Assessment for incipient hospital-acquired deconditioning in acute hospital settings : a systematic literature review
Date
2019
Journal Title
Journal ISSN
Volume Title
Publisher
Medical Journals Sweden AB
Abstract
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.
Description
CITATION: Gordon, S., Grimmer, K. A. & Barras, S. 2019. Assessment for incipient hospital-acquired deconditioning in acute hospital settings : a systematic literature review.
Journal of Rehabilitation Medicine, 51(6):97-404, doi:10.2340/16501977-2546.
The original publication is available at https://medicaljournals-se.ez.sun.ac.za/jrm/
The original publication is available at https://medicaljournals-se.ez.sun.ac.za/jrm/
Keywords
Emergency medicine -- Patients -- Examination, Trauma centers -- Admission and discharge, Multiple system atrophy -- Examination, Multiple system atrophy -- Diagnosis, Older people -- Medical care, Systematic reviews (Medical research)
Citation
Gordon, S., Grimmer, K. A. & Barras, S. 2019. Assessment for incipient hospital-acquired deconditioning in acute hospital settings : a systematic literature review.
Journal of Rehabilitation Medicine, 51(6):97-404, doi:10.2340/16501977-2546