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Performance-based outcome measures to assess functionality in hospitalised patients with COPD exacerbations: a systematic review of the measurement properties

2023-07-12Journal article Open access
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dc.contributor.authorLeonardi, Naiara Tais
dc.contributor.authorKawakami, Débora Mayumi Oliveira
dc.contributor.authorHurst, John R.
dc.contributor.authorCruz, Joana
dc.contributor.authorMendes, Renata Gonçalves
dc.date.accessioned2023-07-18T14:57:42Z
dc.date.available2023-07-18T14:57:42Z
dc.date.issued2023-07-12
dc.descriptionSupport statement: This work was supported by Fundação de Apoio à Pesquisa do Estado de São Paulo (FAPESP) (numbers process: 2015/12763-4; 2015/26501-1 (Project grant); 2021/03493-4 (NTL scholarship)). The funding source had no involvement in this analysis or in the writing of this manuscript. Funding information for this article has been deposited with the Crossref Funder Registry.pt_PT
dc.descriptionProjeto financiado: Bolsa de doutoramento da FAPESP (Brasil).pt_PT
dc.description.abstractIntroduction Hospitalised patients with exacerbations of COPD (ECOPD) may have physical and functional impairments that impact morbidity and readmission. Therefore, it is crucial to properly identify reduced functionality in these patients to support a personalised rehabilitation. The objective of this study is to summarise and compare the measurement properties of functionality performance-based outcome measures for hospitalised patients with ECOPD. Methods A systematic review based on the Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) was performed. The PubMed, Embase, PEDro and Cochrane databases were searched using terms related to functionality, hospitalised patients with ECOPD and measurement properties. Studies were selected and extracted by two researchers. The COSMIN Risk of Bias checklist was applied to assess the methodological quality of the studies and measurement property results were compared with the criteria for good measurement properties. Quality of evidence was graded using a modified Grades of Recommendation, Assessment, Development and Evaluation approach. Results 13 studies were included with nine outcome measures, namely the 6-min pegboard ring test, the de Morton mobility index, the incremental shuttle walk test (ISWT), the 6-min walk test (6MWT), maximum inspiratory pressure (MIP), the Berg balance scale, 4-m gait speed, handgrip strength and the 6-min stepper test. Construct validity was rated as sufficient, except for the ISWT. Responsiveness, assessed only for MIP, was considered insufficient and measurement errors for the ISWT and 6MWT were insufficient, with a very low quality of evidence for all measurement properties. Conclusion Measurement properties of performance-based outcome measures to assess functionality in patients hospitalised with ECOPD are still scarce, with very low evidence supporting validity and a lack of evidence of responsiveness and reliability. Further studies are needed to address this topic and guide assertive and personalised management.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationLeonardi NT, Kawakami DMO, Hurst JR, et al. Performance-based outcome measures to assess functionality in hospitalised patients with COPD exacerbations: a systematic review of the measurement properties. Eur Respir Rev 2023; 32: 230013 [DOI: 10.1183/16000617.0013-2023].pt_PT
dc.identifier.doihttps://doi.org/10.1183/16000617.0013-2023pt_PT
dc.identifier.eissn1600-0617
dc.identifier.issn0905-9180
dc.identifier.other230013
dc.identifier.pmc10336549
dc.identifier.pmid37437913
dc.identifier.urihttp://hdl.handle.net/10400.8/8677
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.relationBolsa de doutoramento da FAPESP (Brasil)pt_PT
dc.relation.publisherversionhttps://err.ersjournals.com/content/32/169/230013pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectCOPDpt_PT
dc.subjectExacerbationpt_PT
dc.subjectHospitalizationpt_PT
dc.subjectMeasurement propertiespt_PT
dc.subjectValiditypt_PT
dc.subjectReliabilitypt_PT
dc.subjectChronic obstructive pulmonary diseasept_PT
dc.titlePerformance-based outcome measures to assess functionality in hospitalised patients with COPD exacerbations: a systematic review of the measurement propertiespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue169pt_PT
oaire.citation.startPage230013pt_PT
oaire.citation.titleEuropean Respiratory Reviewpt_PT
oaire.citation.volume32pt_PT
person.familyNameCruz
person.givenNameJoana
person.identifier.ciencia-idE213-7D20-5C3C
person.identifier.orcid0000-0002-4911-4469
person.identifier.ridK-7030-2013
person.identifier.scopus-author-id36715922000
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication33428074-748a-4751-b2f7-9f24247715fd
relation.isAuthorOfPublication.latestForDiscovery33428074-748a-4751-b2f7-9f24247715fd

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