Evidence map›Paper›PMID 34670134›Full record

ArticleArchives of physical medicine and rehabilitation2022

Ability of the Functional Assessment in Acute Care Multidimensional Computerized Adaptive Test (FAMCAT) to Predict Discharge to Institutional Postacute Care.

Tamra Keeney, David J Weiss, Pengsheng Ni, Chun Wang, Andrea 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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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

4 citing papers in PubMed.

  1. Observational
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Tamra KeeneyCenter for Gerontology and Health Care Research, Brown University School of Public Health; Division of Palliative Care and Geriatric Medicine, Department of Medicine, Massachusetts General Hospital. Electronic address: TKeeney1@mgh.harvard.edu.
David J WeissDepartment of Psychology, University of Minnesota.
Pengsheng NiBoston University School of Public Health.
Chun WangDepartment of Psychology, University of Washington.
Andrea ChevilleDepartment of Physical Medicine and Rehabilitation, Mayo Clinic.

Funding

National Research Service AwardT32HS000011 · AHRQ · BROWN UNIVERSITY · PI TRIVEDI, AMAL N. · 1986 to 2024
$6.1M
Computerized Adaptive Testing to Direct Delivery of Hospital-Based RehabilitationR01HD079439 · NICHD · MAYO CLINIC ROCHESTER · PI CHEVILLE, ANDREA LYNNE · 2015 to 2019
$3.7M
AHRQ HHS T32 HS000011NICHD NIH HHS R01 HD079439
6 · The paper itself

Abstract

objectiveTo characterize the ability of the patient-reported Functional Assessment in Acute Care Multidimensional Computerized Adaptive Test (FAMCAT) domains to predict discharge disposition when administered during acute care stays.

designCohort study. Logistic regression models were estimated to identify the ability of FAMCAT domains to predict discharge to an institution for postacute care (PAC).

settingAcademic medical center.

participantsPatients admitted to general medicine services from June 2016 to June 2019 (n = 4240).

interventionsNot applicable. MAIN OUTCOME MEASURE(S): Discharge to an institution.

resultsIn this sample, 10.5% of patients were discharged to an institution for rehabilitation versus home. FAMCAT domain scores were highly predictive of discharge to institutional PAC. Daily Activity and Basic Mobility domains had excellent discriminative ability for discharge to an institution (c-statistic, 0.83 and 0.87, respectively). In best fit models accounting for additional characteristics, discrimination was outstanding for Daily Activity (c-statistic, 0.91; 95% confidence interval, 0.89-0.94) and Basic Mobility (c-statistic 0.92; 95% confidence interval, 0.89-0.94).

conclusionsThe FAMCAT Daily Activity and Basic Mobility domains demonstrated excellent discrimination for identifying patients who discharged to an institutional setting for rehabilitation and outstanding discrimination when adjusted for salient patient factors associated with discharge disposition. Estimates obtained in this investigation are comparable to the best discrimination achieved with clinician-rated measures to identify patients who would require institutional PAC.

Indexed as

Patient DischargeSubacute CareActivities of Daily LivingCohort StudiesHumansOutcome Assessment, Health CareRetrospective StudiesComputerized adaptive testsPatient-reported outcome measuresPostacute careRehabilitation

Identifiers

PMID34670134
PMCPMC9013388

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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.