Organ support & nutrition

A systematic review and meta-analysis of the clinimetric properties of the core outcome measurement instruments for clinical effectiveness trials of nutritional and metabolic interventions in critical illness (CONCISE)

Crit CarePublished Systematic review and meta-analysis of clinimetric properties

Authors' conclusion

Variable evidence exists to support the clinimetric properties of the CONCISE measurement instruments.

Study context

Population
Adults ≥ 18 years with or recovering from critical illness; CONCISE measurement instruments
Participants
12,308 adults · 47 studies
Outcome
Clinimetric properties of the CONCISE measurement instruments
Methodological detailsCOSMIN checklist, modified GRADE certainty rating, narrative synthesis, 4 databases searched from inception to December 2022; 4316 studies screened
  • COSMIN checklist
  • Modified GRADE certainty rating
  • Narrative synthesis
  • 4 databases searched from inception to December 2022; 4316 studies screened

Pooled result

As reported in the abstract

Clinimetric properties
  • Strongest clinimetric properties and certainty of evidence: SF-36 (Physical Component Score and Physical Functioning), sit-to-stand test, 6-m walk test, Barthel Index
  • Less favourable results: Short Physical Performance Battery, Katz Index, handgrip strength
  • Limited data: Lawson Instrumental Activities of Daily Living, Global Leadership Initiative on Malnutrition criteria
  • Risk of bias ranged from inadequate to very good
  • Certainty of evidence ranged from very low to high

Original publication

A systematic review and meta-analysis of the clinimetric properties of the core outcome measurement instruments for clinical effectiveness trials of nutritional and metabolic interventions in critical illness (CONCISE). Crit Care. Published 20 November 2023. doi:10.1186/s13054-023-04729-7

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