Brief ICF Core Sets for the acute hospital

J Rehabil Med. 2011 Jan;43(2):123-30. doi: 10.2340/16501977-0646.

Abstract

Objective: To identify candidate categories for brief International Classification of Functioning, Disability and Health (ICF) Core Sets for the reporting and measurement of functioning in patients in the acute hospital.

Design: Prospective multi-centre cohort study.

Patients: Patients receiving rehabilitation interventions for musculoskeletal, neurological or cardiopulmonary injury or disease in acute hospitals.

Methods: Functioning and contextual factors were coded using the ICF. The criterion for selecting candidate categories for the brief ICF Core Sets was based on their ability to discriminate between patients with high or low functioning status. Discrimination was assessed using multivariable regression models, the independent variables being all of the ICF categories of the respective comprehensive ICF Core Set. Analogue ratings of overall functioning as reported by patients and health professionals were used as dependent variables.

Results: A total of 391 patients were included in the study (91 neurological, 109 cardiopulmonary, 191 musculoskeletal), mean age 63.4 years, 50.1% female. Selection yielded 33 cate-gories for neurological, 31 for cardiopulmonary, and 30 for musculoskeletal.

Conclusion: The present selection of categories can be considered an initial proposal, serving to identify the ICF cate-gories most relevant for the practical assessment and monitoring of functioning in patients with acute neurological, cardiopulmonary, and musculoskeletal conditions.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Austria
  • Cohort Studies
  • Critical Care
  • Disability Evaluation*
  • Disabled Persons / classification*
  • Disabled Persons / rehabilitation
  • Female
  • Germany
  • Heart Diseases / rehabilitation
  • Humans
  • International Classification of Diseases
  • Male
  • Middle Aged
  • Musculoskeletal Diseases / rehabilitation
  • Nervous System Diseases / rehabilitation
  • Outcome Assessment, Health Care
  • Prospective Studies
  • Respiratory Tract Diseases / rehabilitation
  • Switzerland