Corrected FIM effectiveness as an index independent of FIM score on admission

Tokunaga, Makoto; Nakanishi, Ryo; Watanabe, Susumu; Maeshiro, Ichiro; Hyakudome, Akane; Sakamoto, Kei; Okubo, Tomoaki; Nojiri, Shin’ichi; Yamanaga, Hiroaki

doi:10.11336/jjcrs.5.7

Cited by 22 publications

(20 citation statements)

References 3 publications

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“…In addition, a study has shown that mFIM effectiveness cannot correct the low level of outcome when mFIM on admission is in the low range (13-48 points) [22].…”

Section: Characteristics Of the Outcome Prediction Methods In This Studymentioning

confidence: 99%

Comparison of prediction accuracy of the total score of FIM motor items at discharge in post-stroke patients in a Kaifukuki rehabilitation ward

Wada

Sonoda

Okamoto

et al. 2019

JJCRS

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Objective: We compared the accuracy of formulas for predicting ADL outcome constructed by multiple regression analysis in post-stroke patients admitted to a Kaifukuki rehabilitation ward. Methods: We divided 1,502 post-stroke patients into a construction group used to generate prediction formulas, and a validation group used to confirm the prediction accuracy. Prediction formula S was constructed by conventional multiple regression analysis using Functional Independence Measuremotor score (mFIM) at discharge as the dependent variable. Prediction formula R was constructed by reciprocal multiple regression analysis. Prediction equation E was constructed by calculating mFIM at discharge via mFIM effectiveness. In the validation group, predicted mFIM at discharge was calculated, and intraclass correlation coefficient and absolute value of residual were compared. Results: Intraclass correlation coefficients were 0.86 using prediction formula S, 0.90 using prediction formula R, and 0.89 using prediction formula E. Absolute values of residual were 9.38±6.62 using prediction formula S, 7.30±6.56 using prediction formula R, and 7.56±6.45 using prediction formula E. The Steel-Dwass test detected a significant difference between prediction formulas S and R, and between prediction formulas S and E (both p<0.05). Conclusion:The prediction accuracy of formulas for predicting ADL outcome constructed by multiple regression analysis is improved by adding a transformation that brings the model toward linearity.

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“…In addition, a study has shown that mFIM effectiveness cannot correct the low level of outcome when mFIM on admission is in the low range (13-48 points) [22].…”

Section: Characteristics Of the Outcome Prediction Methods In This Studymentioning

confidence: 99%

Comparison of prediction accuracy of the total score of FIM motor items at discharge in post-stroke patients in a Kaifukuki rehabilitation ward

Wada

Sonoda

Okamoto

et al. 2019

JJCRS

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“…. 20 In this study, the sum of five cognitive items was used to assess cognitive function, and bladder and bowel control for motor function. Furthermore, cognitive function of 25 points or more and bladder and bowel control of 5 points or more were classified as independent, and cognitive function of less than 25 points and bladder and bowel control of less than 5 points were classified as nonindependent.…”

Section: Methodsmentioning

confidence: 99%

Association of a continuous continence self‐management program with independence in voiding behavior among stroke patients: A retrospective cohort study

Shogenji

Yoshida

Sumiya

et al. 2022

Neurourology and Urodynamics

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Aims: Many stroke patients cannot urinate independently due to motor and cognitive dysfunctions. This study examined whether a continuous continence self-management program during acute and convalescent phases is associated with independence in voiding behavior.Methods: A retrospective cohort study was conducted among stroke patients registered in the Council of Kaga Local Stroke Network, Japan, from 2015 to 2019. In the intervention group (n = 941), a multidisciplinary continence care team and ward nurses provided continence care in the acute phase and shared the information with the staff in the convalescent ward. The control group (n = 579) received traditional voiding care from ward nurses. The primary and secondary outcomes were independence in voiding behavior at discharge from the convalescent ward and length of hospital stay, respectively.Results: At discharge from the convalescent wards, the proportion of patients who voided at the toilet or bedside commode was higher in the intervention group than in the control group (76.3% vs. 62.4%, p < 0.001). The continuous continence self-management program was associated with independence in voiding behavior (adjusted odds ratio: 1.801, 95% confidence interval [CI]:[1.102, 2.942]; p = 0.019) and length of hospital stay (β: −0.178, 95% CI: [−14.320, −7.607]; p < 0.001) after adjusting for other variables. Conclusions: The program was associated with increasing independent voiding behavior and shortened the length of hospital stay, suggesting the importance of promoting treatments for lower urinary tract symptoms and rehabilitation by a multidisciplinary continence care team for stroke patients.

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“…Relationship between motor FIM improvement (corrected motor FIM effectiveness) and age in proximal femoral fractures called the corrected FIM-M effectiveness, which is calculated as [FIM-M gain / (A − FIM-M at admission)] [4]. The value of A, which yielded a corrected FIM-M gain of around 0.65, was estimated as 42, 64, 79, 83, 87, 89, and 91 points (in the case of FIM-M of 13-18, 19-24, 25-30, 31-36, 37-42, 43-48, and 49-90 points at admission, respectively) in stroke patients [4]. The corrected FIM-M effectiveness can be used as an outcome indicator in which the influence of FIM-M at admission is corrected [5].…”

Section: Original Articlementioning

confidence: 99%

“…Corrected FIM-M effectiveness was calculated using the method reported by Tokunaga et al [4]. The average FIM-M effectiveness for 429 patients with an FIM-M score of 31-90 at admission was 0.649 (Fig.…”

Section: Study 2: Corrected Fim-m Effectivenessmentioning

confidence: 99%

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Relationship between motor FIM improvement (corrected motor FIM effectiveness) and age in proximal femoral fractures

Tokunaga

Nakanishi

Kiyota

et al. 2014

Jpn J Compr Rehabil Sci

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Objective:The objective of the present study was to determine the differences in FIM improvement (corrected FIM-M effectiveness) in proximal femoral fracture patients due to age. Methods: The subjects were 886 proximal femoral fracture patients. For the formula, Corrected FIM-M effectiveness = FIM-M gain / (A − FIM-M at admission), we determined values of A that would yield a mean FIM-M effectiveness of roughly 0.65. We divided the subjects into seven groups each covering an age range of five-year increments, and we determined the mean corrected FIM-M effectiveness for each group. Results: For FIM-M of 13-18, 19-24, 25-30, and 31-90 points at admission, the value of A was 47, 70, 85, and 91 points, respectively. Corrected FIM-M effectiveness declined with advancing age, especially above 80 years old. Conclusion: Mean FIM improvement in proximal femoral fracture patients begins to decline at age 80, while it was reported to be at age 70 in stroke patients.

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Corrected FIM effectiveness as an index independent of FIM score on admission

Cited by 22 publications

References 3 publications

Comparison of prediction accuracy of the total score of FIM motor items at discharge in post-stroke patients in a Kaifukuki rehabilitation ward

Comparison of prediction accuracy of the total score of FIM motor items at discharge in post-stroke patients in a Kaifukuki rehabilitation ward

Association of a continuous continence self‐management program with independence in voiding behavior among stroke patients: A retrospective cohort study

Relationship between motor FIM improvement (corrected motor FIM effectiveness) and age in proximal femoral fractures

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