Reliability and utility of the Acute Care Index of Function in intensive care patients: an observational study

Bissett, Bernie, Green, Margot, Marzano, Vince, Byrne, Susannah, Leditschke, I. Anne, Neeman, Teresa, Boots, Robert and Paratz, Jennifer (2016) Reliability and utility of the Acute Care Index of Function in intensive care patients: an observational study. Heart and Lung: Journal of Acute and Critical Care, 45 1: 10-14. doi:10.1016/j.hrtlng.2015.09.008


Author Bissett, Bernie
Green, Margot
Marzano, Vince
Byrne, Susannah
Leditschke, I. Anne
Neeman, Teresa
Boots, Robert
Paratz, Jennifer
Title Reliability and utility of the Acute Care Index of Function in intensive care patients: an observational study
Journal name Heart and Lung: Journal of Acute and Critical Care   Check publisher's open access policy
ISSN 1527-3288
0147-9563
Publication date 2016-01
Sub-type Article (original research)
DOI 10.1016/j.hrtlng.2015.09.008
Open Access Status Not Open Access
Volume 45
Issue 1
Start page 10
End page 14
Total pages 5
Place of publication Philadelphia, PA United States
Publisher Mosby
Collection year 2017
Language eng
Formatted abstract
Objectives:  To establish the inter-rater reliability of the Acute Care Index of Function (ACIF) in intensive care unit (ICU) patients and determine whether ACIF scores have predictive utility beyond ICU discharge.

Background:  Accurate and reliable measures of physical function are required to describe the recovery trajectory of ICU survivors. The clinimetric properties of the ACIF are yet to be established in ICU patients.

Methods:  Prospective observational study in a single tertiary ICU. ACIF scores were recorded independently by 2 physiotherapists across a convenience sample of 100 physiotherapy assessments, and at ICU discharge.

Results:  Inter-rater reliability of total ACIF scores was very strong (ICC = 0.94). ACIF <0.40 at ICU discharge predicted hospital discharge to a destination other than home (area under ROC = 0.79, 95% CI 0.64–0.89) (sensitivity 0.78).

Conclusion:  The ACIF has excellent inter-rater reliability in ICU patients and scores at ICU discharge predict the likelihood of discharge home.

Trial registration:  ACTRN12614001008617 (September 18 2014).
Keyword Critical care
Intensive care
Patient outcome assessment
Physiotherapy (techniques)
Rehabilitation
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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