Assessment for incipient hospital-acquired deconditioning in acute hospital settings: A systematic literature review

Susan Gordon, Karen A. Grimmer, Sarah Barras

Research output: Contribution to journalReview article

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Abstract

Objectives: 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. Design and data sources: Systematic evidence scan of MEDLINE, CINAHL, PubMed and Google Scholar from database inception to January 2018. Study selection: 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. Data extraction: Hospital-acquired deconditioning assessment items. Results: 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. Conclusion: 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.

Original languageEnglish
Pages (from-to)397-404
Number of pages8
JournalJournal of Rehabilitation Medicine
Volume51
Issue number6
DOIs
Publication statusPublished - 1 Jan 2019

Bibliographical note

This is an open access article under the CC BY-NC license.
Journal Compilation © 2019 Foundation of Rehabilitation Information. ISSN 1650-1977

Keywords

  • Acute hospital admission
  • Assessment
  • Discharge planning
  • Frailty
  • Functional decline
  • HAD
  • Hospital-acquired deconditioning
  • Inter-professional practice
  • Older people
  • Psychometric properties
  • Quality care
  • Systematic evidence scan
  • Utility

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