Reliability and utility of the Acute Care Index of Function in intensive care patients: An observational study

Bernie Bissett; Margot Green; Vince Marzano; Susannah Byrne; I. Anne Leditschke; Teresa Neeman; Robert Boots; Jennifer Paratz

doi:10.1016/j.hrtlng.2015.09.008

Reliability and utility of the Acute Care Index of Function in intensive care patients: An observational study

Bernie Bissett^*, Margot Green, Vince Marzano, Susannah Byrne, I. Anne Leditschke, Teresa Neeman, Robert Boots, Jennifer Paratz

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

6 Citations (Scopus)

Abstract

Objectives: To establish the inter-rater reliability of the Acute Care Index of Function (ACIF) in intensive care unit (ICU) patients and determine whether ACIF scores have predictive utility beyond ICU discharge. Background: Accurate and reliable measures of physical function are required to describe the recovery trajectory of ICU survivors. The clinimetric properties of the ACIF are yet to be established in ICU patients. Methods: Prospective observational study in a single tertiary ICU. ACIF scores were recorded independently by 2 physiotherapists across a convenience sample of 100 physiotherapy assessments, and at ICU discharge. Results: Inter-rater reliability of total ACIF scores was very strong (ICC = 0.94). ACIF <0.40 at ICU discharge predicted hospital discharge to a destination other than home (area under ROC = 0.79, 95% CI 0.64-0.89) (sensitivity 0.78). Conclusion: The ACIF has excellent inter-rater reliability in ICU patients and scores at ICU discharge predict the likelihood of discharge home. Trial registration: ACTRN12614001008617 (September 18 2014).

Original language	English
Pages (from-to)	10-14
Number of pages	5
Journal	Heart and Lung
Volume	45
Issue number	1
DOIs	https://doi.org/10.1016/j.hrtlng.2015.09.008
Publication status	Published - 1 Jan 2016

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10.1016/j.hrtlng.2015.09.008

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title = "Reliability and utility of the Acute Care Index of Function in intensive care patients: An observational study",

abstract = "Objectives: To establish the inter-rater reliability of the Acute Care Index of Function (ACIF) in intensive care unit (ICU) patients and determine whether ACIF scores have predictive utility beyond ICU discharge. Background: Accurate and reliable measures of physical function are required to describe the recovery trajectory of ICU survivors. The clinimetric properties of the ACIF are yet to be established in ICU patients. Methods: Prospective observational study in a single tertiary ICU. ACIF scores were recorded independently by 2 physiotherapists across a convenience sample of 100 physiotherapy assessments, and at ICU discharge. Results: Inter-rater reliability of total ACIF scores was very strong (ICC = 0.94). ACIF <0.40 at ICU discharge predicted hospital discharge to a destination other than home (area under ROC = 0.79, 95% CI 0.64-0.89) (sensitivity 0.78). Conclusion: The ACIF has excellent inter-rater reliability in ICU patients and scores at ICU discharge predict the likelihood of discharge home. Trial registration: ACTRN12614001008617 (September 18 2014).",

keywords = "Critical care, Intensive care, Patient outcome assessment, Physiotherapy (techniques), Rehabilitation",

author = "Bernie Bissett and Margot Green and Vince Marzano and Susannah Byrne and Leditschke, {I. Anne} and Teresa Neeman and Robert Boots and Jennifer Paratz",

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T1 - Reliability and utility of the Acute Care Index of Function in intensive care patients

T2 - An observational study

AU - Bissett, Bernie

AU - Green, Margot

AU - Marzano, Vince

AU - Byrne, Susannah

AU - Leditschke, I. Anne

AU - Neeman, Teresa

AU - Boots, Robert

AU - Paratz, Jennifer

PY - 2016/1/1

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N2 - Objectives: To establish the inter-rater reliability of the Acute Care Index of Function (ACIF) in intensive care unit (ICU) patients and determine whether ACIF scores have predictive utility beyond ICU discharge. Background: Accurate and reliable measures of physical function are required to describe the recovery trajectory of ICU survivors. The clinimetric properties of the ACIF are yet to be established in ICU patients. Methods: Prospective observational study in a single tertiary ICU. ACIF scores were recorded independently by 2 physiotherapists across a convenience sample of 100 physiotherapy assessments, and at ICU discharge. Results: Inter-rater reliability of total ACIF scores was very strong (ICC = 0.94). ACIF <0.40 at ICU discharge predicted hospital discharge to a destination other than home (area under ROC = 0.79, 95% CI 0.64-0.89) (sensitivity 0.78). Conclusion: The ACIF has excellent inter-rater reliability in ICU patients and scores at ICU discharge predict the likelihood of discharge home. Trial registration: ACTRN12614001008617 (September 18 2014).

AB - Objectives: To establish the inter-rater reliability of the Acute Care Index of Function (ACIF) in intensive care unit (ICU) patients and determine whether ACIF scores have predictive utility beyond ICU discharge. Background: Accurate and reliable measures of physical function are required to describe the recovery trajectory of ICU survivors. The clinimetric properties of the ACIF are yet to be established in ICU patients. Methods: Prospective observational study in a single tertiary ICU. ACIF scores were recorded independently by 2 physiotherapists across a convenience sample of 100 physiotherapy assessments, and at ICU discharge. Results: Inter-rater reliability of total ACIF scores was very strong (ICC = 0.94). ACIF <0.40 at ICU discharge predicted hospital discharge to a destination other than home (area under ROC = 0.79, 95% CI 0.64-0.89) (sensitivity 0.78). Conclusion: The ACIF has excellent inter-rater reliability in ICU patients and scores at ICU discharge predict the likelihood of discharge home. Trial registration: ACTRN12614001008617 (September 18 2014).

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KW - Intensive care

KW - Patient outcome assessment

KW - Physiotherapy (techniques)

KW - Rehabilitation

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Reliability and utility of the Acute Care Index of Function in intensive care patients: An observational study

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