Evidence map›Paper›PMID 34146535›Full record

ArticleArchives of physical medicine and rehabilitation2022

Identifying Clinically Relevant Functional Strata to Direct Mobility Preservation Among Patients Hospitalized With Medical Conditions.

Elizabeth Marfeo, Pengsheng Ni, Chun Wang, David Weiss, Andrea L Cheville

Abstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Integrating Fitness Training in Oncologic Care: Lessons Learned from a Large Telemedicine Trial.Archives of rehabilitation research and clinical translation · 2024
    Article
  4. Article
  5. Article
  6. Article
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

5 authors.

Elizabeth MarfeoDepartment of Occupational Therapy, Tufts University, Medford, MA. Electronic address: elizabeth.marfeo@tufts.edu.
Pengsheng NiDepartment of Health Law, Policy and Management, Boston University School of Public Health, Boston, MA.
Chun WangCollege of Education, University of Washington, Seattle, WA.
David WeissDepartment of Psychology, University of Minnesota; Minneapolis, MN.
Andrea L ChevilleDepartment of Physical Medicine and Rehabilitation Mayo Clinic, Rochester, MN.

Funding

Computerized Adaptive Testing to Direct Delivery of Hospital-Based RehabilitationR01HD079439 · NICHD · MAYO CLINIC ROCHESTER · PI CHEVILLE, ANDREA LYNNE · 2015 to 2019
$3.7M
NICHD NIH HHS R01 HD079439
6 · The paper itself

Abstract

objectiveTo develop a system to guide interpretation of scores generated from the newly developed item response theory (IRT)-based Functional Assessment in Acute Care Multidimensional Computerized Adaptive Test (FAMCAT), which assesses 3 important domains of function: Mobility, Daily Activities, and Applied Cognition.

designCross-sectional data was used to inform a modified Delphi approach to establish FAMCAT cutpoints delineating various functional ability levels.

settingLarge midwestern academic teaching hospital.

participantsPatients hospitalized to an inpatient medical service (N=2049).

interventionsNot applicable.

main outcome measuresFAMCAT Basic Mobility, Daily Activity, and Applied Cognition scores.

resultsIRT-based score estimation data was successfully integrated with expert clinical feedback using a modified Delphi process to arrive at consensus yielding 4 functional level strata (ranging from bed-based mobility to independent mobility) for both the FAMCAT Mobility and Daily Activity scales; 1 cutpoint was supported to delineate 2 functional strata for Applied Cognition.

conclusionsMeaningful cutpoints were established for each FAMCAT domain using a data-informed, modified Delphi process for achieving consensus. The resulting FAMCAT interpretation guide may be used to develop an ability-matched mobility preservation program and identify patients who may require a higher level of supervision based on the resulting FAMCAT scores.

Indexed as

Activities of Daily LivingPhysical Therapy ModalitiesCognitionCross-Sectional StudiesHospitalizationHumansOutcome assessment, health carePatient reported outcome measureRehabilitation

Identifiers

PMID34146535
PMCPMC8767567

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Registered trials

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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.