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. Author manuscript; available in PMC: 2017 Dec 1.
Published in final edited form as: Crit Care Med. 2016 Dec;44(12):e1155–e1164. doi: 10.1097/CCM.0000000000001949

Table 2.

Construct validity: Cross-sectional relationship of FSS-ICU with other outcome measures across publications and assessment time points

Construct and Convergent Validity (Pearson correlation)
Discriminant Validity (Biserial correlationa)
Time Point by Publication N IADL ADL MMT Hand grip % predictted Hand grip strength (kg) ICU Mobility scaleb ICU LOS Hospital LOS BMI (kg/m2) Contin- ence item from ADL Hemo- dialysis status Need for home oxygen Steroid usec Insulin usec
Pre-hospitalization
USA - Kho 32 0.48* 0.73* -0.04 0.09
USA - Needham 46-50 0.57* 0.80* <0.01 0.01
Combined 78-82 0.55* 0.80* -0.03 0.03
ICU awakening/admissiond
USA - Kho 20-29 0.48* 0.81* 0.44* 0.41 0.46* -0.01 0.50*
USA - Needham 43-52 0.72* 0.16
Australia 19-66 0.62* 0.30 0.30 -0.17
Brazil – da Silva 99 0.38*
Brazil – Neto 561 0.32*
Combined 20-802 0.39* 0.44* 0.40* 0.37* 0.46* -0.01 0.50*
ICU discharge
USA - Kho 12-27 0.70* 0.70* 0.43* 0.50* 0.62* 0.03 0.05 0.70* 0.06 -0.20 0.33
USA - Needham 39-47 0.76* -0.18 0.31* -0.26 0.30 0.05
Australiae 20-66 0.68* 0.62* 0.70* 0.69* -0.24 -0.21
Brazil – da Silva 99 0.95* -0.20*
Brazil – Neto 561 0.64* -0.27*
Combined 27-800 0.70* 0.60* 0.50* 0.59* 0.86* -0.25* 0.05 0.70* -0.20 0.19 0.11
Hospital discharge
USA - Kho 12-28 0.86* 0.80* 0.46* 0.51* -0.17 -0.12 0.78* 0.30 -0.12 -0.15 0.33
USA - Needham 15-44 0.81* 0.80* -0.34* 0.11 0.29 0.14 0.22 -0.12 -0.24
Australia data 8-19 0.39 0.51* 0.61* -0.46* -0.37
Combined 31-91 0.80* 0.80* 0.43* 0.49* -0.26* -0.05 0.42* 0.38* 0.05 -0.16 -0.06

Abbreviations: FSS-ICU: functional status score for the intensive care unit; IADL: instrumental activities of daily living; ADL: activities of daily living; MMT: manual muscle testing; LOS: length of stay; BMI: body mass index.

*

p <0.05.

a

Biserial correlations evaluate a correlation when one variable is dichotomous, and were used to evaluate correlation with continence, hemodialysis, home oxygen, steroids and insulin use.

b

This Hodgson ordinal ICU mobility scale evaluates patients’ highest mobility level, during physical therapy assessment in the ICU, and ranges from 0 (lying in bed) to 10 (walking independently without a gait aid).

c

Represents any use of this medication on hospital ward (for the ICU discharge time point) and upon hospital discharge (for hospital discharge time point).

d

ICU awakening was defined using the De Jonghe criteria in USA-Kho and Australia studies; in the USA-Needham, study, it was defined based on Richmond Agitation Sedation Scale and ability to follow instructions to perform the assessment.

e

A total of 20 patients had hand grip data and 41 had ICU mobility scale data.