Validez y confiabilidad de las escalas de evaluación funcional en pacientes críticamente enfermos. Revisión sistemática

The decrease in mortality in critical patient units led to an increase in intensive care unit acquired weakness (ICUAW), which significantly affects the functional performance and quality of life of patients. There are several scales that measure functionality in critical patients. The aim of this s...

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Autores principales:	Libuy,Marcela H., Szita C.,Paola, Hermosilla P.,Juan, Arellano S.,Daniel, Rodríguez-Núñez,Iván, Báez R.,Claudio
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2017
Materias:	Critical Care Outcomes Intensive Care Units Mobility Limitation Recovery of Function Validation Studies
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017000901137
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spelling	oai:scielo:S0034-988720170009011372017-12-07Validez y confiabilidad de las escalas de evaluación funcional en pacientes críticamente enfermos. Revisión sistemáticaLibuy,Marcela H.Szita C.,PaolaHermosilla P.,JuanArellano S.,DanielRodríguez-Núñez,IvánBáez R.,Claudio Critical Care Outcomes Intensive Care Units Mobility Limitation Recovery of Function Validation Studies The decrease in mortality in critical patient units led to an increase in intensive care unit acquired weakness (ICUAW), which significantly affects the functional performance and quality of life of patients. There are several scales that measure functionality in critical patients. The aim of this systematic review is to determine the criterion validity and reliability of the scales that evaluate functionality in critically ill adult patients. We considered studies in critically ill adult subjects of both genders that determined the psychometric properties of the scales that evaluate functionality. Six minutes’ walk test (6MWT), timed up and go (TUG), the Medical Research Council sum score (MRC-SS), grip strength, discharge destination and need for rehabilitation at discharge were considered as gold standards. Three scales were identified: PFIT-s, Perme MS, and DEMMI. PFIT-s has a positive correlation with 6MWT, MRC-SS and grip strength, and a negative correlation with TUG. It also predicts the need for rehabilitation at discharge and discharge to the home. DEMMI has a positive correlation with MRC-SS. the interobserver reliability was evaluated in three articles, demonstrating an almost perfect association. The intraobserver agreement was considered good in one report. With this information, it is not possible to determine which is the instrument with better measurement properties.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.145 n.9 20172017-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017000901137es10.4067/s0034-98872017000901137
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Critical Care Outcomes Intensive Care Units Mobility Limitation Recovery of Function Validation Studies
spellingShingle	Critical Care Outcomes Intensive Care Units Mobility Limitation Recovery of Function Validation Studies Libuy,Marcela H. Szita C.,Paola Hermosilla P.,Juan Arellano S.,Daniel Rodríguez-Núñez,Iván Báez R.,Claudio Validez y confiabilidad de las escalas de evaluación funcional en pacientes críticamente enfermos. Revisión sistemática
description	The decrease in mortality in critical patient units led to an increase in intensive care unit acquired weakness (ICUAW), which significantly affects the functional performance and quality of life of patients. There are several scales that measure functionality in critical patients. The aim of this systematic review is to determine the criterion validity and reliability of the scales that evaluate functionality in critically ill adult patients. We considered studies in critically ill adult subjects of both genders that determined the psychometric properties of the scales that evaluate functionality. Six minutes’ walk test (6MWT), timed up and go (TUG), the Medical Research Council sum score (MRC-SS), grip strength, discharge destination and need for rehabilitation at discharge were considered as gold standards. Three scales were identified: PFIT-s, Perme MS, and DEMMI. PFIT-s has a positive correlation with 6MWT, MRC-SS and grip strength, and a negative correlation with TUG. It also predicts the need for rehabilitation at discharge and discharge to the home. DEMMI has a positive correlation with MRC-SS. the interobserver reliability was evaluated in three articles, demonstrating an almost perfect association. The intraobserver agreement was considered good in one report. With this information, it is not possible to determine which is the instrument with better measurement properties.
author	Libuy,Marcela H. Szita C.,Paola Hermosilla P.,Juan Arellano S.,Daniel Rodríguez-Núñez,Iván Báez R.,Claudio
author_facet	Libuy,Marcela H. Szita C.,Paola Hermosilla P.,Juan Arellano S.,Daniel Rodríguez-Núñez,Iván Báez R.,Claudio
author_sort	Libuy,Marcela H.
title	Validez y confiabilidad de las escalas de evaluación funcional en pacientes críticamente enfermos. Revisión sistemática
title_short	Validez y confiabilidad de las escalas de evaluación funcional en pacientes críticamente enfermos. Revisión sistemática
title_full	Validez y confiabilidad de las escalas de evaluación funcional en pacientes críticamente enfermos. Revisión sistemática
title_fullStr	Validez y confiabilidad de las escalas de evaluación funcional en pacientes críticamente enfermos. Revisión sistemática
title_full_unstemmed	Validez y confiabilidad de las escalas de evaluación funcional en pacientes críticamente enfermos. Revisión sistemática
title_sort	validez y confiabilidad de las escalas de evaluación funcional en pacientes críticamente enfermos. revisión sistemática
publisher	Sociedad Médica de Santiago
publishDate	2017
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017000901137
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Validez y confiabilidad de las escalas de evaluación funcional en pacientes críticamente enfermos. Revisión sistemática

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