Predictive validity of the Chelsea Critical Care Physical Assessment tool (CPAx) in critically ill, mechanically ventilated adults: a prospective clinimetric study

Eggmann, Sabrina; Verra, Martin L.; Stefanicki, Valentine; Kindler, Angela; Schefold, Joerg C.; Zante, Bjoern; Bastiaenen, Caroline

doi:10.1080/09638288.2021.2022785

Cited by 4 publications

(4 citation statements)

References 29 publications

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“…Patients with higher CPAx scores can go home post-discharge (Corner et al 2014 ). Importantly, CPAx scores measured at baseline are found to correlate with the LOS in critical care units (Eggmann et al 2022 ).…”

Section: Resultsmentioning

confidence: 99%

“…http://www.sajp.co.za Open Access has been tested in critically ill patients who have sustained burns and traumatic injuries and in surgical populations showing improvements in physical function. The CPAx tool has also been translated into four other languages: Chinese, German, Swedish and Danish (Astrup et al 2018;Eggmann et al 2022;Holdar et al 2019;Zhang et al 2021). Construct and cross-sectional validity of the German version of the CPAx (CPAx-GE) are excellent with 86%, and the acceptance rate of the cross-cultural hypotheses based on the original CPAx is 83% (Griffiths & Hall 2010).…”

Section: Themes Theme 1: Validitymentioning

confidence: 99%

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Functional outcomes of patients in ICU using the Chelsea Critical Care Physical Assessment tool: An integrative review

Tjale,

Hanekom,

Mshunqane

2023

South African Journal of Physiotherapy

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Background: Outcome measures can assess the change in the health status of a patient in an intensive care unit (ICU). The Chelsea Critical Care Physical Assessment (CPAx) tool is used to assess the functional outcomes to monitor patient progression or regression in an ICU.Objectives: Our study aimed to identify studies that assess the functional outcomes of patients nursed in ICUs that use the CPAx tool.Method: An integrative review framework was used. Data were analysed in five steps to formulate a conclusion that aligned with the objective of our study. Data were extracted from peer-reviewed articles published online between 2013 and 2022. Databases that were used include Google Scholar, Directory of Open Access Journals (DOAJ) and PubMed for reviewed articles. Keywords were used in the search strategy, and screening of abstracts was done to extract studies that met the inclusion criteria.Results: We retrieved 41 studies, of which 11 matched the inclusion criteria. Data were thematically arranged into studies measuring the validity and reliability of the CPAx tool, using the CPAx tool to measure outcomes in the ICU, the tool used at ICU and hospital discharge.Conclusion: The use of the CPAx tool has no impact on measuring the hospital length of stay or quality of life.Clinical implications: The tool is comprehensive and enhances the accuracy of patient assessment.

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Section: Resultsmentioning

confidence: 99%

Section: Themes Theme 1: Validitymentioning

confidence: 99%

Functional outcomes of patients in ICU using the Chelsea Critical Care Physical Assessment tool: An integrative review

Tjale,

Hanekom,

Mshunqane

2023

South African Journal of Physiotherapy

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“…This may be useful in predicting what level of care and what degree of rehabilitation intensive care patients need after discharge from hospitals in Norway but needs to be investigated further. Both patients and the healthcare system have a great interest in starting planning early to ensure a seamless rehabilitation process, and CPAx has already demonstrated these qualities as a predictive measurement tool in the original and German versions [34,35].…”

Section: Floor and Ceiling Effectsmentioning

confidence: 99%

Norwegian Version of the Chelsea Critical Care Physical Assessment Tool (CPAx-NOR): Translation, Face Validity, Cross-Cultural Adaptation and Inter-Rater Reliability

Schanke,

Brekka,

Rimehaug

et al. 2023

JCM

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Background: Assessment of physical and respiratory function in the intensive care unit (ICU) is useful for developing an individualized treatment plan and evaluating patient progress. There is a need for measurement tools that are culturally adapted, reliable and easy to use. The Chelsea Critical Care Physical Assessment Tool (CPAx) is a valid measurement tool with strong psychometric properties for the intensive care population. This study aims to translate, adapt and test face validity and inter-rater reliability of the Norwegian version of CPAx (CPAx-NOR) for use in critically ill adult patients receiving prolonged mechanical ventilation. Method: CPAx-NOR was forward backward translated, culturally adapted and tested by experts and patients for face validity. Thereafter tested by 10 physiotherapists in five hospitals for inter-rater reliability. Results: The experts and pilot testers reached consensus on the translation and face validity. Patients were tested at time point A (n = 57) and at time point B (n = 53). The reliability of CPAx-NOR at “A” was 0.990 (0.983–0.994) and at “B” 0.994 (0.990–0.997). Based on A+B combined and adjusted, the ICC was 0.990 (95% CI 0.996–0.998). Standard error of measurement (SEM) was 0.68 and the minimal detectable change (MDC) was 1.89. The Bland–Altman plot showed low bias and no sign of heteroscedasticity. CPAx-NOR changed with a mean score of 14.9, and showed a moderate floor effect at the start of physiotherapy and low ceiling effects at discharge. Conclusion: CPAx-NOR demonstrated good face validity and excellent inter-rater reliability. It can be used as an assessment tool for physical function in critically ill adults receiving prolonged mechanical ventilation in Norway.

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“…Relevant clinical studies have shown that the incidence and severity of MDRPI in patients using Algoplaque hydrocolloid dressing (AHD) are significantly higher than those in control patients [ 13 ]. That may be because the AHD is a semipermeable hydrogel dressing that can adhere to the skin surface, absorb exudate 30 times of its own mass, and swell to form a mild and moist gel filling layer.…”

Section: Introductionmentioning

confidence: 99%

Effect of Algoplaque Hydrocolloid Dressing Combined with Nanosilver Antibacterial Gel under Predictive Nursing in the Treatment of Medical Device-Related Pressure Injury

Chen

You

2022

Computational and Mathematical Methods in Medicine

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It was aimed at the clinical value of predictive nursing and Algoplaque hydrocolloid dressing (AHD) combined with nanosilver antibacterial gel in treating medical device-related pressure injury (MDRPI). 100 patients, who underwent surgery in Chongqing Qijiang District People’s Hospital from February 2019 to February 2020, were selected as the research objects and were randomly divided into the experimental group (50 cases) and the control group (50 cases). For the characterization test, a nanosilver antibacterial gel was created first. Patients in both groups received predictive nursing, but those in the experimental group received AHD and nanosilver antibacterial gel, and those in the control group received gauzes. MDRPI incidence, pressed skin injury severity, comfort level, clothing changes, nursing satisfaction, and other factors were all compared. The particle size of the nanosilver gel was 45-85 nm, with a relatively homogeneous distribution with the medium size, according to the findings. The incidence of MDRPI in the experimental group was lower than that in the control group significantly (6% vs. 30%, P < 0.05 ). The degree of injury of pressured skin in the experimental group was milder than that in the control group ( P < 0.05 ), the degree of comfort and nursing satisfaction was higher in the experimental group than in the control group ( P < 0.05 ), and dressing change count was lower than that in the control group ( P < 0.05 ). In the treatment of MDRPI, predictive nursing and AHD using nanosilver antibacterial gel showed high clinical application value.

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Predictive validity of the Chelsea Critical Care Physical Assessment tool (CPAx) in critically ill, mechanically ventilated adults: a prospective clinimetric study

Cited by 4 publications

References 29 publications

Functional outcomes of patients in ICU using the Chelsea Critical Care Physical Assessment tool: An integrative review

Functional outcomes of patients in ICU using the Chelsea Critical Care Physical Assessment tool: An integrative review

Norwegian Version of the Chelsea Critical Care Physical Assessment Tool (CPAx-NOR): Translation, Face Validity, Cross-Cultural Adaptation and Inter-Rater Reliability

Effect of Algoplaque Hydrocolloid Dressing Combined with Nanosilver Antibacterial Gel under Predictive Nursing in the Treatment of Medical Device-Related Pressure Injury

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