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ICF Core Set for patients with cardiopulmonary conditions in the acute hospital
Christine Boldt1, Eva Grill, Manfred Wildner
1ICF Research Branch of the WHO FIC Collaborating Center (DIMDI), IMBK, Ludwig-Maximilians-University, Munich, Germany.
Insights
A consensus process established the first International Classification of Functioning, Disability and Health (ICF) Core Set for acute cardiopulmonary patients. This framework aids comprehensive assessment in hospitals.
Area of Science:
- Rehabilitation Medicine
- Clinical Assessment Tools
- Health Services Research
Background:
- Cardiopulmonary conditions require standardized assessment in acute hospital settings.
- Existing assessment tools may not fully capture functional status in these patients.
- The International Classification of Functioning, Disability and Health (ICF) provides a standardized framework for health and disability.
Framework:
- A consensus process developed the initial ICF Core Set for acute cardiopulmonary patients.
- The set comprises 48 second-level ICF categories, with a focus on Body Functions (44%).
- Categories were also selected from Body Structures (8%), Activities and Participation (21%), and Environmental Factors (27%).
Implementation:
- The development involved health professional focus groups, systematic literature reviews, and patient data collection.
- Twenty-two experts participated in the formal decision-making and consensus process.
- The ICF Core Set aims to standardize patient assessment in acute care.
Implications:
- This ICF Core Set offers a clinical framework for comprehensive patient assessment by healthcare professionals.
- It facilitates a holistic understanding of functioning and disability in acute cardiopulmonary conditions.
- Further empirical studies are planned for validation in German-speaking countries and internationally.
Purpose:
The aim of this consensus process was to decide on a first version of the ICF Core Set for patients with cardiopulmonary conditions in the acute hospital.
Methods:
The ICF Core Set development involved a formal decision-making and consensus process, integrating evidence gathered from preliminary studies including focus groups of health professionals, a systematic review of the literature and empiric data collection from patients.
Results:
Twenty-two experts selected a total of 48 second-level categories. The largest number of categories was selected from the ICF component Body Functions (21 categories or 44%). Four (8%) of the categories were selected from the component Body Structures, 10 (21%) from the component Activities and Participation, and 13 (27%) from the component Environmental Factors.
Conclusion:
The Acute ICF Core Set for patients with cardiopulmonary conditions provides all professionals with a clinical framework to comprehensively assess patients in the acute hospital. This first ICF Core Set will be further tested through empiric studies in German-speaking countries and internationally.
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