de Morton Mobility Index Is Feasible, Reliable, and Valid in Patients With Critical Illness

Sommers, Juultje; Vredeveld, Tom; Lindeboom, Robert; Nollet, Frans; Engelbert, Raoul; Schaaf, Marike van der

doi:10.2522/ptj.20150339

Cited by 33 publications

(28 citation statements)

References 27 publications

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“…El tamaño muestral de los estudios varió entre 20 y 116 participantes, en total fueron 302 participantes, de los cuales 48,2% eran hombres y 51,8% mujeres. Un estudio no reportó el tamaño muestral según sexo 38,39 . En 2 estudios se describió la edad de la muestra, cuyos promedios fueron entre 51,0 y 64,5 años [40][41][42][43] (Tabla 1).…”

Section: Características De Los Estudios Primariosunclassified

“…escalas de evaluación funcional en pacientes críticamente enfermos -M. libuy et al En relación a la validez concurrente de las escalas, la escala PFIT-s presentó correlación positiva con el TM6 (r = 0,41) 44 , con MRC-SS (rho = entre 0,49 y 0,92) 42,44 y con la fuerza de prensión (rho = 0,76) 45 ; así como correlación negativa con TUG (r = -0,60) 44 . La escala DEMMI presentó una correlación positiva con MRC-SS 38 . En relación a la validez predictiva, se observó que el puntaje de la escala PFIT-s predijo la necesidad de rehabilitación al alta (OR = 0,86) 44 y la probabilidad de egreso al domicilio (OR = 1,20) 44 (Tabla 1).…”

Section: Validez De Criteriounclassified

“…En 2 estudios fue evaluada la confiabilidad interobservador 38,41 , y en uno la confiabilidad intraobservador 38 . Todos los estudios poseen un alto nivel de confiabilidad intraobservador, reportando un CCI entre 0,93 para la escala DEMMI 38 y 0,98 para la escala Perme 41 .…”

Section: Confiabilidadunclassified

“…Todos los estudios poseen un alto nivel de confiabilidad intraobservador, reportando un CCI entre 0,93 para la escala DEMMI 38 y 0,98 para la escala Perme 41 . Por su parte, el CCI para la confiabilidad intraobservador de la escala DEMMI fue de 0,68 38 . En la Tabla 1 se muestran las propiedades de medición de cada una de las escalas identificadas.…”

Section: Confiabilidadunclassified

“…Las escalas identificadas fueron: Physical Function ICU Test-scored (PFIT-s) 42,44 , Perme ICU Mobility Score (Perme MS) 41 , y De Morton Mobility Index (DEMMI) 38 .…”

Section: Escalas Identificadasmentioning

confidence: 99%

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Validez y confiabilidad de las escalas de evaluación funcional en pacientes críticamente enfermos. Revisión sistemática

Libuy

et al. 2017

Rev. méd. Chile

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Section: Características De Los Estudios Primariosunclassified

Section: Validez De Criteriounclassified

Section: Confiabilidadunclassified

“…Las escalas identificadas fueron: Physical Function ICU Test-scored (PFIT-s) 42,44 , Perme ICU Mobility Score (Perme MS) 41 , y De Morton Mobility Index (DEMMI) 38 .…”

Section: Escalas Identificadasmentioning

confidence: 99%

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Validez y confiabilidad de las escalas de evaluación funcional en pacientes críticamente enfermos. Revisión sistemática

Libuy

et al. 2017

Rev. méd. Chile

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Protein and energy intake in intensive care unit survivors during the first year of recovery: A descriptive cohort study

Beumeler,

Visser,

Buter

et al. 2023

J Parenter Enteral Nutr

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PurposeMany ICU survivors suffer long‐term health issues, affecting their quality of life. Nutritional inadequacy can limit their rehabilitation potential. This study investigates nutritional intake and support during ICU admission and recovery.MethodsIn this prospective cohort study, 81 adult ICU patients with stays ≥ 48 hours were included. Data on dietary intake, feeding strategies, baseline/ICU characteristics, and one‐year outcomes (physical health and readmission rates) were collected. The number of patients achieving 1.2 g/kg/d protein and 25 kcal/kg/d at 3, 6, and 12 months post‐ICU was recorded. The impact of dietary supplementation during the year was assessed. Baseline characteristics, intake barriers, and rehabilitation's influence on nutritional intake at 12 months were evaluated, along with inadequate intake's effect on outcomes.ResultsAfter 12 months, only 10% of 60 patients achieved 1.2 g/kg/d protein intake, while 28% reached the advised 25 kcal/kg/d energy target. Supplementary feeding significantly increased protein intake at 3, 6, and 12 months (p=0.003, p=0.012, p=0.033) and energy intake at 3 months (p=0.003). A positive correlation was found between female sex and energy intake at 12 months post‐ICU (β=4.145, p=0.043), and taste issues independently associated with higher protein intake (β=0.363, p=0.036). However, achieving upper quartile protein or energy intake did not translate into improved physical health outcomes.ConclusionThis study shows that protein and energy intake is below recommendations in the majority of ICU survivors during the first year of recovery. Continuous and improved nutritional care is urgently needed to support patients in reaching nutritional adequacy.This article is protected by copyright. All rights reserved.

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Feasibility of Muscle Activity Assessment With Surface Electromyography During Bed Cycling Exercise In Intensive Care Unit Patients

et al. 2018

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Introduction: Intensive care unit (ICU) patients often develop weakness. Rehabilitation is initiated early to prevent physical deterioration, but knowledge of optimal training schedules is lacking. A reliable method to assess muscle activity during exercise is needed. In this study we explored the feasibility of electrical activity measurement by surface electromyography (sEMG) during bed cycling in ICU patients. Methods: SEMG was performed in 9 ICU patients and 6 healthy controls. A standardized 1‐minute incremental resistance bedside cycle ergometer protocol was used. Results: The median cycle time was 5.3 minutes in patients and 12.0 minutes in controls. The maximum sEMG increased in both groups; the minimal sEMG activity remained the same in patients, whereas an increase in the control group was found. Discussion: sEMG is feasible and can detect muscle activity during bed cycling in ICU patients. It may be a useful monitoring tool. Repeated measurements could possibly provide information on the effects of training. Muscle Nerve 58: 688–693, 2018

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de Morton Mobility Index Is Feasible, Reliable, and Valid in Patients With Critical Illness

Abstract: The DEMMI was found to be clinically feasible, reliable, and valid for measuring mobility in an ICU population. Therefore, the DEMMI should be considered a preferred instrument for measuring mobility in patients during and after their ICU stay.

Cited by 33 publications

References 27 publications

Validez y confiabilidad de las escalas de evaluación funcional en pacientes críticamente enfermos. Revisión sistemática

Validez y confiabilidad de las escalas de evaluación funcional en pacientes críticamente enfermos. Revisión sistemática

Protein and energy intake in intensive care unit survivors during the first year of recovery: A descriptive cohort study

Feasibility of Muscle Activity Assessment With Surface Electromyography During Bed Cycling Exercise In Intensive Care Unit Patients

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