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Domen Kazuhisa - One of the best experts on this subject based on the ideXlab platform.
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Functional Independence Measure for elderly patients undergoing aortic valve replacement
General Thoracic and Cardiovascular Surgery, 2017Co-Authors: Masaaki Ryomoto, Masataka Mitsuno, Mitsuhiro Yamamura, Hiroe Tanaka, Shinya Fukui, Tetsuya Kajiyama, Ayaka Satou, Yuji Miyamoto, Domen KazuhisaAbstract:Objective This study aimed to evaluate the efficacy of the Functional Independence Measure to assess preoperative frailty for elderly patients undergoing surgical aortic valve replacement. Methods Eighty-five patients >65 years who survived elective isolated aortic valve replacement from January 2008 to October 2015 were included. The mean age at the operation was 78 ± 6 years old ( n = 28 males, n = 57 females). The patients were divided into two groups according to their status at discharge: impossible to discharge home or hospitalization for >30 days (compromised group, n = 8), or unaffected (unaffected group, n = 77). Preoperative frailty was evaluated with the Functional Independence Measure, which comprises 18 items divided into six domains: self-care, sphincter control, mobility, locomotion, communication, and social cognition. Results The preoperative total Functional Independence Measure score was significantly lower in the compromised group (79 ± 32) than in the unaffected group (120 ± 9, p
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Functional Independence Measure for elderly patients undergoing aortic valve replacement.
The Japanese Journal of Thoracic and Cardiovascular Surgery, 2016Co-Authors: Masaaki Ryomoto, Masataka Mitsuno, Mitsuhiro Yamamura, Hiroe Tanaka, Shinya Fukui, Tetsuya Kajiyama, Ayaka Satou, Yuji Miyamoto, Domen KazuhisaAbstract:Objective This study aimed to evaluate the efficacy of the Functional Independence Measure to assess preoperative frailty for elderly patients undergoing surgical aortic valve replacement.
Carl V. Granger - One of the best experts on this subject based on the ideXlab platform.
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THE STABILITY AND EQUIVALENCE RELIABILITY OF THE Functional Independence Measure FOR CHILDREN (WEEFIM)
Developmental Medicine & Child Neurology, 2008Co-Authors: Kenneth J. Ottenbacher, Carl V. Granger, Elizabeth T Taylor, Michael E. Msall, Susan Braun, Shelly J. Lane, Nancy Lyons, Linda C DuffyAbstract:The reliability of the Functional Independence Measure for Children (WeeFIM) was examined in 37 non-disabled children and 30 children with disabilities, from 12 to 76 months of age. The WeeFIM is derived from the Functional Independence Measure (FIM) and includes 18 items involving six Functional subscales. Stability was assessed by administering the WeeFIM instrument to each child's caregiver on two occasions separated by 7 to 14 days. Intraclass correlation co-efficients (ICCs) for individual items ranged from 0.90 to 0.99. The ICC for the six WeeFIM subscales ranged from 0.94 for social cognition to 0.99 for transfers and locomotion. The ICC value for total WeeFIM test-retest reliability was 0.98 for children with disabilities and 0.99 for children without disabilities. Equivalence reliability was examined by comparing ratings obtained when using personal assessment with ratings collected during a telephone interview. No statistically significant differences were found for individual items, subscale scores or total WeeFIM values.
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Rasch analysis of the Functional Independence Measure (FIM™) mastery test
Archives of Physical Medicine and Rehabilitation, 2004Co-Authors: Carl V. Granger, Anne Deutsch, Richard T. LinnAbstract:Abstract Objective: To evaluate the range, distribution, and unidimensionality of the items included in Version Five of the Functional Independence Measure (FIM TM ) Mastery Test, a 54-item written examination used to determine FIM rating proficiency by professionals who administer the instrument. Study Design: Rasch analysis of the test results of 6,645 clinicians who took the FIM Mastery Test in 1996. Results: Overall, clinicians performed well on the test. When the mean item difficulty was centered at 50, and the test scores were calibrated to range from 0 to 100 logits, the mean person ability level was 77 logits. Fit statistics indicated that the test was unidimensional, measuring a common theme. While the item separation index value was 17, 22 items were not efficient in determining the clinicians' ability levels. Analysis of the logit values by the correct response showed that descriptions of Total Assistance (Level 1) and Complete Independence (Level 7) were easiest for clinicians to score correctly. Conclusion: The examination Measures the common theme of FIM knowledge in a consistent manner. Further, the results suggest that the FIM Mastery Test may be shortened, perhaps by eliminating one of the three case studies, and improved by adding more challenging questions. In addition, FIM training should focus on distinguishing among levels 2 through 6, since clinicians had more difficulty identifying these levels.
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Interrater agreement and stability of the Functional Independence Measure for children (weefim™): Use in children with developmental disabilities
Archives of Physical Medicine and Rehabilitation, 1997Co-Authors: Kenneth J. Ottenbacher, Carl V. Granger, Michael E. Msall, Linda C Duffy, Nancy Lyon, Susan BraunAbstract:Abstract Objective: Examination of the interrater agreement and stability of ratings obtained using the Functional Independence Measure for Children (WeeFIM TM ) in a sample of children with developmental disabilities. Design: A relational design was used in which two sets of WeeFIM scores were collected under four conditions: same rater-short interval; same rater-long interval; different ratershort interval; and different rater-long interval. Setting: WeeFIM scores were collected in outpatient developmental rehabilitation centers, school programs, and the children's homes. Participants: Data were collected for 205 children ranging in age from 11 to 87 months. All children had a medical diagnosis of disability and were receiving habilitative-educational intervention or follow-along services including neurodevelopmental surveillance. Instrument: The WeeFIM instrument examines basic daily living and Functional skills in children from birth to 7 years of age. The WeeFIM is modeled after the Functional Independence Measure (FIM) for adults and includes 18 items in the following subscales: self-care, sphincter control, transfers, locomotion, communication, and social cognition. Results: Kappa values for items ranged from .44 to .82. Intraclass correlation coefficients (ICC) for the six subscales ranged from .73 to .98. Total WeeFIM ICC values were greater than .95 for all analyses. Conclusions: The WeeFIM ratings for the 205 children with developmental disabilities participating in this investigation were consistent across raters and time.
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Validity of the Functional Independence Measure for persons with traumatic brain injury
Archives of Physical Medicine and Rehabilitation, 1997Co-Authors: John D. Corrigan, Kip Smith-knapp, Carl V. GrangerAbstract:Abstract Objective: Replicate and extend studies of the construct validity of the Functional Independence Measure (FIM) for persons with traumatic brain injury (TBI). Design: A cross-sectional study of admissions to acute rehabilitation evaluated 6 months to 5 years after discharge. Setting: An inpatient brain injury rehabilitation unit in a large, academic medical center. Subjects: Ninety-five patients with primary diagnosis of TBI stratified by time postdischarge. Main Outcome Measures: Prediction of (1) average daily minutes of assistance and (2) supervision required in comparison to the Sickness Impact Profile (SIP) and SF-36. Results: The FIM was highly predictive of minutes of assistance (83% accuracy), supervision (82% accuracy), and the need for either type of assistance (78% accuracy). Prediction was only minimally improved by Measures of neurobehavioral impairment. The accuracy of the FIM was superior to the SIP and SF-36. Conclusions: Results provided substantial support for the validity of the FIM as a Measure of Functional Independence for persons with TBI. The importance of supervision as a type of assistance required after TBI was evident, with the FIM highly predictive of this need, as well.
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Impairment-specific dimensions within the Functional Independence Measure☆☆☆
Archives of Physical Medicine and Rehabilitation, 1997Co-Authors: Margaret G. Stineman, Roger C Fiedler, Alan M. Jette, Carl V. GrangerAbstract:Abstract Objective: The analyses presented in this article were intended to seek more fine-grained impairment-specific dimensions beyond the motor and cognitive dimensions of the Functional Independence Measure (FIM SM ). Design: The study used factor analysis within 20 categories of impairment to test the hypotheses that FIM items can be grouped according to Functional areas of the body and that these item groupings differ depending on the patient's impairment. Patients: Data from 93,829 patients discharged in 1992 from 252 free-standing rehabilitation hospitals and units were obtained from the Uniform Data System for Medical Rehabilitation. Results: In 18 of 20 impairment categories, factor analyses of patients' admission FIM scores showed impairment-specific FIM dimensions. Four impairments had a 3-dimensional factor structure, and 14 had a 4-dimensional structure. The impairment-specific dimensions were always nested within the motor-FIM subscale. Reliability coefficients for subscales based on these dimensions ranged from .74 to .97. The subscales appear to cluster FIM items by the area of body involved, neurological level, or relative energy consumption. Conclusion: The FIM can be viewed as a multilayered multidimensional Measure of human function. The impairment-specific dimensions, at an intermediate layer, provide insight about the causal linkage between the impairment and resultant patterns of disability. Impairment-specific subscales are relevant to those clinical or research applications where the type of disability needs to be more closely related to impairment.
Masaaki Ryomoto - One of the best experts on this subject based on the ideXlab platform.
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Functional Independence Measure for elderly patients undergoing aortic valve replacement
General Thoracic and Cardiovascular Surgery, 2017Co-Authors: Masaaki Ryomoto, Masataka Mitsuno, Mitsuhiro Yamamura, Hiroe Tanaka, Shinya Fukui, Tetsuya Kajiyama, Ayaka Satou, Yuji Miyamoto, Domen KazuhisaAbstract:Objective This study aimed to evaluate the efficacy of the Functional Independence Measure to assess preoperative frailty for elderly patients undergoing surgical aortic valve replacement. Methods Eighty-five patients >65 years who survived elective isolated aortic valve replacement from January 2008 to October 2015 were included. The mean age at the operation was 78 ± 6 years old ( n = 28 males, n = 57 females). The patients were divided into two groups according to their status at discharge: impossible to discharge home or hospitalization for >30 days (compromised group, n = 8), or unaffected (unaffected group, n = 77). Preoperative frailty was evaluated with the Functional Independence Measure, which comprises 18 items divided into six domains: self-care, sphincter control, mobility, locomotion, communication, and social cognition. Results The preoperative total Functional Independence Measure score was significantly lower in the compromised group (79 ± 32) than in the unaffected group (120 ± 9, p
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Functional Independence Measure for elderly patients undergoing aortic valve replacement.
The Japanese Journal of Thoracic and Cardiovascular Surgery, 2016Co-Authors: Masaaki Ryomoto, Masataka Mitsuno, Mitsuhiro Yamamura, Hiroe Tanaka, Shinya Fukui, Tetsuya Kajiyama, Ayaka Satou, Yuji Miyamoto, Domen KazuhisaAbstract:Objective This study aimed to evaluate the efficacy of the Functional Independence Measure to assess preoperative frailty for elderly patients undergoing surgical aortic valve replacement.
Yuji Miyamoto - One of the best experts on this subject based on the ideXlab platform.
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Functional Independence Measure for elderly patients undergoing aortic valve replacement
General Thoracic and Cardiovascular Surgery, 2017Co-Authors: Masaaki Ryomoto, Masataka Mitsuno, Mitsuhiro Yamamura, Hiroe Tanaka, Shinya Fukui, Tetsuya Kajiyama, Ayaka Satou, Yuji Miyamoto, Domen KazuhisaAbstract:Objective This study aimed to evaluate the efficacy of the Functional Independence Measure to assess preoperative frailty for elderly patients undergoing surgical aortic valve replacement. Methods Eighty-five patients >65 years who survived elective isolated aortic valve replacement from January 2008 to October 2015 were included. The mean age at the operation was 78 ± 6 years old ( n = 28 males, n = 57 females). The patients were divided into two groups according to their status at discharge: impossible to discharge home or hospitalization for >30 days (compromised group, n = 8), or unaffected (unaffected group, n = 77). Preoperative frailty was evaluated with the Functional Independence Measure, which comprises 18 items divided into six domains: self-care, sphincter control, mobility, locomotion, communication, and social cognition. Results The preoperative total Functional Independence Measure score was significantly lower in the compromised group (79 ± 32) than in the unaffected group (120 ± 9, p
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Functional Independence Measure for elderly patients undergoing aortic valve replacement.
The Japanese Journal of Thoracic and Cardiovascular Surgery, 2016Co-Authors: Masaaki Ryomoto, Masataka Mitsuno, Mitsuhiro Yamamura, Hiroe Tanaka, Shinya Fukui, Tetsuya Kajiyama, Ayaka Satou, Yuji Miyamoto, Domen KazuhisaAbstract:Objective This study aimed to evaluate the efficacy of the Functional Independence Measure to assess preoperative frailty for elderly patients undergoing surgical aortic valve replacement.
Ayaka Satou - One of the best experts on this subject based on the ideXlab platform.
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Functional Independence Measure for elderly patients undergoing aortic valve replacement
General Thoracic and Cardiovascular Surgery, 2017Co-Authors: Masaaki Ryomoto, Masataka Mitsuno, Mitsuhiro Yamamura, Hiroe Tanaka, Shinya Fukui, Tetsuya Kajiyama, Ayaka Satou, Yuji Miyamoto, Domen KazuhisaAbstract:Objective This study aimed to evaluate the efficacy of the Functional Independence Measure to assess preoperative frailty for elderly patients undergoing surgical aortic valve replacement. Methods Eighty-five patients >65 years who survived elective isolated aortic valve replacement from January 2008 to October 2015 were included. The mean age at the operation was 78 ± 6 years old ( n = 28 males, n = 57 females). The patients were divided into two groups according to their status at discharge: impossible to discharge home or hospitalization for >30 days (compromised group, n = 8), or unaffected (unaffected group, n = 77). Preoperative frailty was evaluated with the Functional Independence Measure, which comprises 18 items divided into six domains: self-care, sphincter control, mobility, locomotion, communication, and social cognition. Results The preoperative total Functional Independence Measure score was significantly lower in the compromised group (79 ± 32) than in the unaffected group (120 ± 9, p
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Functional Independence Measure for elderly patients undergoing aortic valve replacement.
The Japanese Journal of Thoracic and Cardiovascular Surgery, 2016Co-Authors: Masaaki Ryomoto, Masataka Mitsuno, Mitsuhiro Yamamura, Hiroe Tanaka, Shinya Fukui, Tetsuya Kajiyama, Ayaka Satou, Yuji Miyamoto, Domen KazuhisaAbstract:Objective This study aimed to evaluate the efficacy of the Functional Independence Measure to assess preoperative frailty for elderly patients undergoing surgical aortic valve replacement.
