Evidence map›Paper›PMID 24810863›Full record

Trial reportPhysical therapy2014

The physical function intensive care test: implementation in survivors of critical illness.

Amy Nordon-Craft, Margaret Schenkman, Lara Edbrooke, Daniel J Malone, Marc Moss, Linda Denehy

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Physical therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04762056 (Validation of Chelsea Physical Assessment Tool), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04762056 completednot on this mapstarted 2021, after this paper: background citation

Validation of Chelsea Physical Assessment Tool (CPAx) in COVID-19 Patients for Assessing Functional Status After Intensive Care Unit Discharge

TypeobservationalSponsorGaziosmanpasa Research and Education HospitalRan2021 to 2021Enrolled16ConditionsPost Intensive Care Unit Syndrome, Covid19ArmsChelsea Critical Care Physical Assessment Tool
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
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  12. BMJ open · 2023
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  13. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Amy Nordon-CraftA. Nordon-Craft, PT, DSc, Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, 13121 E 17th Ave, Aurora, CO 80045 (USA). amy.nordon-craft@ucdenver.edu.
Margaret SchenkmanM. Schenkman, PT, PhD, FAPTA, Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado Denver.
Lara EdbrookeL. Edbrooke, PT, MS, Department of Physiotherapy, The University of Melbourne, Parkville, Victoria, Australia.
Daniel J MaloneD.J. Malone, PT, PhD, CCS, Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado Denver.
Marc MossM. Moss, MD, School of Medicine, Pulmonary Sciences-Critical Care Medicine, University of Colorado Denver.
Linda DenehyL. Denehy, PT, PhD, Department of Physiotherapy, The University of Melbourne, Parkville, Victoria, Australia.

Funding

The Diagnosis and Treatment of Critical Illness Polyneuromyopathy in Patients witR01NR011051 · NINR · UNIVERSITY OF COLORADO DENVER · PI MOSS, MARC · 2009 to 2013
$2.9M
NINR NIH HHS R01 NR011051NINR NIH HHS R01 NR-11051
6 · The paper itself

Abstract

backgroundRecent studies have demonstrated safety, feasibility, and decreased hospital length of stay for patients with weakness acquired in the intensive care unit (ICU) who receive early physical rehabilitation. The scored Physical Function in Intensive Care Test (PFIT-s) was specifically designed for this population and demonstrated excellent psychometrics in an Australian ICU population.

objectiveThe purpose of this study was to determine the responsiveness and predictive capabilities of the PFIT-s in patients in the United States admitted to the ICU who required mechanical ventilation (MV) for 4 days or longer.

methodsThis nested study within a randomized trial administered the PFIT-s, Medical Research Council (MRC) sum score, and grip strength test at ICU recruitment and then weekly until hospital discharge, including at ICU discharge. Spearman rho was used to determine validity. The effect size index was used to calculate measurement responsiveness for the PFIT-s. The receiver operating characteristic curve was used in predicting participants' ability to perform functional components of the PFIT-s.

resultsFrom August 2009 to July 2012, 51 patients were recruited from 4 ICUs in the Denver, Colorado, metro area. At ICU discharge, PFIT-s scores were highly correlated to MRC sum scores (rho=.923) and grip strength (rho=.763) (P<.0005). Using baseline test with ICU discharge (26 pairs), test responsiveness was large (1.14). At ICU discharge, an MRC sum score cut-point of 41.5 predicted participants' ability to perform the standing components of the PFIT-s. LIMITATIONS: The small sample size was a limitation. However, the findings are consistent with those in a larger sample from Australia.

conclusionsThe PFIT-s is a feasible and valid measure of function for individuals who require MV for 4 days or longer and who are alert, able to follow commands, and have sufficient strength to participate.

Indexed as

SurvivorsAdultCritical CareCritical IllnessDisability EvaluationExercise TestFemaleHumansIntensive Care UnitsMaleMiddle AgedSeverity of Illness IndexUnited States

Identifiers

PMID24810863
PMCPMC4183892

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.