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- Sophia Wang, Duane Allen, Anthony Perkins, Patrick Monahan, Sikandar Khan, Sue Lasiter, Malaz Boustani, and Babar Khan.
- Sophia Wang is an assistant professor of clinical psychiatry, Department of Psychiatry, Indiana University School of Medicine, Indianapolis, Indiana, Duane Allen is an internal medicine resident, Department of Medicine, Indiana University School of Medicine. Anthony Perkins is a biostatistician, Division of Biostatistics, Indiana University, Indianapolis, Indiana. Patrick Monahan is a professor, Department of Biostatistics, Indiana University School of Medicine, and a research scientist, Indiana University Center of Aging Research, Regenstrief Institute, Indianapolis, Indiana. Sikandar Khan is an assistant professor of medicine, Division of Pulmonary, Critical Care, Sleep and Occupational Medicine, Department of Medicine, Indiana University School of Medicine. Sue Lasiter is an associate professor, University of Missouri-Kansas City School of Nursing and Health Studies, Kansas City, Missouri. Malaz Boustani is a professor of medicine, Division of General Internal Medicine and Geriatrics, Department of Medicine, Indiana University School of Medicine, and a research scientist, Indiana University Center of Aging Research, Regenstrief Institute. Babar Khan is an associate professor of medicine, Division of Pulmonary, Critical Care, Sleep and Occupational Medicine, Department of Medicine, Indiana University School of Medicine, and a research scientist, Indiana University Center of Aging Research, Regenstrief Institute. sophwang@iupui.edu.
- Am. J. Crit. Care. 2019 Jan 1; 28 (1): 101810-18.
BackgroundPost-intensive care syndrome is defined as the long-term cognitive, physical, and psychological impairments due to critical illness.ObjectiveTo validate the self-report version of the Healthy Aging Brain Care Monitor as a clinical tool for detecting post-intensive care syndrome.MethodsA total of 142 patients who survived a stay in an intensive care unit completed the Healthy Aging Brain Care Monitor Self-report and standardized assessments of cognition, psychological symptoms, and physical functioning. Cronbach α was used to measure the internal consistency of the scale items. Validity between the Healthy Aging Brain Care Monitor and comparison tests was measured by using Spearman correlation coefficients. Patients with post-intensive care syndrome were compared with a sample of primary care patients (known groups validity) by using the Mann-Whitney test. General linear models were used to adjust for age, sex, and education level.ResultsThe total scale and all subscales had good to excellent internal consistency (Cronbach α, 0.83-0.92). Scores on the psychological subscale strongly correlated with standardized measures of psychological symptoms (Spearman correlation coefficient, 0.68-0.74). Results on the cognitive subscale correlated with the delayed memory measure (-0.51). Scores on the physical subscale correlated with the Physical Self-Maintenance Scale (-0.26). Patients with post-intensive care syndrome had significantly worse scores on subscales and total scores on the Healthy Aging Brain Care Monitor than did primary care patients.ConclusionThe self-report version of the Healthy Aging Brain Care Monitor is a valid clinical tool for assessing symptoms of post-intensive care syndrome.©2019 American Association of Critical-Care Nurses.
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