Is the Rehabilitation Complexity Scale Useful in Individuals Undergoing In-Hospital Pulmonary Rehabilitation?
To assess validity and responsiveness of the Extended Rehabilitation Complexity Scale (RCS-E v13) to in-hospital pulmonary rehabilitation (PR) in individuals with chronic respiratory diseases (CRD). Cross-sectional, multicentric study. Assessments in individuals attending units on 2 nonconsecutive d...
| Publicado en: | Archives of Physical Medicine & Rehabilitation Vol. 105; no. 11; pp. 2150 - 2160 |
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| Formato: | research Journal Article |
| Publicado: |
W B Saunders
Nov2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=180390818&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180390818 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00039993 1XL jtl: Archives of Physical Medicine & Rehabilitation issn: 00039993 maglogo: N pubinfo: dt: Nov2024 vid: 105 iid: 11 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 180390818 180390818 180390818 10.1016/j.apmr.2024.07.009 180390818 ppf: 2150 ppct: 10 formats: tig: atl: Is the Rehabilitation Complexity Scale Useful in Individuals Undergoing In-Hospital Pulmonary Rehabilitation? aug: sug: subj: Scales Evaluation Hospitalization Rehabilitation, Pulmonary Instrument Validation Respiratory Tract Diseases Rehabilitation Human Cross Sectional Studies Male Female Aged Construct Validity Lung Diseases Chronic Disease Pulmonary Disease, Chronic Obstructive Rehabilitation Tracheostomy Ventilation Concurrent Validity Descriptive Statistics Validation Studies Aged: 65+ years Male Female ab: To assess validity and responsiveness of the Extended Rehabilitation Complexity Scale (RCS-E v13) to in-hospital pulmonary rehabilitation (PR) in individuals with chronic respiratory diseases (CRD). Cross-sectional, multicentric study. Assessments in individuals attending units on 2 nonconsecutive days. Fourteen in-hospital PR units. Five hundred forty-seven individuals (59.2% male, age 72y [range, 65-78y]): 317 with chronic respiratory failure because of various causes (CRF); 96 with chronic obstructive pulmonary disease without CRF (COPD), 39 tracheostomized and ventilated (TX/V), and 95 with other diseases (Miscellaneous). Assessment of RCS-E v13 before and after the PR program. RCS-E v13 and outcome measures: Barthel Index (BI), Barthel Index Dyspnea (BiD), Medical Research Council scale for dyspnea (MRC), COPD Assessment Test (CAT), Short Physical Performance Battery (SPPB), and 6-minute walk test (6MWT). The highest RCS-E v13 admission values (median [interquartile range]) were found in TX/V (17 [15-18]) as compared with other groups (8 [7-10], 10 [9-12], and 8 [8-10] in COPD, CRF, and Miscellaneous, respectively, P <.001). At admission and discharge, RCS-E v13 correlated strongly with BI, 6MWT, and SPPB and moderately with MRC and BiD (r =.43-.60). After the program, RCS-E v13 as well as all outcome measures improved significantly in all groups (P <.001 for all). The size of improvement was different among groups according to the different variables. In the overall group, the effect size was high for changes in RCS-E v13 (Cohen's d =−2.0984), CAT (d =−1.1937), MRC (d =−1.0505), BiD (d =−.9364), and SPPB (d =.9231) whereas it was moderate for 6MWT (d =.7670) and BI (d =.6574). RCS-E v13 varies according to different CRD, is responsive to PR, has good construct and concurrent validity, and correlates with most of the accepted outcome measures of PR. Its scoring may provide useful information on the care burden of individuals undergoing PR. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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