Correlation of patient-reported outcome measures to performance-based function in critical care survivors: PREDICTABLE |
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| Institution: | 1. Australian and New Zealand Intensive Care Research Centre, Department of Epidemiology and Preventative Medicine, Monash University, Melbourne, VIC, 3004, Australia;2. Department of Physiotherapy, Monash Health, Clayton, VIC, 3168, Australia;3. College of Health and Biomedicine, Victoria University, Footscray, VIC, 3011, Australia;4. Department of Intensive Care, Monash Health School of Clinical Sciences, Monash University, Clayton, VIC, 3168, Australia;5. Department of Physiotherapy, Alfred Hospital, Melbourne, VIC, 3004, Australia;1. Department of Emergency, First Medical Center of Chinese PLA General Hospital, Beijing, 100853, China;2. State Key Laboratory of Kidney Diseases, National Clinical Research Center of Kidney Diseases, General Hospital of People''s Liberation Army, Beijing, 100853, China;3. National Clinical Research Center of Geriatric Diseases, Chinese PLA General Hospital, Beijing, 100853, China;4. Department of Interventional Radiology, The Fifth Medical Center, Chinese PLA General Hospital, Beijing, 100853, People''s Republic of China;5. Department of Hematology, Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100853, China;6. Department of Emergency Medicine, General Hospital of Northern Theatre Command, 83 Wenhua Road, Shenyang 110016, China;7. Medical Information Center, Chinese PLA General Hospital, Beijing, 100853, China;8. Department of Emergency, Hainan Hospital of Chinese PLA General Hospital， Sanya, 572000, China;1. KU Leuven, Faculty of Movement and Rehabilitation Sciences, Department of Rehabilitation Sciences, Research Group for Rehabilitation in Internal Disorders, Leuven, Belgium;2. Department of Intensive Care Medicine, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium;3. Rehabilitation Unit, Department of Physiotherapy, University Hospital Puerta de Hierrro Majadahonda, Madrid, Spain;4. KU Leuven, Division of Cellular and Molecular Medicine, Laboratory of Intensive Care Medicine, Leuven, Belgium;1. Centre for Quality and Patient Safety Research – Eastern Health Partnership, 2/5 Arnold St, Box Hill, Victoria, 3128, Australia;2. Deakin University: School of Nursing and Midwifery and Centre for Quality and Patient Safety Research in the Institute for Health Transformation, 1 Gheringhap St, Geelong, Victoria, 3220, Australia;3. Eastern Health, Arnold Street, Box Hill, Victoria, 3128, Australia;4. Eastern Health Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, 5 Arnold St, Box Hill, Victoria, 3128, Australia;1. Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia;2. Physiotherapy Department, Royal North Shore Hospital, St Leonards, Sydney, Sydney, Australia;3. Malcolm Fisher Department of Intensive Care Medicine, Royal North Shore Hospital, Sydney, Australia;4. Division of Critical Care, The George Institute for Global Health, University of New South Wales, Sydney, Australia;5. Northern Clinical School, Faculty of Medicine, The University of Sydney, Sydney, Australia;6. ANZIC Research Centre, Department of Epidemiology and Preventative Medicine, Monash University, Melbourne, Australia;7. Department of Anaesthesia and Perioperative Medicine, Westmead Hospital, Division of Critical Care, The George Institute for Global Health, University of New South Wales, Sydney, Australia;8. Nepean Clinical School, University of Sydney and Senior Staff Specialist, Nepean Hospital, Australia;9. Physiotherapy Department, St Vincent''s Hospital, Sydney, Australia;1. Gold Coast Health, Southport Queensland, Australia;2. School of Nursing and Midwifery, Griffith University, Southport, Queensland, Australia;3. School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia;1. Peking University First Hospital, Beijing, China;2. Attending Physician, Peking University First Hospital, Beijing, China;3. Deputy Dean of Peking University First Hospital, Beijing, China |
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| Abstract: | BackgroundEstablishing sequela following critical illness is a public health priority; however, recruitment and retention of this cohort make assessing functional outcomes difficult. Completing patient-reported outcome measures (PROMs) via telephone may improve participant and researcher involvement; however, there is little evidence regarding the correlation of PROMs to performance-based outcome measures in critical care survivors.ObjectivesThe objective of this study was to assess the relationship between self-reported and performance-based measures of function in survivors of critical illness.MethodsThis was a nested cohort study of patients enrolled within a previously published study determining predictors of disability-free survival. Spearman's correlation (rs) was calculated between four performance-based outcomes (the Functional Independence Measure FIM], 6-min walk distance 6MWD], Functional Reach Test FRT], and grip strength) that were collected during a home visit 6 months following their intensive care unit admission, with two commonly used PROMs (World Health Organization Disability Assessment Scale 2.0 12 Level WHODAS 2.0] and EuroQol-5 Dimension-5 Level EQ-5D-5L]) obtained via phone interview (via the PREDICT study) at the same time point.ResultsThere were 38 PROMs obtained from 40 recruited patients (mean age = 59.8 ± 16 yrs, M:F = 24:16). All 40 completed the FIM and grip strength, 37 the 6MWD, and 39 the FRT. A strong correlation was found between the primary outcome of the WHODAS 2.0 with all performance-based outcomes apart from grip strength where a moderate correlation was identified. Although strong correlations were also established between the EQ-5D-5L utility score and the FIM, 6MWD, and FRT, it only correlated weakly with grip strength. The EQ-5D overall global health rating only had very weak to moderate correlations with the performance-based outcomes.ConclusionThe WHODAS 2.0 correlated stronger across multiple performance-based outcome measures of functional recovery and is recommended for use in survivors of critical illness. |
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| Keywords: | Critical care Critical care outcomes Intensive care units Physical functional performance Physical therapy modalities |
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