Assessment for incipient hospital-acquired deconditioning in acute hospital settings: A systematic literature review
Objectives: To systematically identify literature reporting on assessment instruments relevant for incipient hospital-acquired deconditioning during acute hospital admissions; evaluate their psychometric properties; and identify individual assessment items to form the basis of a comprehensive acute...
Main Authors: | , , |
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Format: | Article |
Language: | English |
Published: |
Foundation for Rehabilitation Information
2019-04-01
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Series: | Journal of Rehabilitation Medicine |
Subjects: | |
Online Access: |
https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2546
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Summary: | Objectives: To systematically identify literature reporting on assessment instruments relevant for incipient hospital-acquired deconditioning during acute hospital admissions; evaluate their psychometric properties; and identify individual assessment items to form the basis of a comprehensive acute hospital test battery for hospital-acquired deconditioning.
Design and data sources: Systematic evidence scan of MEDLINE, CINAHL, PubMed and Google Scholar from database inception to January 2018.
Study selection: Papers reporting psychometric properties of assessment instruments to detect change in body function and structure, relevant to hospital-acquired deconditioning were selected. Included instruments should assess one or more elements of hospital-acquired deconditioning, reflect the short time-frame constraints of acute hospital admissions, and be able to be applied by any healthcare provider.
Quality evaluation: Evidence of psychometric properties and utility were assessed using a validated instrument.
Data extraction: Hospital-acquired deconditioning assessment items.
Results: Eight potentially-relevant instruments were identified, with moderate-to-good validity and utility, but limited evidence of reliability. These instruments reported a total of 53 hospital-acquired deconditioning assessment items. Seventeen items with measurement periods greater than 3 days were excluded. The remaining items measured anthropometrics, gait, balance, mobility, activities of daily living, and skin integrity.
Conclusion: These assessment items provide the basis of a multifaceted evidence-based test battery to comprehensively and repeatedly assess acute hospital inpatient function for incipient hospital-acquired deconditioning. |
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ISSN: | 1650-1977 1651-2081 |