iwashyna TJ, Needham D. The ICU mobility scale has construct and predictive validity and is responsive. A multicenter observational study. Annals of the American Thoracic Society. 2016 Jun;13(6):887-93.
