High intertester reliability of the cumulated ambulation score for the evaluation of basic mobility in patients with hip fracture
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High intertester reliability of the cumulated ambulation score for the evaluation of basic mobility in patients with hip fracture. / Kristensen, Morten Tange; Andersen, Lene; Bech-Jensen, Rie; Moos, Malene; Hovmand, Bente; Ekdahl, Charlotte; Kehlet, Henrik.
In: Clinical Rehabilitation, Vol. 23, No. 12, 2009, p. 1116-23.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - High intertester reliability of the cumulated ambulation score for the evaluation of basic mobility in patients with hip fracture
AU - Kristensen, Morten Tange
AU - Andersen, Lene
AU - Bech-Jensen, Rie
AU - Moos, Malene
AU - Hovmand, Bente
AU - Ekdahl, Charlotte
AU - Kehlet, Henrik
N1 - Keywords: Activities of Daily Living; Aged; Aged, 80 and over; Disability Evaluation; Female; Hip Fractures; Humans; Male; Mobility Limitation; Observer Variation; Reproducibility of Results; Severity of Illness Index
PY - 2009
Y1 - 2009
N2 - OBJECTIVE: To examine the intertester reliability of the three activities of the Cumulated Ambulation Score (CAS) and the total CAS, and to define limits for the smallest change in basic mobility that indicates a real change in patients with hip fracture. DESIGN: An intertester reliability study. SETTING: An acute 20-bed orthopaedic hip fracture unit. SUBJECTS: Fifty consecutive patients with a median age of 83 (25-75% quartile, 68-86) years. INTERVENTIONS: The CAS, which describes the patient's independency in three activities - (1) getting in and out of bed, (2) sit to stand from a chair, and (3) walking ability - was assessed by two independent physiotherapists at postoperative median day 3. Each activity was assessed on a three-point ordinal scale from 0 (not able to) to 2 (independent of human assistance). The cumulated score for each activity provides a total CAS from 0 to 6, with 6 indicating independent ambulation. MAIN MEASURES: Reliability was evaluated using weighted kappa statistics, the standard error of measurement (SEM) and the smallest real difference (SRD). RESULTS: The kappa coefficient, the SEM and the SRD in the three activities and the total CAS were >or=0.92,
AB - OBJECTIVE: To examine the intertester reliability of the three activities of the Cumulated Ambulation Score (CAS) and the total CAS, and to define limits for the smallest change in basic mobility that indicates a real change in patients with hip fracture. DESIGN: An intertester reliability study. SETTING: An acute 20-bed orthopaedic hip fracture unit. SUBJECTS: Fifty consecutive patients with a median age of 83 (25-75% quartile, 68-86) years. INTERVENTIONS: The CAS, which describes the patient's independency in three activities - (1) getting in and out of bed, (2) sit to stand from a chair, and (3) walking ability - was assessed by two independent physiotherapists at postoperative median day 3. Each activity was assessed on a three-point ordinal scale from 0 (not able to) to 2 (independent of human assistance). The cumulated score for each activity provides a total CAS from 0 to 6, with 6 indicating independent ambulation. MAIN MEASURES: Reliability was evaluated using weighted kappa statistics, the standard error of measurement (SEM) and the smallest real difference (SRD). RESULTS: The kappa coefficient, the SEM and the SRD in the three activities and the total CAS were >or=0.92,
U2 - 10.1177/0269215509342330
DO - 10.1177/0269215509342330
M3 - Journal article
C2 - 19923208
VL - 23
SP - 1116
EP - 1123
JO - Clinical Rehabilitation
JF - Clinical Rehabilitation
SN - 0269-2155
IS - 12
ER -
ID: 19570545