These Outcome Measures are NOT specific to Physical Therapist Use Alone.
While they serve specific functions, they have some important limitations and may not be appropriate for use during rehabilitation phase.
Therefore, we often default to some specific outcome measures in acute care. While no measure is perfect, specific outcome measures are more appropriate for use in our given patient population who are longer-term hospital bound.
- Short Form 36
- Katz Activity of Daily Living Instrument.1
- The Nottingham Health Profile.1
- Barthel Index.2 – Used in Stroke Patients usually.
- Duke Activity Status Index.(DASI) 3 – DASI is a sel-reported score – not very reliable.
- Functional Independence Measure (FIM)4
Rationale for why these are likely not appropriate for during-rehab use
- Some are self-reported phone surveys after discharge
- Some are specific to some diagnosis – e.g. Barthel Index is used in stroke patients
- Katz Activity Measure – measures functional activity but NOT mental health, and ability to move in bed
- FIM(TM) – not acute care specific – Due to lack of PT-specific need, has not been uniformly adopted by PTs in acute care. Also, NOT FREE. There is a cost to use – FIM scores are reported and compiled by the agency that licenses it.
Other References
- Montuclard L, Garrouste-Orgeas M, Timsit JF, et al. Outcome, functional autonomy, and quality of life of elderly patients with a long-term intensive care unit stay. Crit Care Med. 2000 Oct; 28(10):3389-95.
- Delle Karth G, Meyer B, Bauer S, et al. Outcome and functional capacity after prolonged intensive care unit stay.; 2006 Jul; 118(13-14):390-6.
- Bashour CA, Yared JP, Ryan TA, et al. Long-term survival and functional capacity in cardiac surgery patients after prolonged intensive care. Crit Care Med. 2000 Dec; 28(12):3847-53.
- Physiopedia
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