Criterion validity and sensitivity to change of the Early Rehabilitation Index (ERI): results from a German multi-center study

Rollnik, Jens D.; Bertram, Mathias; Bucka, C.; Hartwich, M.; Jöbges, Michael; Ketter, G.; Leineweber, Bernd; Mertl-Rötzer, M.; Nowak, Dennis A.; Platz, Thomas; Scheidtmann, Karl Heinz; Thomas, R.; Rosen, F. von; Wallesch, C. W.; Woldag, H.; Peschel, Peter; Mehrholz, Jan; Pohl, Marcus

doi:10.1186/s13104-016-2154-8

Cited by 8 publications

(8 citation statements)

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“…For stroke, several studies confirm that younger age is associated with a better outcome (see review [ 34 ]). Age effects are reported in the NNER literature for both, the BI [ 33 ] and the ERI [ 35 ]. Additionally, patients made more functional progress when the NNER treatment was initiated early after the injury.…”

Section: Discussionmentioning

confidence: 99%

Impact of Thyroid Hormone Levels on Functional Outcome in Neurological and Neurosurgical Early Rehabilitation Patients

Boltzmann

Schmidt

Rollnik

2017

BioMed Research International

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Background Neurological and neurosurgical early rehabilitation (NNER) is a specialized treatment option for patients with severe neurological disorders. The present study investigated whether thyroid hormone levels on admission have an impact on the outcome of NNER patients. Method The study included 500 NNER patients who were admitted to the BDH-Clinic Hessisch Oldendorf between 2009 and 2010. Data such as age, sex, diagnoses, comorbidities, Glasgow Coma Scale score, length of stay, and thyroid hormone levels (obtained as part of clinical routine care) were analyzed retrospectively. Improvement in the Early Rehabilitation Barthel Index (ERBI) at the end of the NNER treatment was defined as outcome parameter. Results Most patients made functional progress during treatment, as reflected in significant enhancements of the ERBI. Approximately half of the patients were transferred to further rehabilitation treatment. Young age, early onset of NNER treatment, low functional impairment on admission, and, in particular, low total T3 levels were independently associated with a good outcome. Conclusion Age, severity of disease, and time between injury and admission are known to predict outcome. The present study confirms the influence of these general factors. In addition, an association between thyroid hormones and functional outcome was demonstrated for NNER patients.

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Section: Discussionmentioning

confidence: 99%

Impact of Thyroid Hormone Levels on Functional Outcome in Neurological and Neurosurgical Early Rehabilitation Patients

Boltzmann

Schmidt

Rollnik

2017

BioMed Research International

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“…3 It is established that early in-patient rehabilitation for stroke patients is associated with improvement, better outcomes, and a higher percentage who return home. [4][5][6][7][8] However, some patients are more likely to benefit than others; to maximize the use of scarce and expensive resources, some stratification and selection of patients are necessary.…”

Section: Introductionmentioning

confidence: 99%

Discharge Destination from a Rehabilitation Unit After Acute Ischemic Stroke

Saab

Glass-Kaastra

Young

2019

Can. J. Neurol. Sci.

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ABSTRACT:Background: We reviewed numerous variables for ischemic stroke patients admitted to a rehabilitation unit to determine those that were statistically associated with discharge destination. Methods: A retrospective chart review of patients with ischemic stroke discharged from the rehabilitation unit between January 1, 2005 and December 31, 2015. Variables were examined for their association with discharge destination (home versus long-term care (LTC)). Univariable relationships with discharge destination were assessed, and a multivariable logistic regression model was built. Results: Univariate predictors of discharge to LTC: advanced age, decreasing admission and discharge functional independence measure (FIM) scores, increasing change in FIM score from admission to discharge, dependency, residence outside of home before the stroke, absence of a caregiver, urinary and bowel incontinence, low Berg balance score at admission and discharge, low Montreal Cognitive Assessment scores, smoking, chronic heart failure, and an inability to transfer. Multivariable logistic regression: five factors remained significant predictors with LTC disposition: advanced age, bowel incontinence, residence outside of the home prior to stroke, right hemisphere site of the stroke, and absence of a caregiver. Conclusions: Several easily measured variables were significantly associated with discharge to LTC versus home following stroke rehabilitation.

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“… 10 To calculated the ERBI score, it is necessary to add the ERI (-325 to 0 points) to the BI (0 to 100 points), which results in an ERBI total score of -325 to 100 points. 7 The scale showed high interrater reliability and validity compared with other neurological assessment scales. 6 , 7 …”

Section: Introductionmentioning

confidence: 84%

“…There are seven items, which if applicable have a negative value of -50 or -25 points. 7 ) The BI is a widely known scale that was created to evaluate the response to rehabilitation of individuals with chronic neurological disease. Its objective is to measure the ability to perform 10 activities of daily living (ADLs) independently, with some help or completely depending on help.…”

Section: Introductionmentioning

confidence: 99%

Early Rehabilitation Index: translation and crosscultural adaptation to Brazilian Portuguese; and Early Rehabilitation Barthel Index: validation for use in the intensive care unit

Reis¹,

Biscaro²,

Figueiredo³

et al. 2021

Revista Brasileira De Terapia Intensiva

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Objetivo Traduzir, adaptar transculturalmente para o português do Brasil o instrumento Early Rehabilitation Index e validar para uso na unidade de terapia intensiva o instrumento Early Rehabilitation Barthel Index , para avaliação do estado funcional. Métodos Foram executadas as seguintes etapas: preparação, tradução, reconciliação, tradução reversa, revisão, harmonização, pré-teste e avaliação psicométrica. Após esse processo inicial, a versão em português foi aplicada por dois avaliadores em pacientes que permaneciam pelo menos 48 horas internados na unidade de terapia intensiva. Verificou-se a confiabilidade da escala por meio da consistência interna, da confiabilidade entre avaliadores e do efeito piso e teto. Para a validade de constructo, correlacionou-se o Early Rehabilitation Barthel Index com instrumentos que usualmente são utilizados para avaliação do estado funcional na unidade de terapia intensiva. Resultados Participaram 122 pacientes com mediana de idade de 56 [46,8 - 66] anos. O Early Rehabilitation Barthel Index teve confiabilidade adequada com coeficiente alfa de Cronbach de 0,65. A confiabilidade entre avaliadores foi excelente, com coeficiente de correlação intraclasse de 0,94 (IC95% 0,92 - 0,96) e moderado a excelente com índice de concordância de kappa de 0,54 a 1,0. Os efeitos piso e teto foram mínimos. Observou-se a validade do Early Rehabilitation Barthel Index por meio das correlações com o escore total do Perme Escore (rô = 0,72), da Escala de Estado Funcional em UTI (rô = 0,77), do Physical Function in Intensive Care Test-score (rô = 0,69), do Medical Research Council sum score (rô = 0,58), além das dinamometrias de preensão palmar (rô = 0,58) e manual de coxa (rô = 0,55), todos com p < 0,001. Conclusão A versão adaptada do Early Rehabilitation Index para o português brasileiro e na sua totalidade, Early Rehabilitation Barthel Index é confiável e válida para avaliação do estado funcional dos pacientes na alta da unidade de terapia intensiva.

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Criterion validity and sensitivity to change of the Early Rehabilitation Index (ERI): results from a German multi-center study

Cited by 8 publications

References 20 publications

Impact of Thyroid Hormone Levels on Functional Outcome in Neurological and Neurosurgical Early Rehabilitation Patients

Impact of Thyroid Hormone Levels on Functional Outcome in Neurological and Neurosurgical Early Rehabilitation Patients

Discharge Destination from a Rehabilitation Unit After Acute Ischemic Stroke

Early Rehabilitation Index: translation and crosscultural adaptation to Brazilian Portuguese; and Early Rehabilitation Barthel Index: validation for use in the intensive care unit

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