Feasibility and inter-rater reliability of physical performance measures in acutely admitted older medical patients
Physical performance measures can be used to predict functional decline and increased dependency in older persons. However, few studies have assessed the feasibility or reliability of such measures in hospitalized older patients. Here we assessed the feasibility and inter-rater reliability of four s...
Gespeichert in:
| Veröffentlicht in: | PloS one 2015-02, Vol.10 (2), p.e0118248-e0118248 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e0118248 |
|---|---|
| container_issue | 2 |
| container_start_page | e0118248 |
| container_title | PloS one |
| container_volume | 10 |
| creator | Bodilsen, Ann Christine Juul-Larsen, Helle Gybel Petersen, Janne Beyer, Nina Andersen, Ove Bandholm, Thomas |
| description | Physical performance measures can be used to predict functional decline and increased dependency in older persons. However, few studies have assessed the feasibility or reliability of such measures in hospitalized older patients. Here we assessed the feasibility and inter-rater reliability of four simple measures of physical performance in acutely admitted older medical patients.
During the first 24 hours of hospitalization, the following were assessed twice by different raters in 52 (≥ 65 years) patients admitted for acute medical illness: isometric hand grip strength, 4-meter gait speed, 30-s chair stand and Cumulated Ambulation Score. Relative reliability was expressed as weighted kappa for the Cumulated Ambulation Score or as intra-class correlation coefficient (ICC1,1) and lower limit of the 95%-confidence interval (LL95%) for grip strength, gait speed, and 30-s chair stand. Absolute reliability was expressed as the standard error of measurement and the smallest real difference as a percentage of their respective means (SEM% and SRD%).
The primary reasons for admission of the 52 included patients were infectious disease and cardiovascular illness. The mean± SD age was 78±8.3 years, and 73.1% were women. All patients performed grip strength and Cumulated Ambulation Score testing, 81% performed the gait speed test, and 54% completed the 30-s chair stand test (46% were unable to rise without using the armrests). No systematic bias was found between first and second tests or between raters. The weighted kappa for the Cumulated Ambulation Score was 0.76 (0.60-0.92). The ICC1,1 values were as follows: grip strength, 0.95 (LL95% 0.92); gait speed, 0.92 (LL95% 0.73), and 30-s chair stand, 0.82 (LL95% 0.67). The SEM% values for grip strength, gait speed, and 30-s chair stand were 8%, 7%, and 18%, and the SRD95% values were 22%, 17%, and 49%.
In acutely admitted older medical patients, grip strength, gait speed, and the Cumulated Ambulation Score measurements were feasible and showed high inter-rater reliability when administered by different raters. The feasibility and inter-rater reliability of the 30-s chair stand were moderate, complicating the use of the 30-s chair stand in acutely admitted older medical patients. However, the predefined modified version of the chair stand test was both feasible and with high inter-rater reliability in this population. |
| doi_str_mv | 10.1371/journal.pone.0118248 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_plos_</sourceid><recordid>TN_cdi_plos_journals_1658066013</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_87a6ed1fda91406583ff7e9f435aabcc</doaj_id><sourcerecordid>3602770061</sourcerecordid><originalsourceid>FETCH-LOGICAL-c526t-ac0436ce1d6c153a3518ed6a1783f11a33425909abfa617f12018568b1aa479f3</originalsourceid><addsrcrecordid>eNptUsFu1DAUjBCIlsIfIIjEhcsufnHsOBckVFGoVIkLnK0X57n1yomDnVTav8cladUiLrblNzOesaYo3gLbA2_g0yEscUS_n8JIewagqlo9K06h5dVOVow_f3Q-KV6ldGBMcCXly-KkEg2TQvDTIl0QJtc57-ZjiWNfunGmuIuY1zKSd7jNgi2nm2NyBn05UbQhDjgaKofMXyKlTCzRLDP5rNMPbp6pL4Pvs8xA_UrD2dE4p9fFC4s-0ZttPyt-XXz9ef59d_Xj2-X5l6udEZWcd2hYzaUh6KUBwZELUNRLhEZxC4Cc15VoWYudRQmNhYqBElJ1gFg3reVnxftVd_Ih6e2_kgYpFJOSAc-IyxXRBzzoKboB41EHdPrvRYjXGuPsjCetGpTUg-2xhTp_XvZgG2ptzQViZ0zW-ry9tnQ5sclJI_onok8no7vR1-FW15yr7CULfNwEYvi9UJr14JIh73GksKy-6wpy4gz98A_0_-nqFWViSCmSfTADTN916J6l7zqktw5l2rvHQR5I96XhfwAegsdS</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1658066013</pqid></control><display><type>article</type><title>Feasibility and inter-rater reliability of physical performance measures in acutely admitted older medical patients</title><source>MEDLINE</source><source>PMC (PubMed Central)</source><source>DOAJ Directory of Open Access Journals</source><source>Public Library of Science (PLoS) Journals Open Access</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Free Full-Text Journals in Chemistry</source><creator>Bodilsen, Ann Christine ; Juul-Larsen, Helle Gybel ; Petersen, Janne ; Beyer, Nina ; Andersen, Ove ; Bandholm, Thomas</creator><contributor>Quinn, Terence J</contributor><creatorcontrib>Bodilsen, Ann Christine ; Juul-Larsen, Helle Gybel ; Petersen, Janne ; Beyer, Nina ; Andersen, Ove ; Bandholm, Thomas ; Quinn, Terence J</creatorcontrib><description>Physical performance measures can be used to predict functional decline and increased dependency in older persons. However, few studies have assessed the feasibility or reliability of such measures in hospitalized older patients. Here we assessed the feasibility and inter-rater reliability of four simple measures of physical performance in acutely admitted older medical patients.
During the first 24 hours of hospitalization, the following were assessed twice by different raters in 52 (≥ 65 years) patients admitted for acute medical illness: isometric hand grip strength, 4-meter gait speed, 30-s chair stand and Cumulated Ambulation Score. Relative reliability was expressed as weighted kappa for the Cumulated Ambulation Score or as intra-class correlation coefficient (ICC1,1) and lower limit of the 95%-confidence interval (LL95%) for grip strength, gait speed, and 30-s chair stand. Absolute reliability was expressed as the standard error of measurement and the smallest real difference as a percentage of their respective means (SEM% and SRD%).
The primary reasons for admission of the 52 included patients were infectious disease and cardiovascular illness. The mean± SD age was 78±8.3 years, and 73.1% were women. All patients performed grip strength and Cumulated Ambulation Score testing, 81% performed the gait speed test, and 54% completed the 30-s chair stand test (46% were unable to rise without using the armrests). No systematic bias was found between first and second tests or between raters. The weighted kappa for the Cumulated Ambulation Score was 0.76 (0.60-0.92). The ICC1,1 values were as follows: grip strength, 0.95 (LL95% 0.92); gait speed, 0.92 (LL95% 0.73), and 30-s chair stand, 0.82 (LL95% 0.67). The SEM% values for grip strength, gait speed, and 30-s chair stand were 8%, 7%, and 18%, and the SRD95% values were 22%, 17%, and 49%.
In acutely admitted older medical patients, grip strength, gait speed, and the Cumulated Ambulation Score measurements were feasible and showed high inter-rater reliability when administered by different raters. The feasibility and inter-rater reliability of the 30-s chair stand were moderate, complicating the use of the 30-s chair stand in acutely admitted older medical patients. However, the predefined modified version of the chair stand test was both feasible and with high inter-rater reliability in this population.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0118248</identifier><identifier>PMID: 25706553</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Aged ; Confidence intervals ; Correlation coefficient ; Correlation coefficients ; Disability ; Error analysis ; Feasibility studies ; Female ; Fractures ; Gait ; Gait - physiology ; Grip strength ; Hand Strength - physiology ; Hospitalization ; Hospitals ; Humans ; Infectious diseases ; Intensive care ; Isometric ; Male ; Mortality ; Older people ; Patients ; Rehabilitation ; Reliability analysis ; Reproducibility of Results ; Standard error ; Studies ; Systematic review ; Task Performance and Analysis ; Walking - physiology</subject><ispartof>PloS one, 2015-02, Vol.10 (2), p.e0118248-e0118248</ispartof><rights>2015 Bodilsen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2015 Bodilsen et al 2015 Bodilsen et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c526t-ac0436ce1d6c153a3518ed6a1783f11a33425909abfa617f12018568b1aa479f3</citedby><cites>FETCH-LOGICAL-c526t-ac0436ce1d6c153a3518ed6a1783f11a33425909abfa617f12018568b1aa479f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4338133/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4338133/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,2096,2915,23847,27905,27906,53772,53774,79349,79350</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25706553$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Quinn, Terence J</contributor><creatorcontrib>Bodilsen, Ann Christine</creatorcontrib><creatorcontrib>Juul-Larsen, Helle Gybel</creatorcontrib><creatorcontrib>Petersen, Janne</creatorcontrib><creatorcontrib>Beyer, Nina</creatorcontrib><creatorcontrib>Andersen, Ove</creatorcontrib><creatorcontrib>Bandholm, Thomas</creatorcontrib><title>Feasibility and inter-rater reliability of physical performance measures in acutely admitted older medical patients</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Physical performance measures can be used to predict functional decline and increased dependency in older persons. However, few studies have assessed the feasibility or reliability of such measures in hospitalized older patients. Here we assessed the feasibility and inter-rater reliability of four simple measures of physical performance in acutely admitted older medical patients.
During the first 24 hours of hospitalization, the following were assessed twice by different raters in 52 (≥ 65 years) patients admitted for acute medical illness: isometric hand grip strength, 4-meter gait speed, 30-s chair stand and Cumulated Ambulation Score. Relative reliability was expressed as weighted kappa for the Cumulated Ambulation Score or as intra-class correlation coefficient (ICC1,1) and lower limit of the 95%-confidence interval (LL95%) for grip strength, gait speed, and 30-s chair stand. Absolute reliability was expressed as the standard error of measurement and the smallest real difference as a percentage of their respective means (SEM% and SRD%).
The primary reasons for admission of the 52 included patients were infectious disease and cardiovascular illness. The mean± SD age was 78±8.3 years, and 73.1% were women. All patients performed grip strength and Cumulated Ambulation Score testing, 81% performed the gait speed test, and 54% completed the 30-s chair stand test (46% were unable to rise without using the armrests). No systematic bias was found between first and second tests or between raters. The weighted kappa for the Cumulated Ambulation Score was 0.76 (0.60-0.92). The ICC1,1 values were as follows: grip strength, 0.95 (LL95% 0.92); gait speed, 0.92 (LL95% 0.73), and 30-s chair stand, 0.82 (LL95% 0.67). The SEM% values for grip strength, gait speed, and 30-s chair stand were 8%, 7%, and 18%, and the SRD95% values were 22%, 17%, and 49%.
In acutely admitted older medical patients, grip strength, gait speed, and the Cumulated Ambulation Score measurements were feasible and showed high inter-rater reliability when administered by different raters. The feasibility and inter-rater reliability of the 30-s chair stand were moderate, complicating the use of the 30-s chair stand in acutely admitted older medical patients. However, the predefined modified version of the chair stand test was both feasible and with high inter-rater reliability in this population.</description><subject>Aged</subject><subject>Confidence intervals</subject><subject>Correlation coefficient</subject><subject>Correlation coefficients</subject><subject>Disability</subject><subject>Error analysis</subject><subject>Feasibility studies</subject><subject>Female</subject><subject>Fractures</subject><subject>Gait</subject><subject>Gait - physiology</subject><subject>Grip strength</subject><subject>Hand Strength - physiology</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Intensive care</subject><subject>Isometric</subject><subject>Male</subject><subject>Mortality</subject><subject>Older people</subject><subject>Patients</subject><subject>Rehabilitation</subject><subject>Reliability analysis</subject><subject>Reproducibility of Results</subject><subject>Standard error</subject><subject>Studies</subject><subject>Systematic review</subject><subject>Task Performance and Analysis</subject><subject>Walking - physiology</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNptUsFu1DAUjBCIlsIfIIjEhcsufnHsOBckVFGoVIkLnK0X57n1yomDnVTav8cladUiLrblNzOesaYo3gLbA2_g0yEscUS_n8JIewagqlo9K06h5dVOVow_f3Q-KV6ldGBMcCXly-KkEg2TQvDTIl0QJtc57-ZjiWNfunGmuIuY1zKSd7jNgi2nm2NyBn05UbQhDjgaKofMXyKlTCzRLDP5rNMPbp6pL4Pvs8xA_UrD2dE4p9fFC4s-0ZttPyt-XXz9ef59d_Xj2-X5l6udEZWcd2hYzaUh6KUBwZELUNRLhEZxC4Cc15VoWYudRQmNhYqBElJ1gFg3reVnxftVd_Ih6e2_kgYpFJOSAc-IyxXRBzzoKboB41EHdPrvRYjXGuPsjCetGpTUg-2xhTp_XvZgG2ptzQViZ0zW-ry9tnQ5sclJI_onok8no7vR1-FW15yr7CULfNwEYvi9UJr14JIh73GksKy-6wpy4gz98A_0_-nqFWViSCmSfTADTN916J6l7zqktw5l2rvHQR5I96XhfwAegsdS</recordid><startdate>20150223</startdate><enddate>20150223</enddate><creator>Bodilsen, Ann Christine</creator><creator>Juul-Larsen, Helle Gybel</creator><creator>Petersen, Janne</creator><creator>Beyer, Nina</creator><creator>Andersen, Ove</creator><creator>Bandholm, Thomas</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20150223</creationdate><title>Feasibility and inter-rater reliability of physical performance measures in acutely admitted older medical patients</title><author>Bodilsen, Ann Christine ; Juul-Larsen, Helle Gybel ; Petersen, Janne ; Beyer, Nina ; Andersen, Ove ; Bandholm, Thomas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c526t-ac0436ce1d6c153a3518ed6a1783f11a33425909abfa617f12018568b1aa479f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Confidence intervals</topic><topic>Correlation coefficient</topic><topic>Correlation coefficients</topic><topic>Disability</topic><topic>Error analysis</topic><topic>Feasibility studies</topic><topic>Female</topic><topic>Fractures</topic><topic>Gait</topic><topic>Gait - physiology</topic><topic>Grip strength</topic><topic>Hand Strength - physiology</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Intensive care</topic><topic>Isometric</topic><topic>Male</topic><topic>Mortality</topic><topic>Older people</topic><topic>Patients</topic><topic>Rehabilitation</topic><topic>Reliability analysis</topic><topic>Reproducibility of Results</topic><topic>Standard error</topic><topic>Studies</topic><topic>Systematic review</topic><topic>Task Performance and Analysis</topic><topic>Walking - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bodilsen, Ann Christine</creatorcontrib><creatorcontrib>Juul-Larsen, Helle Gybel</creatorcontrib><creatorcontrib>Petersen, Janne</creatorcontrib><creatorcontrib>Beyer, Nina</creatorcontrib><creatorcontrib>Andersen, Ove</creatorcontrib><creatorcontrib>Bandholm, Thomas</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bodilsen, Ann Christine</au><au>Juul-Larsen, Helle Gybel</au><au>Petersen, Janne</au><au>Beyer, Nina</au><au>Andersen, Ove</au><au>Bandholm, Thomas</au><au>Quinn, Terence J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Feasibility and inter-rater reliability of physical performance measures in acutely admitted older medical patients</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-02-23</date><risdate>2015</risdate><volume>10</volume><issue>2</issue><spage>e0118248</spage><epage>e0118248</epage><pages>e0118248-e0118248</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Physical performance measures can be used to predict functional decline and increased dependency in older persons. However, few studies have assessed the feasibility or reliability of such measures in hospitalized older patients. Here we assessed the feasibility and inter-rater reliability of four simple measures of physical performance in acutely admitted older medical patients.
During the first 24 hours of hospitalization, the following were assessed twice by different raters in 52 (≥ 65 years) patients admitted for acute medical illness: isometric hand grip strength, 4-meter gait speed, 30-s chair stand and Cumulated Ambulation Score. Relative reliability was expressed as weighted kappa for the Cumulated Ambulation Score or as intra-class correlation coefficient (ICC1,1) and lower limit of the 95%-confidence interval (LL95%) for grip strength, gait speed, and 30-s chair stand. Absolute reliability was expressed as the standard error of measurement and the smallest real difference as a percentage of their respective means (SEM% and SRD%).
The primary reasons for admission of the 52 included patients were infectious disease and cardiovascular illness. The mean± SD age was 78±8.3 years, and 73.1% were women. All patients performed grip strength and Cumulated Ambulation Score testing, 81% performed the gait speed test, and 54% completed the 30-s chair stand test (46% were unable to rise without using the armrests). No systematic bias was found between first and second tests or between raters. The weighted kappa for the Cumulated Ambulation Score was 0.76 (0.60-0.92). The ICC1,1 values were as follows: grip strength, 0.95 (LL95% 0.92); gait speed, 0.92 (LL95% 0.73), and 30-s chair stand, 0.82 (LL95% 0.67). The SEM% values for grip strength, gait speed, and 30-s chair stand were 8%, 7%, and 18%, and the SRD95% values were 22%, 17%, and 49%.
In acutely admitted older medical patients, grip strength, gait speed, and the Cumulated Ambulation Score measurements were feasible and showed high inter-rater reliability when administered by different raters. The feasibility and inter-rater reliability of the 30-s chair stand were moderate, complicating the use of the 30-s chair stand in acutely admitted older medical patients. However, the predefined modified version of the chair stand test was both feasible and with high inter-rater reliability in this population.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25706553</pmid><doi>10.1371/journal.pone.0118248</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2015-02, Vol.10 (2), p.e0118248-e0118248 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1658066013 |
| source | MEDLINE; PMC (PubMed Central); DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; Free Full-Text Journals in Chemistry |
| subjects | Aged Confidence intervals Correlation coefficient Correlation coefficients Disability Error analysis Feasibility studies Female Fractures Gait Gait - physiology Grip strength Hand Strength - physiology Hospitalization Hospitals Humans Infectious diseases Intensive care Isometric Male Mortality Older people Patients Rehabilitation Reliability analysis Reproducibility of Results Standard error Studies Systematic review Task Performance and Analysis Walking - physiology |
| title | Feasibility and inter-rater reliability of physical performance measures in acutely admitted older medical patients |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-17T12%3A01%3A13IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Feasibility%20and%20inter-rater%20reliability%20of%20physical%20performance%20measures%20in%20acutely%20admitted%20older%20medical%20patients&rft.jtitle=PloS%20one&rft.au=Bodilsen,%20Ann%20Christine&rft.date=2015-02-23&rft.volume=10&rft.issue=2&rft.spage=e0118248&rft.epage=e0118248&rft.pages=e0118248-e0118248&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0118248&rft_dat=%3Cproquest_plos_%3E3602770061%3C/proquest_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1658066013&rft_id=info:pmid/25706553&rft_doaj_id=oai_doaj_org_article_87a6ed1fda91406583ff7e9f435aabcc&rfr_iscdi=true |