ICF Core Set for geriatric patients in early post-acute rehabilitation facilities

Purpose: The aim of this consensus process was to decide on a first version of the ICF Core Set for geriatric patients in early post-acute rehabilitation facilities. 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: Fifteen experts selected a total of 123 second-level categories. The largest number of categories was selected from the ICF component Body Functions (51 categories or 41%). 14 (11%) of the categories were selected from the component Body Structures, 30 (29%) from the component Activities and Participation, and 28 (23%) from the component Environmental Factors. Conclusion: The Post-acute ICF Core Set for geriatric patients is a clinical framework to comprehensively assess patients in early post-acute rehabilitation facilities, particularly in an interdisciplinary setting. This first version of the ICF Core Set will be further tested through empiric studies in German-speaking countries and internationally.

[1]  A. Jette Disablement outcomes in geriatric rehabilitation. , 1997, Medical care.

[2]  M J Bull,et al.  Components of a proper hospital discharge for elders. , 2001, Journal of advanced nursing.

[3]  E. Grill,et al.  Identification of relevant ICF categories by geriatric patients in an early post-acute rehabilitation facility , 2005, Disability and rehabilitation.

[4]  E. Grill,et al.  Systematic review of measures and their concepts used in published studies focusing on rehabilitation in the acute hospital and in early post-acute rehabilitation facilities , 2005, Disability and rehabilitation.

[5]  T Ewert,et al.  Value and application of the ICF in rehabilitation medicine , 2002, Disability and rehabilitation.

[6]  B. Hamilton A uniform national data system for medical rehabilitation. , 1987 .

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

[8]  Ivan Silver,et al.  The challenge of time: Clock‐drawing and cognitive function in the elderly , 1986 .

[9]  H. Hoenig,et al.  Geriatric Rehabilitation: State of the Art , 1997, Journal of the American Geriatrics Society.

[10]  Frank Knoefel,et al.  State of the art in geriatric rehabilitation. Part II: clinical challenges. , 2003, Archives of physical medicine and rehabilitation.

[11]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[12]  J L Freeman,et al.  Measuring frailty in the hospitalized elderly: concept of functional homeostasis. , 1998, American journal of physical medicine & rehabilitation.

[13]  Diane Podsiadlo,et al.  The Timed “Up & Go”: A Test of Basic Functional Mobility for Frail Elderly Persons , 1991, Journal of the American Geriatrics Society.

[14]  C. Dubeau,et al.  Diagnosis and management of urinary incontinence in the older patient. , 2001, Archives of physical medicine and rehabilitation.

[15]  Taking the Next Steps in Goal Ascertainment: A Prospective Study of Patient, Team, and Family Perspectives Using a Comprehensive Standardized Menu in a Geriatric Assessment and Treatment Unit , 2004, Journal of the American Geriatrics Society.

[16]  L. Rubenstein,et al.  Comprehensive geriatric assessment: a meta-analysis of controlled trials , 1993, The Lancet.

[17]  S. Shapiro,et al.  PA Randomized Trial of Team Care Following Stroke , 1984, Stroke.

[18]  Frank Knoefel,et al.  State of the art in geriatric rehabilitation. Part I: review of frailty and comprehensive geriatric assessment. , 2003, Archives of physical medicine and rehabilitation.

[19]  Salvatore Giaquinto Comorbidity in post‐stroke rehabilitation , 2003, European journal of neurology.

[20]  M. Cesari,et al.  Predictors of Rehabilitation Outcomes in Frail Patients Treated in a Geriatric Hospital , 2002, Journal of the American Geriatrics Society.

[21]  V. Leirer,et al.  Development and validation of a geriatric depression screening scale: a preliminary report. , 1982, Journal of psychiatric research.

[22]  M. Tinetti Performance‐Oriented Assessment of Mobility Problems in Elderly Patients , 1986, Journal of the American Geriatrics Society.

[23]  T. B. Üstün,et al.  Development of ICF Core Sets for patients with chronic conditions. , 2004, Journal of rehabilitation medicine.

[24]  H. Ring,et al.  Matrix management in a rehabilitation centre. , 1989, International disability studies.

[25]  J. VanSwearingen,et al.  Making geriatric assessment work: selecting useful measures. , 2001, Physical therapy.

[26]  A. Lusky,et al.  Cognitive status at admission: does it affect the rehabilitation outcome of elderly patients with hip fracture? , 1999, Archives of physical medicine and rehabilitation.

[27]  T. Bedirhan Üstün,et al.  Application of the International Classification of Functioning, Disability and Health (ICF) in clinical practice , 2002, Disability and rehabilitation.

[28]  P. Lichtenberg,et al.  Home alone: the role of cognition in return to independent living. , 1997, Archives of physical medicine and rehabilitation.

[29]  E. Wagner,et al.  Preventing frail health. , 1992, Clinics in geriatric medicine.

[30]  F. Mahoney,et al.  FUNCTIONAL EVALUATION: THE BARTHEL INDEX. , 2018, Maryland state medical journal.

[31]  E. Grill,et al.  Identification of relevant ICF categories by health professionals in the acute hospital. , 2005, Disability and rehabilitation.