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The ICU Mobility Scale Has Construct and Predictive Validity and Is Responsive. A Multicenter Observational Study.

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This summary is machine-generated.

The ICU Mobility Scale (IMS) effectively measures mobility in critically ill patients, showing good validity and responsiveness. This scale aids in assessing patient recovery and outcomes in the intensive care unit (ICU).

Keywords:
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Area of Science:

  • Critical care medicine
  • Rehabilitation science
  • Clinical assessment tools

Background:

  • Assessing mobility is crucial for critically ill patients in the intensive care unit (ICU).
  • The ICU Mobility Scale (IMS) is designed to track mobility milestones.
  • Evidence for the psychometric properties of the IMS is needed.

Purpose of the Study:

  • To determine the validity and responsiveness of the ICU Mobility Scale (IMS).
  • To evaluate the IMS in a prospective cohort of adult ICU patients.

Main Methods:

  • Prospective cohort study of 192 adult ICU patients.
  • Construct and predictive validity assessed using correlation and regression analyses.
  • Responsiveness evaluated through changes over time, effect sizes, and floor/ceiling effects.

Main Results:

  • IMS showed moderate correlation with muscle strength (r=0.64).
  • Significant differences in IMS scores between patients with and without ICU-acquired weakness.
  • IMS predicted 90-day survival and discharge home, but not return to work.
  • The IMS demonstrated responsiveness with significant improvement during ICU stay.

Conclusions:

  • The ICU Mobility Scale (IMS) is a valid and responsive measure for assessing mobility in critically ill patients.
  • Findings support the use of IMS in clinical practice and research for ICU mobility assessment.