This will enable the identification of deficits, which may impact on the ability to discharge home and ultimately resume family and societal roles in individuals with very low levels of function, through to higher-functioning individuals after the insult of initial critical illness.
These items were designed to measure activities across a wide range of functional independence levels to enable the detection of functional changes in individuals with both high and low levels of functioning [ 28].
Only 20% of the patient sample had baseline PROMIS PF scores at the average 50th percentile T-score of 50, 5% had PROMIS UE scores over 50, and 5% had an average PROMIS PI pain score of 50, indicating this group had low levels of function and high levels of pain at baseline.
This study examined the levels of distress and impairment in over 1,600 individuals presenting to youth mental health services with a primary diagnosis of UP or BD and explored which combination of demographic, clinical and substance use parameters identified cases with high or low levels of distress and/or high or low levels of functioning.
To address this measurement gap, we created two custom parent-proxy physical functioning short forms for use among children at risk for low levels of functioning, using pediatric Patient Reported Outcomes Measurement Information System (PROMIS) item banks for Upper Extremity and Mobility.
These children showed very low levels of functioning: a mean IQ of 37.1 was found [ 43].
However, such items were informative for extremely high or low levels of function and helped minimize floor and ceiling effects.
An advanced disease stage is probably the factor having the greatest impact on the low levels of function and high level of symptoms revealed in this study.
Our finding, that among patients who presented for TKA, significantly fewer with higher SES had high levels of pain and low levels of function, raises the question of whether TKA was indicated for this population.
Across the whole study sample, the poverty of resources is one of the key factors associated with high levels of illness severity and low levels of functioning and social outcomes (particularly those measured by the Honos) at follow-up.
