A systematic review finds limited data on measurement properties of instruments measuring outcomes in adult intensive care unit survivors

Karen A Robinson, Wesley E. Davis, Victoriano Dinglas, Pedro A Mendez Tellez, Anahita Rabiee, Vineeth Sukrithan, Ramakrishna Yalamanchilli, Alison Turnbull, Dale Needham

Research output: Contribution to journalReview article

Abstract

Background and Objective There is a growing number of studies evaluating the physical, cognitive, mental health, and health-related quality of life (HRQOL) outcomes of adults surviving critical illness. However, there is little consensus on the most appropriate instruments to measure these outcomes. To inform the development of such consensus, we conducted a systematic review of the performance characteristics of instruments measuring physical, cognitive, mental health, and HRQOL outcomes in adult intensive care unit (ICU) survivors. Methods We searched PubMed, Embase, PsycInfo, Cumulative Index of Nursing and Allied Health Literature, and The Cochrane Library in March 2015. We also conducted manual searches of reference lists of eligible studies and relevant review articles. Two people independently selected studies, completed data abstraction, and assessed the quality of eligible studies using the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) initiative checklist. Results We identified 20 studies which explicitly evaluated measurement properties for 21 different instruments assessing outcomes in ICU survivors. Eleven of the instruments assessed quality of life, with few instruments assessing other domains. Of the nine measurement properties evaluated on the COSMIN checklist, six were assessed in <10% of the evaluations. Overall quality of eligible studies was generally poor to fair based on the COSMIN checklist. Conclusions Although an increasing number of studies measure physical, cognitive, mental health, and HRQOL outcomes in adult ICU survivors, data on the measurement properties of such instruments are sparse and generally of poor to fair quality. Empirical analyses evaluating the performance of instruments in adult ICU survivors are needed to advance research in this field.

Original languageEnglish (US)
Pages (from-to)37-46
Number of pages10
JournalJournal of Clinical Epidemiology
Volume82
DOIs
StatePublished - Feb 1 2017

Fingerprint

Intensive Care Units
Survivors
Checklist
Quality of Life
Consensus
Mental Health
Health
PubMed
Critical Illness
Libraries
Nursing
Outcome Assessment (Health Care)
Research

Keywords

  • Critical care survivors
  • Outcome measures
  • Systematic review

ASJC Scopus subject areas

  • Epidemiology

Cite this

A systematic review finds limited data on measurement properties of instruments measuring outcomes in adult intensive care unit survivors. / Robinson, Karen A; Davis, Wesley E.; Dinglas, Victoriano; Mendez Tellez, Pedro A; Rabiee, Anahita; Sukrithan, Vineeth; Yalamanchilli, Ramakrishna; Turnbull, Alison; Needham, Dale.

In: Journal of Clinical Epidemiology, Vol. 82, 01.02.2017, p. 37-46.

Research output: Contribution to journalReview article

@article{79ae92105591458689989bdde86a9958,
title = "A systematic review finds limited data on measurement properties of instruments measuring outcomes in adult intensive care unit survivors",
abstract = "Background and Objective There is a growing number of studies evaluating the physical, cognitive, mental health, and health-related quality of life (HRQOL) outcomes of adults surviving critical illness. However, there is little consensus on the most appropriate instruments to measure these outcomes. To inform the development of such consensus, we conducted a systematic review of the performance characteristics of instruments measuring physical, cognitive, mental health, and HRQOL outcomes in adult intensive care unit (ICU) survivors. Methods We searched PubMed, Embase, PsycInfo, Cumulative Index of Nursing and Allied Health Literature, and The Cochrane Library in March 2015. We also conducted manual searches of reference lists of eligible studies and relevant review articles. Two people independently selected studies, completed data abstraction, and assessed the quality of eligible studies using the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) initiative checklist. Results We identified 20 studies which explicitly evaluated measurement properties for 21 different instruments assessing outcomes in ICU survivors. Eleven of the instruments assessed quality of life, with few instruments assessing other domains. Of the nine measurement properties evaluated on the COSMIN checklist, six were assessed in <10{\%} of the evaluations. Overall quality of eligible studies was generally poor to fair based on the COSMIN checklist. Conclusions Although an increasing number of studies measure physical, cognitive, mental health, and HRQOL outcomes in adult ICU survivors, data on the measurement properties of such instruments are sparse and generally of poor to fair quality. Empirical analyses evaluating the performance of instruments in adult ICU survivors are needed to advance research in this field.",
keywords = "Critical care survivors, Outcome measures, Systematic review",
author = "Robinson, {Karen A} and Davis, {Wesley E.} and Victoriano Dinglas and {Mendez Tellez}, {Pedro A} and Anahita Rabiee and Vineeth Sukrithan and Ramakrishna Yalamanchilli and Alison Turnbull and Dale Needham",
year = "2017",
month = "2",
day = "1",
doi = "10.1016/j.jclinepi.2016.08.014",
language = "English (US)",
volume = "82",
pages = "37--46",
journal = "Journal of Clinical Epidemiology",
issn = "0895-4356",
publisher = "Elsevier USA",

}

TY - JOUR

T1 - A systematic review finds limited data on measurement properties of instruments measuring outcomes in adult intensive care unit survivors

AU - Robinson, Karen A

AU - Davis, Wesley E.

AU - Dinglas, Victoriano

AU - Mendez Tellez, Pedro A

AU - Rabiee, Anahita

AU - Sukrithan, Vineeth

AU - Yalamanchilli, Ramakrishna

AU - Turnbull, Alison

AU - Needham, Dale

PY - 2017/2/1

Y1 - 2017/2/1

N2 - Background and Objective There is a growing number of studies evaluating the physical, cognitive, mental health, and health-related quality of life (HRQOL) outcomes of adults surviving critical illness. However, there is little consensus on the most appropriate instruments to measure these outcomes. To inform the development of such consensus, we conducted a systematic review of the performance characteristics of instruments measuring physical, cognitive, mental health, and HRQOL outcomes in adult intensive care unit (ICU) survivors. Methods We searched PubMed, Embase, PsycInfo, Cumulative Index of Nursing and Allied Health Literature, and The Cochrane Library in March 2015. We also conducted manual searches of reference lists of eligible studies and relevant review articles. Two people independently selected studies, completed data abstraction, and assessed the quality of eligible studies using the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) initiative checklist. Results We identified 20 studies which explicitly evaluated measurement properties for 21 different instruments assessing outcomes in ICU survivors. Eleven of the instruments assessed quality of life, with few instruments assessing other domains. Of the nine measurement properties evaluated on the COSMIN checklist, six were assessed in <10% of the evaluations. Overall quality of eligible studies was generally poor to fair based on the COSMIN checklist. Conclusions Although an increasing number of studies measure physical, cognitive, mental health, and HRQOL outcomes in adult ICU survivors, data on the measurement properties of such instruments are sparse and generally of poor to fair quality. Empirical analyses evaluating the performance of instruments in adult ICU survivors are needed to advance research in this field.

AB - Background and Objective There is a growing number of studies evaluating the physical, cognitive, mental health, and health-related quality of life (HRQOL) outcomes of adults surviving critical illness. However, there is little consensus on the most appropriate instruments to measure these outcomes. To inform the development of such consensus, we conducted a systematic review of the performance characteristics of instruments measuring physical, cognitive, mental health, and HRQOL outcomes in adult intensive care unit (ICU) survivors. Methods We searched PubMed, Embase, PsycInfo, Cumulative Index of Nursing and Allied Health Literature, and The Cochrane Library in March 2015. We also conducted manual searches of reference lists of eligible studies and relevant review articles. Two people independently selected studies, completed data abstraction, and assessed the quality of eligible studies using the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) initiative checklist. Results We identified 20 studies which explicitly evaluated measurement properties for 21 different instruments assessing outcomes in ICU survivors. Eleven of the instruments assessed quality of life, with few instruments assessing other domains. Of the nine measurement properties evaluated on the COSMIN checklist, six were assessed in <10% of the evaluations. Overall quality of eligible studies was generally poor to fair based on the COSMIN checklist. Conclusions Although an increasing number of studies measure physical, cognitive, mental health, and HRQOL outcomes in adult ICU survivors, data on the measurement properties of such instruments are sparse and generally of poor to fair quality. Empirical analyses evaluating the performance of instruments in adult ICU survivors are needed to advance research in this field.

KW - Critical care survivors

KW - Outcome measures

KW - Systematic review

UR - http://www.scopus.com/inward/record.url?scp=85008311426&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85008311426&partnerID=8YFLogxK

U2 - 10.1016/j.jclinepi.2016.08.014

DO - 10.1016/j.jclinepi.2016.08.014

M3 - Review article

C2 - 27865899

AN - SCOPUS:85008311426

VL - 82

SP - 37

EP - 46

JO - Journal of Clinical Epidemiology

JF - Journal of Clinical Epidemiology

SN - 0895-4356

ER -