College of Nursing and Health Sciences , Flinders University, 5042 Adelaide, Australia.
J Rehabil Med. 2019 Jun 18;51(6):397-404. doi: 10.2340/16501977-2546.
To systematically identify literature reporting on assessment instruments relevant for incipient hospital-acquired deconditioning during acute hospital admissions; evaluate their psychometric properties; and identify individual assessment items to form the basis of a comprehensive acute hospital test battery for hospital-acquired deconditioning.
Systematic evidence scan of MEDLINE, CINAHL, PubMed and Google Scholar from database inception to January 2018.
Papers reporting psychometric properties of assessment instruments to detect change in body function and structure, relevant to hospital-acquired deconditioning were selected. Included instruments should assess one or more elements of hospital-acquired deconditioning, reflect the short time-frame constraints of acute hospital admissions, and be able to be applied by any healthcare provider. Quality evaluation: Evidence of psychometric properties and utility were assessed using a validated instrument.
Hospital-acquired deconditioning assessment items.
Eight potentially-relevant instruments were identified, with moderate-to-good validity and utility, but limited evidence of reliability. These instruments reported a total of 53 hospital-acquired deconditioning assessment items. Seventeen items with measurement periods greater than 3 days were excluded. The remaining items measured anthropometrics, gait, balance, mobility, activities of daily living, and skin integrity.
These assessment items provide the basis of a multifaceted evidence-based test battery to comprehensively and repeatedly assess acute hospital inpatient function for incipient hospital-acquired deconditioning.
系统识别报告与急性住院期间初期医院获得性失能相关评估工具的文献；评估其心理测量学特性；并确定各个评估项目，为医院获得性失能的综合急性医院测试组合提供基础。
对 MEDLINE、CINAHL、PubMed 和 Google Scholar 进行系统的证据扫描，时间范围为数据库建立之初至 2018 年 1 月。
选择报告与身体功能和结构变化相关的评估工具心理测量学特性的论文，这些变化与医院获得性失能有关。包括的工具应评估医院获得性失能的一个或多个要素，反映急性住院的短期时间限制，并且可以由任何医疗保健提供者应用。质量评估：使用经过验证的工具评估心理测量学特性和实用性的证据。
医院获得性失能评估项目。
确定了 8 种具有中等至良好有效性和实用性的潜在相关工具，但可靠性证据有限。这些工具共报告了 53 项医院获得性失能评估项目。排除了测量期超过 3 天的 17 个项目。其余项目测量人体测量学、步态、平衡、移动性、日常生活活动和皮肤完整性。
这些评估项目为全面和重复评估急性住院患者初期医院获得性失能的基于证据的多方面测试组合提供了基础。
