| Determination of the minimal clinically important difference in the FIM instrument in patients with stroke. | |
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MedLine Citation:
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PMID: 16401435 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Marianne Beninato; Kathleen M Gill-Body; Sara Salles; Paul C Stark; Randie M Black-Schaffer; Joel Stein |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Archives of physical medicine and rehabilitation Volume: 87 ISSN: 0003-9993 ISO Abbreviation: Arch Phys Med Rehabil Publication Date: 2006 Jan |
Date Detail:
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Created Date: 2006-01-10 Completed Date: 2006-02-22 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 2985158R Medline TA: Arch Phys Med Rehabil Country: United States |
Other Details:
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Languages: eng Pagination: 32-9 Citation Subset: AIM; IM |
Affiliation:
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Graduate Programs in Physical Therapy, MGH Institute of Health Professions, Boston, MA 02129, USA. mbeninato@mghihp.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living
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classification* Adult Age Factors Aged Aged, 80 and over Cognition / physiology Cohort Studies Disability Evaluation* Female Health Status Indicators* Humans Male Middle Aged Motor Activity / physiology Outcome Assessment (Health Care) / methods* Physical Therapy Modalities Probability Prognosis Prospective Studies Recovery of Function Risk Factors Sensitivity and Specificity Severity of Illness Index Sex Factors Statistics, Nonparametric Stroke / diagnosis*, rehabilitation* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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