|Determination of the minimal clinically important difference in the FIM instrument in patients with stroke.|
|PMID: 16401435 Owner: NLM Status: MEDLINE|
|OBJECTIVE: To define the minimal clinically important difference (MCID) for the FIM instrument in patients poststroke. DESIGN: Prospective case series discharged over a 9-month period. SETTING: Long-term acute care hospital. PARTICIPANTS: Patients with stroke (N=113). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Admission, discharge, and change scores were calculated for the total FIM, motor FIM, and cognitive FIM. Assessments of clinical change were rated at discharge on a 15-point (-7 to +7) Likert scale by attending physicians, with MCID defined at a cutoff score of 3. The FIM change scores associated with MCID were identified from receiver operating characteristic curves. Bayesian analysis was used to determine the probability of individual patients achieving MCID. RESULTS: FIM change scores associated with MCID were 22, 17, and 3 for the total FIM, motor FIM, and cognitive FIM, respectively. The accuracy of the MCID was greater when subjects were categorized based on admission FIM scores than when considering the sample as a whole. Larger FIM change scores were related to MCID in subjects with lower admission FIM scores. CONCLUSIONS: These findings will assist in the interpretation of FIM change scores relative to physicians' assessments of important clinical change.|
|Marianne Beninato; Kathleen M Gill-Body; Sara Salles; Paul C Stark; Randie M Black-Schaffer; Joel Stein|
Related Documents :
|10139245 - Reorganizing an academic medical center in a period of change.
12811895 - Echocardiography in district general hospitals: trends over a five-year period 1993-1998.
3602955 - Utilization of inpatient and emergency care: effects of changes in primary care system.
11523675 - Carotid endarterectomy with regional anesthesia.
10338915 - New admissions guidelines, policy changes result in fewer c-sections, lower costs.
8808025 - Using pharmacists' documentation of clinical activities to reclaim employees and reposi...
|Type: Journal Article; Research Support, Non-U.S. Gov't|
|Title: Archives of physical medicine and rehabilitation Volume: 87 ISSN: 0003-9993 ISO Abbreviation: Arch Phys Med Rehabil Publication Date: 2006 Jan|
|Created Date: 2006-01-10 Completed Date: 2006-02-22 Revised Date: 2007-11-15|
Medline Journal Info:
|Nlm Unique ID: 2985158R Medline TA: Arch Phys Med Rehabil Country: United States|
|Languages: eng Pagination: 32-9 Citation Subset: AIM; IM|
|Graduate Programs in Physical Therapy, MGH Institute of Health Professions, Boston, MA 02129, USA. email@example.com|
|APA/MLA Format Download EndNote Download BibTex|
Activities of Daily Living
Aged, 80 and over
Cognition / physiology
Health Status Indicators*
Motor Activity / physiology
Outcome Assessment (Health Care) / methods*
Physical Therapy Modalities
Recovery of Function
Sensitivity and Specificity
Severity of Illness Index
Stroke / diagnosis*, rehabilitation*
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Back from the brink: electromyography-triggered stimulation combined with modified constraint-induce...
Next Document: Speed of finger tapping as a predictor of functional outcome after unilateral stroke.