Table 2 Clinical utility and practical considerations of functional measures in the ICU setting
From: Evaluating physical functioning in critical care: considerations for clinical practice and research
Outcome measure | Type of assessment# | Patient population with original development | Equipment required* | Scoring information (minimum to maximum score) | Time required to physically undertake testing | Training Rresources |
|---|---|---|---|---|---|---|
ACIF [32] | Comprehensive | Acute neurological (including neurosurgery) [23] | Access to 5 stairs; walking marker (distance) | 20 items, 4 subcategories (0–1.00) | 12 min | No specified training package or video currently available, instructions and recording sheet available [23] |
Comprehensive | General and trauma ICU [31] | Handgrip dynamometera | 10 items, each scored 0–5 (0 –50) | 2–10 min | Online 40–60 min free training (requires registration) at http://cpax.ocbmedia.com | |
CcFROM [37] | Comprehensive | General, neurosurgery and trauma ICU [33] | Stopwatch | 9 items, each scored 0–7 (0–63) | 10–30 min | Instructions and recording sheet available [33], no training package or video currently available |
DEMMI [38] | Comprehensive | General hospitalized geriatric medical patients [24] | Chair with 45 cm seat height with arm rests; stopwatch; pen (DEMMI item 13); walking marker (distance) | 15 items, 5 subcategories, each scored 0–2 (0–100) | 10–30 min | Instructions and recording sheet available in supplementary [24] (no details specific to the ICU setting) |
Comprehensive | Medical ICU [37] | Walking marker (distance) | 5 items, each scored 0–7 (0–35) | 10–30 min | Detailed free instructions (registration required) at www.improvelto.com/, free training package including video available from primary author1 | |
Simple | General ICU (medical, surgical, trauma) [28] | None | 1 item, score based on highest classification level (11 options) (0–10) | <1 min | Instructions available [28] | |
MMS [46] | Simple | General ICU (medical, surgical, trauma) [39] | None | 1 item, score based on highest classification level (7 options) (0–7) | <1 min | Instructions and recording sheet available [39]—further detailed instructions available from primary author2, no training package or video currently available |
Comprehensive | General ICU (medical, surgical) [43] | Stopwatch; Borg RPE sheet (optional) | 4 items, individual items scored 0–3 (0–10) | 10–15 min | Free training package, including video, available from primary author3 | |
Comprehensive | None | 15 items, individual items scored 0–3 (0–32) | 15–60 min | No training package or video currently available. The scoring criteria and detailed instructions are available in the manuscript [46] | ||
Simple | Surgical ICU [49] | None | 1 item, score based on highest classification level (5 options) (0–4) | <1 min | No training package or video currently available, scoring criteria available in manuscript [49] | |
SPPB [26] | Comprehensive | Geriatric, non-hospitalized | Stopwatch; tape-measure (for 4-m course) | 3 items, each item scored 0–4 (0–12) | 5–10 min | Free training via: https://www.irp.nia.nih.gov/branches/leps/sppb/index.htm and https://www.youtube.com/watch?v=XgiuciJXPm4 (no details specific for ICU) |