The physical function intensive care test: implementation in survivors of critical illness
Recent studies have demonstrated safety, feasibility, and decreased hospital length of stay for patients with weakness acquired in the intensive care unit (ICU) who receive early physical rehabilitation. The scored Physical Function in Intensive Care Test (PFIT-s) was specifically designed for this...
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| creator | Nordon-Craft, Amy Schenkman, Margaret Edbrooke, Lara Malone, Daniel J Moss, Marc Denehy, Linda |
| description | Recent studies have demonstrated safety, feasibility, and decreased hospital length of stay for patients with weakness acquired in the intensive care unit (ICU) who receive early physical rehabilitation. The scored Physical Function in Intensive Care Test (PFIT-s) was specifically designed for this population and demonstrated excellent psychometrics in an Australian ICU population.
The purpose of this study was to determine the responsiveness and predictive capabilities of the PFIT-s in patients in the United States admitted to the ICU who required mechanical ventilation (MV) for 4 days or longer.
This nested study within a randomized trial administered the PFIT-s, Medical Research Council (MRC) sum score, and grip strength test at ICU recruitment and then weekly until hospital discharge, including at ICU discharge. Spearman rho was used to determine validity. The effect size index was used to calculate measurement responsiveness for the PFIT-s. The receiver operating characteristic curve was used in predicting participants' ability to perform functional components of the PFIT-s.
From August 2009 to July 2012, 51 patients were recruited from 4 ICUs in the Denver, Colorado, metro area. At ICU discharge, PFIT-s scores were highly correlated to MRC sum scores (rho=.923) and grip strength (rho=.763) (P |
| doi_str_mv | 10.2522/ptj.20130451 |
| format | Article |
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The purpose of this study was to determine the responsiveness and predictive capabilities of the PFIT-s in patients in the United States admitted to the ICU who required mechanical ventilation (MV) for 4 days or longer.
This nested study within a randomized trial administered the PFIT-s, Medical Research Council (MRC) sum score, and grip strength test at ICU recruitment and then weekly until hospital discharge, including at ICU discharge. Spearman rho was used to determine validity. The effect size index was used to calculate measurement responsiveness for the PFIT-s. The receiver operating characteristic curve was used in predicting participants' ability to perform functional components of the PFIT-s.
From August 2009 to July 2012, 51 patients were recruited from 4 ICUs in the Denver, Colorado, metro area. At ICU discharge, PFIT-s scores were highly correlated to MRC sum scores (rho=.923) and grip strength (rho=.763) (P<.0005). Using baseline test with ICU discharge (26 pairs), test responsiveness was large (1.14). At ICU discharge, an MRC sum score cut-point of 41.5 predicted participants' ability to perform the standing components of the PFIT-s.
The small sample size was a limitation. However, the findings are consistent with those in a larger sample from Australia.
The PFIT-s is a feasible and valid measure of function for individuals who require MV for 4 days or longer and who are alert, able to follow commands, and have sufficient strength to participate.</description><identifier>ISSN: 0031-9023</identifier><identifier>EISSN: 1538-6724</identifier><identifier>DOI: 10.2522/ptj.20130451</identifier><identifier>PMID: 24810863</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Adult ; Critical Care - methods ; Critical care medicine ; Critical Illness - rehabilitation ; Disability Evaluation ; Exercise Test - methods ; Female ; Heart attacks ; Heart rate ; Humans ; Illnesses ; Intensive care ; Intensive Care Units ; Male ; Methods ; Middle Aged ; Nervous system ; Patients ; Physical therapists ; Physical therapy ; Research Reports ; Severity of Illness Index ; Survivors ; Therapeutics, Physiological ; United States</subject><ispartof>Physical therapy, 2014-10, Vol.94 (10), p.1499-1507</ispartof><rights>2014 American Physical Therapy Association.</rights><rights>COPYRIGHT 2014 Oxford University Press</rights><rights>COPYRIGHT 2014 Oxford University Press</rights><rights>Copyright AMERICAN PHYSICAL THERAPY ASSOCIATION Oct 2014</rights><rights>2014 American Physical Therapy Association 2014</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c690t-94dc5b73383f59b46275b90bb42322aed702df5a672014126ca24911b057051c3</citedby><cites>FETCH-LOGICAL-c690t-94dc5b73383f59b46275b90bb42322aed702df5a672014126ca24911b057051c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24810863$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nordon-Craft, Amy</creatorcontrib><creatorcontrib>Schenkman, Margaret</creatorcontrib><creatorcontrib>Edbrooke, Lara</creatorcontrib><creatorcontrib>Malone, Daniel J</creatorcontrib><creatorcontrib>Moss, Marc</creatorcontrib><creatorcontrib>Denehy, Linda</creatorcontrib><title>The physical function intensive care test: implementation in survivors of critical illness</title><title>Physical therapy</title><addtitle>Phys Ther</addtitle><description>Recent studies have demonstrated safety, feasibility, and decreased hospital length of stay for patients with weakness acquired in the intensive care unit (ICU) who receive early physical rehabilitation. The scored Physical Function in Intensive Care Test (PFIT-s) was specifically designed for this population and demonstrated excellent psychometrics in an Australian ICU population.
The purpose of this study was to determine the responsiveness and predictive capabilities of the PFIT-s in patients in the United States admitted to the ICU who required mechanical ventilation (MV) for 4 days or longer.
This nested study within a randomized trial administered the PFIT-s, Medical Research Council (MRC) sum score, and grip strength test at ICU recruitment and then weekly until hospital discharge, including at ICU discharge. Spearman rho was used to determine validity. The effect size index was used to calculate measurement responsiveness for the PFIT-s. The receiver operating characteristic curve was used in predicting participants' ability to perform functional components of the PFIT-s.
From August 2009 to July 2012, 51 patients were recruited from 4 ICUs in the Denver, Colorado, metro area. At ICU discharge, PFIT-s scores were highly correlated to MRC sum scores (rho=.923) and grip strength (rho=.763) (P<.0005). Using baseline test with ICU discharge (26 pairs), test responsiveness was large (1.14). At ICU discharge, an MRC sum score cut-point of 41.5 predicted participants' ability to perform the standing components of the PFIT-s.
The small sample size was a limitation. However, the findings are consistent with those in a larger sample from Australia.
The PFIT-s is a feasible and valid measure of function for individuals who require MV for 4 days or longer and who are alert, able to follow commands, and have sufficient strength to participate.</description><subject>Adult</subject><subject>Critical Care - methods</subject><subject>Critical care medicine</subject><subject>Critical Illness - rehabilitation</subject><subject>Disability Evaluation</subject><subject>Exercise Test - methods</subject><subject>Female</subject><subject>Heart attacks</subject><subject>Heart rate</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Intensive care</subject><subject>Intensive Care Units</subject><subject>Male</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Nervous system</subject><subject>Patients</subject><subject>Physical therapists</subject><subject>Physical therapy</subject><subject>Research Reports</subject><subject>Severity of Illness Index</subject><subject>Survivors</subject><subject>Therapeutics, Physiological</subject><subject>United States</subject><issn>0031-9023</issn><issn>1538-6724</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqV08-L1DAUB_Aiiruu3jxLwYuCHZOXpD88CMug68Lggq4XLyHNvM5kSJPZpB3c_96MO7s6MviDQgrNJ9_mtXlZ9pSSCQiA1-thNQFCGeGC3suOqWB1UVbA72fHhDBaNATYUfYoxhUhhFa8eZgdAa8pqUt2nH29XGK-Xl5Ho5XNu9HpwXiXGzegi2aDuVYB8wHj8CY3_dpij25QO5PHMWzMxoeY-y7XwQw_Uoy1DmN8nD3olI34ZHc_yb68f3c5_VDMLs7Op6ezQpcNGYqGz7VoK8Zq1omm5SVUom1I23JgAArnFYF5J1SqiVBOodQKeENpS0RFBNXsJHt7k7se2x7nOm0wKCvXwfQqXEuvjNyfcWYpF34jOa1Z3UAKeLELCP5qTKXK3kSN1iqHfoySlgAl4cCrv1NRl6Sp0pjo89_oyo_BpS-xVYLXouLwUy2URWlc59MW9TZUnvL0zgqgoUkVB9QCHaZ6vMPOpMd7fnLAp2uOvdEHF7zcW5DMgN-GhRpjlOefP_2H_fjPtj6b_anIndXeWlygTGdmerHvX914HXyMAbu7X06J3LaGTK0hb1sj8We_HpM7fNsL7Dvu_ANe</recordid><startdate>20141001</startdate><enddate>20141001</enddate><creator>Nordon-Craft, Amy</creator><creator>Schenkman, Margaret</creator><creator>Edbrooke, Lara</creator><creator>Malone, Daniel J</creator><creator>Moss, Marc</creator><creator>Denehy, Linda</creator><general>Oxford University Press</general><general>American Physical Therapy Association</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>8GL</scope><scope>ISN</scope><scope>ISR</scope><scope>3V.</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88I</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>U9A</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20141001</creationdate><title>The physical function intensive care test: implementation in survivors of critical illness</title><author>Nordon-Craft, Amy ; Schenkman, Margaret ; Edbrooke, Lara ; Malone, Daniel J ; Moss, Marc ; Denehy, Linda</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c690t-94dc5b73383f59b46275b90bb42322aed702df5a672014126ca24911b057051c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Critical Care - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Physical therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nordon-Craft, Amy</au><au>Schenkman, Margaret</au><au>Edbrooke, Lara</au><au>Malone, Daniel J</au><au>Moss, Marc</au><au>Denehy, Linda</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The physical function intensive care test: implementation in survivors of critical illness</atitle><jtitle>Physical therapy</jtitle><addtitle>Phys Ther</addtitle><date>2014-10-01</date><risdate>2014</risdate><volume>94</volume><issue>10</issue><spage>1499</spage><epage>1507</epage><pages>1499-1507</pages><issn>0031-9023</issn><eissn>1538-6724</eissn><abstract>Recent studies have demonstrated safety, feasibility, and decreased hospital length of stay for patients with weakness acquired in the intensive care unit (ICU) who receive early physical rehabilitation. The scored Physical Function in Intensive Care Test (PFIT-s) was specifically designed for this population and demonstrated excellent psychometrics in an Australian ICU population.
The purpose of this study was to determine the responsiveness and predictive capabilities of the PFIT-s in patients in the United States admitted to the ICU who required mechanical ventilation (MV) for 4 days or longer.
This nested study within a randomized trial administered the PFIT-s, Medical Research Council (MRC) sum score, and grip strength test at ICU recruitment and then weekly until hospital discharge, including at ICU discharge. Spearman rho was used to determine validity. The effect size index was used to calculate measurement responsiveness for the PFIT-s. The receiver operating characteristic curve was used in predicting participants' ability to perform functional components of the PFIT-s.
From August 2009 to July 2012, 51 patients were recruited from 4 ICUs in the Denver, Colorado, metro area. At ICU discharge, PFIT-s scores were highly correlated to MRC sum scores (rho=.923) and grip strength (rho=.763) (P<.0005). Using baseline test with ICU discharge (26 pairs), test responsiveness was large (1.14). At ICU discharge, an MRC sum score cut-point of 41.5 predicted participants' ability to perform the standing components of the PFIT-s.
The small sample size was a limitation. However, the findings are consistent with those in a larger sample from Australia.
The PFIT-s is a feasible and valid measure of function for individuals who require MV for 4 days or longer and who are alert, able to follow commands, and have sufficient strength to participate.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>24810863</pmid><doi>10.2522/ptj.20130451</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adult Critical Care - methods Critical care medicine Critical Illness - rehabilitation Disability Evaluation Exercise Test - methods Female Heart attacks Heart rate Humans Illnesses Intensive care Intensive Care Units Male Methods Middle Aged Nervous system Patients Physical therapists Physical therapy Research Reports Severity of Illness Index Survivors Therapeutics, Physiological United States |
| title | The physical function intensive care test: implementation in survivors of critical illness |
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