Instruments to Assess Physical Impairments in Post-Intensive Care Syndrome: A Systematic Review

집중치료 후 증후군의 신체적 장애 측정도구에 관한 체계적 고찰

  • Kang, Jiyeon (Department of Nursing, Dong-A University) ;
  • Lee, Minju (Department of Nursing, Dong-A University) ;
  • Jeong, Yeon Jin (Department of Nursing, Dong-A University) ;
  • Kim, Soo Kyung (Surgical Intensive Care Unit, Kosin University Gospel Hospital) ;
  • Cho, Young Shin (Surgical Intensive Care Unit, Kosin University Gospel Hospital) ;
  • Park, Jung Hoon (Neurosurgical Intensive Care Unit, Dong-A University Hospital) ;
  • Lee, Soon (Coronary Care Unit, Dong-A University Hospital) ;
  • Hong, Ji Won (Coronary Care Unit, Dong-A University Hospital)
  • 강지연 (동아대학교 간호학과) ;
  • 이민주 (동아대학교 간호학과) ;
  • 정연진 (동아대학교 간호학과) ;
  • 김수경 (고신대학교복음병원 외과계중환자실) ;
  • 조영신 (고신대학교복음병원 외과계중환자실) ;
  • 박정훈 (동아대학교병원 신경계중환자실) ;
  • 이순영 (동아대학교병원 심중환자실) ;
  • 홍지원 (동아대학교병원 심중환자실)
  • Received : 2017.09.29
  • Accepted : 2018.01.03
  • Published : 2018.02.28

Abstract

Purpose : The purpose of this study was to systematically review the instruments utilized to assess physical impairment in post-intensive care syndrome (PICS) of intensive care unit (ICU) survivors. Method : Online databases searched were MEDLINE, Cochrane, CINAHL, and Embase. Studies that met the following criteria were included: 1) the study population exclusively had experience with ICU admission; 2) the study assessed pulmonary, neuromuscular, and physical functions; and 3) the study was published in English language journals after 2007. Results : A total of 56 instruments (2 pulmonary, 25 neuromuscular, 29 physical function) from 94 studies were reviewed. They were classified into self-report, observation, and measurement according to the type of assessment. No instrument measured all 3 areas of physical impairment. Five instruments were originally developed for the ICU patients. The most frequently applied instruments were the Medical Research Council and the 36-item Short Form Survey (physical component summary), which were used in 23 studies each. Only 13.8% of reviewed studies reported the reliability or validity of the instruments. Conclusion : Our results suggest that the appropriateness of instruments assessing physical impairment in PICS cannot be guaranteed. Despite the multidimensional concept of physical disabilities, most studies measured only one area, and studies that reported psychometric properties were limited. Accordingly, we propose to develop a unique and multifaceted instrument for ICU survivors.

Keywords

References

  1. Bautista, M. A. C., Nurjono, M., Lim, Y. W., Dessers, E., & Vrijhoef, H. J. (2016). Instruments measuring integrated care: a systematic review of measurement properties. The Milbank Quarterly, 94 (4), 862-917. https://doi.org/10.1111/1468-0009.12233
  2. Castro-Avila, A. C., Seron, P., Fan, E., Gaete, M., & Mickan, S. (2015). Effect of early rehabilitation during intensive care unit stay on functional status: Systematic Review and Meta-Analysis. PLos One, 10 (7), e0130722. https://doi.org/10.1371/journal.pone.0130722
  3. Cowie. (2015). National institute for health and care excellence. European Heart Journal, 36 (4), 195.
  4. Elliott, D., Davidson, J. E., Harvey, M. A., Bemis-Dougherty, A., Hopkins, R. O., Iwashyna, T. J., ... Needham, D. M. (2014). Exploring the scope of post-intensive care syndrome therapy and care: Engagement of non-critical care providers and survivors in a second stakeholders meeting. Critical care medicine, 42 (12), 2518-2526. https://doi.org/10.1097/CCM.0000000000000525
  5. Hartigan, I. (2007). A comparative review of the Katz ADL and the Barthel Index in assessing the activities of daily living of older people. International Journal of Older People Nursing, 2 (3), 204-212. https://doi.org/10.1111/j.1748-3743.2007.00074.x
  6. Harvey, M. A., & Davidson, J. E. (2016). Postintensive care syndrome: Right care, right now... and later. Critical care medicine, 44 (2), 381-385.
  7. Hermans, G., & Van den Berghe, G. (2015). Clinical review: Intensive care unit acquired weakness. Critcal Care, 19 (1), 274. https://doi.org/10.1186/s13054-015-0993-7
  8. Hill, A. D., Fowler, R. A., Pinto, R., Herridge, M. S., Cuthbertson, B. H., & Scales, D. C. (2016). Longterm outcomes and healthcare utilization following critical illness - a population-based study. Critical Care, 20 (1), 76-85. https://doi.org/10.1186/s13054-016-1248-y
  9. Hough, C. L., Lieu, B. K., & Caldwell, E. S. (2011). Manual muscle strength testing of critically ill patients: feasibility and interobserver agreement. Critcal Care, 15 (1), R43. https://doi.org/10.1186/cc10005
  10. Iwashyna, T. J. (2013). Post-Intensive Care Syndrome: Improving the future of ICU patients. 42nd Critical Care Congress Review, 13-14.
  11. Jackson, J., Girard, T., Gordon, S., Thompson, J., Shintani, A.,... Ely, E. W. (2010). Long-term cognitive and psychological outcomes in the awakening and breathing controlled trial. American Journal of Respiratory and Critical Care Medicine, 182 (2), 183-191. https://doi.org/10.1164/rccm.200903-0442OC
  12. Jackson, J. C., Mitchell, N., & Hopkins, R. O. (2015). Cognitive Functioning,Mental Health and Quality of life in ICU survivors: An Overview. Psychiatric Clinics of North America. 38 (1), 91-104. https://doi.org/10.1016/j.psc.2014.11.002
  13. Jette, A. M. (2006). Toward a common language for function, disability, and health. Phys Ther. 86, 726-734.
  14. Kang, J. Y., & Won, Y. H. (2015). Concept analysis of post intensive care syndrome. Journal of Korean Critical Care Nursing, 8 (2), 55-65.
  15. Kang, J. Y., Jeong, Y. J., Yun, ,S. Y., Lee, M. J., Baek, M. J., Shin, S. Y., ... Cho, Y. S. (2017). Post-Intensive Care Syndrome Experience among Critical Care Survivors: A Meta-synthesis of Qualitative Research, Journal of Korean Critical Care Nursing, 10 (1), 13-30.
  16. Kim, S. K., & Kang, J. Y. (2016). Post-intensive care syndrome and quality of life in survivors of critical illness. Journal of Korean Critical Care Nursing, 9(1), 1-14.
  17. Lee, M. J. (2017). The Related Factors to Post-intensive Care Syndrome: A Meta-Analysis (Unpublished doctoral dissertation). Dong-A University, Busan, Korea.
  18. Mandich, A. D., Polatajko, H. J., & Rodger, S. (2003). Rites of passage: Understanding participation of children with developmental coordination disorder. Human Movement Science, 22 (4-5), 583-595. https://doi.org/10.1016/j.humov.2003.09.011
  19. Mehlhorn, J., Freytag, A., Schmidt, K., Brunkhorst, F. M., Graf, J., Troitzsch, U., ... Gensichen, J. (2014). Rehabilitation interventions for postintensive care syndrome: a systematic review. Critical care medicine, 42 (5), 1263-1271. https://doi.org/10.1097/CCM.0000000000000148
  20. Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The, P. G. (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. Plos Medication, 6(7), e1000097. doi: 10.1371/journal.pmed.1000097
  21. Needham, D. M., Davidson, J., Cohen, H., Hopkins, R. O., Weinert, C., Wunsch, H., ... Harvey, M. A. (2012). Improving long-term outcomes after discharge from intensive care unit: report from a stakeholders' conference. Critical care medicine, 40(2), 502-509. https://doi.org/10.1097/CCM.0b013e318232da75
  22. Nordon-Craft, A., Scjenkman, M. Edbrooke, L., Malone D.J., Moss, M., & Denehy, L. (2014). The physical function intensive care test: Implementation in survivors of critical illness. Physical Therapy, 94(10), 1499-1507. https://doi.org/10.2522/ptj.20130451
  23. Sommers, J., Vredeveld, T., Lindeboom, R., Nollet, F., Engelbert, R. H., van der Schaaf, M. (2016). de Morton Mobility Index Is Feasible, Reliable, and Valid in Patients With Critical Illness, Physical Therapy, 96(10), 1658-1666. https://doi.org/10.2522/ptj.20150339
  24. Turnbull, A. E., Rabiee, A., Davis, W. E., Nasser, M. F., Venna, V. R., & Lolitha, R., et al. (2016). Outcome measurement in ICU survivorship research from 1970 to 2013: A scoping review of 425 publications. Critical care medicine, 44 (7), 1267-1277. https://doi.org/10.1097/CCM.0000000000001651
  25. Terwee, C. B., Bot, S. D. M., de Boer, M., van der Windt., Danielle A. W. M., Knol, D., ... de Vet, H. C. W. (2007). Quality criteria were proposed for measurement properties of health status questionnaires. Journal of Clinical Epidemiology, 60 (1), 34-42. https://doi.org/10.1016/j.jclinepi.2006.03.012
  26. Vacha-Haase, T., Henson, R. K., & Caruso, J. C., (2002). Reliability Generalization: Moving toward Improved Understanding and Use of Score Reliability. Educational and Psychological Measurement, 62(4), 562-569. https://doi.org/10.1177/0013164402062004002
  27. Wolters, A. E., Slooter, A. J. C., van der Kooi, A. W., & van Dijk, D. (2013). Cognitive impairment after intensive care unit admission: a systematic review. Intensive Care Med, 39, 376-386. https://doi.org/10.1007/s00134-012-2784-9