Dataset Information

Identifying Clinically Relevant Functional Strata to Direct Mobility Preservation Among Patients Hospitalized With Medical Conditions.

ABSTRACT:

Objective

To develop a system to guide interpretation of scores generated from the newly developed item response theory (IRT)-based Functional Assessment in Acute Care Multidimensional Computerized Adaptive Test (FAMCAT), which assesses 3 important domains of function: Mobility, Daily Activities, and Applied Cognition.

Design

Cross-sectional data was used to inform a modified Delphi approach to establish FAMCAT cutpoints delineating various functional ability levels.

Setting

Large midwestern academic teaching hospital.

Participants

Patients hospitalized to an inpatient medical service (N=2049).

Interventions

Not applicable.

Main outcome measures

FAMCAT Basic Mobility, Daily Activity, and Applied Cognition scores.

Results

IRT-based score estimation data was successfully integrated with expert clinical feedback using a modified Delphi process to arrive at consensus yielding 4 functional level strata (ranging from bed-based mobility to independent mobility) for both the FAMCAT Mobility and Daily Activity scales; 1 cutpoint was supported to delineate 2 functional strata for Applied Cognition.

Conclusions

Meaningful cutpoints were established for each FAMCAT domain using a data-informed, modified Delphi process for achieving consensus. The resulting FAMCAT interpretation guide may be used to develop an ability-matched mobility preservation program and identify patients who may require a higher level of supervision based on the resulting FAMCAT scores.

SUBMITTER: Marfeo E

PROVIDER: S-EPMC8767567 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Identifying Clinically Relevant Functional Strata to Direct Mobility Preservation Among Patients Hospitalized With Medical Conditions.

Marfeo Elizabeth E Ni Pengsheng P Wang Chun C Weiss David D Cheville Andrea L AL

Archives of physical medicine and rehabilitation 20210616 5S

<h4>Objective</h4>To develop a system to guide interpretation of scores generated from the newly developed item response theory (IRT)-based Functional Assessment in Acute Care Multidimensional Computerized Adaptive Test (FAMCAT), which assesses 3 important domains of function: Mobility, Daily Activities, and Applied Cognition.<h4>Design</h4>Cross-sectional data was used to inform a modified Delphi approach to establish FAMCAT cutpoints delineating various functional ability levels.<h4>Setting</h ...[more]

PMID: 34146535

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Dataset Information

Identifying Clinically Relevant Functional Strata to Direct Mobility Preservation Among Patients Hospitalized With Medical Conditions.

Objective

Design

Setting

Participants

Interventions

Main outcome measures

Results

Conclusions

Publications

Identifying Clinically Relevant Functional Strata to Direct Mobility Preservation Among Patients Hospitalized With Medical Conditions.

Similar Datasets

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