Validation of the comprehensive ICF Core Set for patients in geriatric post-acute rehabilitation facilities.

OBJECTIVE To examine the relevance and completeness of the comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for patients in geriatric post-acute rehabilitation facilities. DESIGN Multi-centre cohort study. PATIENTS A total of 209 patients (67% female, mean age 80.4 years) in geriatric wards of 2 Austrian and 3 German hospitals. METHODS Data on functioning were collected using the respective comprehensive ICF Core Set. Data were extracted from patients' medical record sheets and interviews with health professionals and patients. RESULTS Most of the categories of the comprehensive ICF Core Set describing impairments, limitations or restrictions occurred in a considerable proportion of the study population. The most outstanding limitations and restrictions of the patients were problems with walking and moving around, and difficulties with self-care. Fourteen aspects of functioning not previously covered by the comprehensive ICF Core Set were reported as relevant. CONCLUSION Most categories of the comprehensive ICF Core Set could be confirmed. Limitations in categories of intellectual and seeing functions appeared less frequently than might have been expected for a population of older hospitalized people. Some additional categories not covered by the present version of the comprehensive ICF Core Set emerged from the interviews and should be considered for inclusion in the final version.

[1]  Cathrine Hildingh,et al.  Visual impairment and falls: a register study. , 2009, Journal of clinical nursing.

[2]  F. Jónasson,et al.  Five‐year incidence of visual impairment and blindness in older Icelanders: the Reykjavik Eye Study , 2009, Acta ophthalmologica.

[3]  Eva Grill,et al.  ICF Core Set for patients with cardiopulmonary conditions in early post-acute rehabilitation facilities , 2005, Disability and rehabilitation.

[4]  M. Prince,et al.  The prevalence of diagnoses, impairments, disabilities and handicaps in a population of elderly people living in a defined geographical area: the Gospel Oak project. , 1998, Age and ageing.

[5]  J. M. Davies,et al.  Strength, power and related functional ability of healthy people aged 65-89 years. , 1994, Age and ageing.

[6]  Walter R. Frontera,et al.  Lower extremity power training in elderly subjects with mobility limitations: a randomized controlled trial , 2008, Aging clinical and experimental research.

[7]  Paul Dieppe,et al.  Dignity in older age: what do older people in the United Kingdom think? , 2004, Age and ageing.

[8]  Directive and Supportive Behaviors Used by Families of Hospitalized Older Adults to Affect the Process of Hospitalization , 2006, Journal of family nursing.

[9]  Eva Grill,et al.  ICF Core Set for geriatric patients in early post-acute rehabilitation facilities , 2005, Disability and rehabilitation.

[10]  Eva Grill,et al.  Criteria for validating comprehensive ICF Core Sets and developing brief ICF Core Set versions. , 2011, Journal of rehabilitation medicine.

[11]  K. Grimmer-Somers,et al.  Screening tools to identify hospitalised elderly patients at risk of functional decline: a systematic review , 2008, International journal of clinical practice.

[12]  R. Sulkava,et al.  Combined hearing and visual impairment and depression in a population aged 75 years and older , 2002, International journal of geriatric psychiatry.

[13]  E. Grill,et al.  ICF Core Set for patients with neurological conditions in early post-acute rehabilitation facilities , 2005, Disability and rehabilitation.

[14]  K. Rockwood,et al.  Frailty and the geriatrician. , 2004, Age and ageing.

[15]  E. Grill,et al.  Rationale and principles of early rehabilitation care after an acute injury or illness , 2005, Disability and rehabilitation.

[16]  D. Raveh,et al.  Clinical and demographic characteristics of elderly patients hospitalised in an internal medicine department in Israel , 2007, International journal of clinical practice.

[17]  Nenad Kostanjsek,et al.  ICF linking rules: an update based on lessons learned. , 2005, Journal of rehabilitation medicine.

[18]  W. F. Ossenfort.  An Introduction to Geriatrics. , 1966 .

[19]  Louise Demers,et al.  Development of a conceptual framework for the assessment of geriatric rehabilitation outcomes. , 2004, Archives of gerontology and geriatrics.

[20]  D. Nielsen,et al.  Relationships Among Impairments in Lower-Extremity Strength and Power, Functional Limitations, and Disability in Older Adults , 2007, Physical Therapy.

[21]  W. Strawbridge,et al.  Comparative Impact of Hearing and Vision Impairment On Subsequent Functioning , 2001, Journal of the American Geriatrics Society.

[22]  Allon Goldberg,et al.  Gait disorders: search for multiple causes. , 2005, Cleveland Clinic journal of medicine.

[23]  E. Grill,et al.  ICF Core Sets development for the acute hospital and early post-acute rehabilitation facilities , 2005, Disability and rehabilitation.

[24]  L Felver,et al.  Families and hospitalized elders: A typology of family care actions. , 2000, Research in nursing & health.

[25]  C. Jacelon.  The Dignity of Elders in an Acute Care Hospital , 2003, Qualitative health research.

[26]  B. Bloem,et al.  Neurological gait disorders in elderly people: clinical approach and classification , 2007, The Lancet Neurology.

[27]  L. Fried,et al.  Frailty in older adults: evidence for a phenotype. , 2001, The journals of gerontology. Series A, Biological sciences and medical sciences.

[28]  Stephan Riek,et al.  Strength versus muscle power-specific resistance training in community-dwelling older adults. , 2008, The journals of gerontology. Series A, Biological sciences and medical sciences.

[29]  Nenad Kostanjsek,et al.  ICF Core Set for patients with musculoskeletal conditions in early post-acute rehabilitation facilities , 2005, Disability and rehabilitation.

[30]  R. Caselli,et al.  Current epidemiology of mild cognitive impairment and other predementia syndromes. , 2005, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[31]  J Woogara,et al.  Human Rights and Patients’ Privacy in UK Hospitals , 2001, Nursing ethics.

[32]  Irma-Leena Notkola,et al.  Physical functioning in elderly Europeans: 10 year changes in the north and south: the HALE project , 2005, Journal of Epidemiology and Community Health.

[33]  Thomas Ewert,et al.  RETRACTED: Value and application of the ICF in rehabilitation medicine , 2003, Disability and rehabilitation.