Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/17176
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dc.contributor.authorTipping, Claire J-
dc.contributor.authorBailey, Michael J-
dc.contributor.authorBellomo, Rinaldo-
dc.contributor.authorBerney, Susan C-
dc.contributor.authorBuhr, Heidi-
dc.contributor.authorDenehy, Linda-
dc.contributor.authorHarrold, Meg-
dc.contributor.authorHolland, Anne-
dc.contributor.authorHiggins, Alisa M-
dc.contributor.authorIwashyna, Theodore J-
dc.contributor.authorNeedham, Dale-
dc.contributor.authorPresneill, Jeff-
dc.contributor.authorSaxena, Manoj-
dc.contributor.authorSkinner, Elizabeth H-
dc.contributor.authorWebb, Steve-
dc.contributor.authorYoung, Paul-
dc.contributor.authorZanni, Jennifer-
dc.contributor.authorHodgson, Carol L-
dc.date.accessioned2018-02-22T01:10:02Z-
dc.date.available2018-02-22T01:10:02Z-
dc.date.issued2016-06-
dc.identifier.citationAnnals of the American Thoracic Society 2016; 13(6): 887-893-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/17176-
dc.description.abstractThe ICU Mobility Scale (IMS) is a measure of mobility milestones in critically ill patients. This study aimed to determine the validity and responsiveness of the IMS from a prospective cohort study of adults admitted to the intensive care unit (ICU). Construct and predictive validity were assessed by comparing IMS values at ICU discharge in 192 patients to other variables using Spearman rank correlation coefficient, Mann-Whitney U tests, and logistic regression. Responsiveness was assessed using change over time, effect size, floor and ceiling effects, and percentage of patients showing change. The IMS at ICU discharge demonstrated a moderate correlation with muscle strength (r = 0.64, P < 0.001). There was a significant difference between the IMS at ICU discharge in patients with ICU-acquired weakness (median, 4.0; interquartile range, 3.0-5.0) compared with patients without (median, 8.0; interquartile range, 5.0-8.0; P < 0.001). Increasing IMS values at ICU discharge were associated with survival to 90 days (odds ratio [OR], 1.38; 95% confidence interval [CI], 1.14-1.66) and discharge home (OR, 1.16; 95% CI, 1.02-1.32) but not with return to work at 6 months (OR, 1.09; 95% CI, 0.92-1.28). The IMS was responsive with a significant change from study enrollment to ICU discharge (d = 0.8, P < 0.001), with IMS values increasing in 86% of survivors during ICU admission. No substantial floor (14% scored 0) or ceiling (4% scored 10) effects were present at ICU discharge. Our findings support the validity and responsiveness of the IMS as a measure of mobility in the ICU.-
dc.language.isoeng-
dc.subjectcohort studies-
dc.subjectcritical illness-
dc.subjectIntensive Care Units-
dc.subjectoutcome assessment-
dc.subjectrehabilitation-
dc.titleThe ICU Mobility Scale Has Construct and Predictive Validity and Is Responsive. A Multicenter Observational Study.-
dc.typeJournal Article-
dc.identifier.journaltitleAnnals of the American Thoracic Society-
dc.identifier.affiliationLatrobe University, Melbourne, Victoria, Australiaen
dc.identifier.affiliationAustralian and New Zealand Intensive Care Research Centre, Department of Epidemiology and Preventive Medicine-
dc.identifier.affiliationDepartment of Physiotherapy, The Alfred Hospital, Melbourne, Victoria, Australia-
dc.identifier.affiliationThe University of Melbourne, Melbourne, Victoria, Australia-
dc.identifier.affiliationAustin Health, Heidelberg, Victoria, Australia-
dc.identifier.affiliationThe Royal Prince Alfred Hospital, Sydney, New South Wales, Australia-
dc.identifier.affiliationCurtin University, Perth, Western Australia, Australia-
dc.identifier.affiliationRoyal Perth Hospital, Perth, Western Australia, Australia-
dc.identifier.affiliationAustralian and New University, Melbourne, Victoria, Australia-
dc.identifier.affiliationDepartment of Internal Medicine, University of Michigan, Ann Arbor, Michigan-
dc.identifier.affiliationJohns Hopkins University, Baltimore, Maryland-
dc.identifier.affiliationThe Mater Hospital, Brisbane, Queensland, Australia-
dc.identifier.affiliationThe St George Hospital, Kogarah, New South Wales, Australia-
dc.identifier.affiliationMonash University, Melbourne, Victoria, Australia-
dc.identifier.affiliationWestern Health, Melbourne, Victoria, Australia-
dc.identifier.affiliationUniversity of Western Australia, Perth, Western Australia, Australia-
dc.identifier.affiliationWellington Hospital, Wellington, New Zealand-
dc.identifier.affiliationMedical Research Institute of New Zealand, Wellington, New Zealand-
dc.identifier.affiliationCenter for Clinical Management Research, Veterans Affairs Ann Arbor Health System, Ann Arbor, Michigan-
dc.identifier.affiliationThe University of New South Wales, Sydney, New South Wales, Australia-
dc.identifier.affiliationThe George Institute For Global Health, Sydney, New South Wales, Australia-
dc.identifier.pubmedurihttps://pubmed.ncbi.nlm.nih.gov/27015233-
dc.identifier.doi10.1513/AnnalsATS.201510-717OC-
dc.identifier.orcid0000-0001-9002-2075-
dc.identifier.orcid0000-0002-1650-8939-
dc.identifier.pubmedid27015233-
dc.type.austinJournal Article-
dc.type.austinMulticenter Study-
dc.type.austinObservational Study-
dc.type.austinValidation Studies-
local.name.researcherBellomo, Rinaldo
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptIntensive Care-
crisitem.author.deptData Analytics Research and Evaluation (DARE) Centre-
crisitem.author.deptPhysiotherapy-
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