The Five Times Sit-to-Stand Test: Safety and Reliability with Older Intensive Care Unit Patients at Discharge

Overview

Journal Rev Bras Ter Intensiva

Specialties Critical Care
General Medicine

Date 2019 Mar 21

PMID 30892478

Citations 42

Authors

Thiago Araujo de Melo

Antonio Carlos Magalhaes Duarte

Thaysa Samanta Bezerra

Fabricia Franca

Neila Silva Soares

Debora Brito

Affiliations

Soon will be listed here.

Abstract

Objective: Assess the Five Times Sit-to-Stand Test safety and clinimetric properties in older patients hospitalized in an intensive care unit.

Methods: Test safety was assessed according to the incidence of adverse events and through hemodynamic and respiratory data. Additionally, reliability properties were investigated using the intraclass correlation coefficients, standard error of measurement, standard error percentage change, Altman-Bland plot and a survival agreement plot.

Results: The overall suitability of the Five Times Sit-to-Stand Test was found to be low, with 29.8% meeting the inclusion criteria. Only 44% of the hospitalized patients who met the inclusion criteria performed the test, with no need for discontinuation in any patient. Heart rate (79.7 ± 10.2bpm/86.6 ± 9.7bpm; p = 0.001) and systolic blood pressure (118 ± 21.4mmHg/129 ± 21.5mmHg; p = 0.031) were the only variables that presented a significant statistical increase, with no evidence of exacerbated response to the test. Additionally, no adverse events were reported from participating and both test-retest and interrater reliability were high (intraclass correlation coefficient ≥ 0.99).

Conclusion: The Five Times Sit-to-Stand Test was proven to be safe and to have excellent reliability. Its clinical use, however, may be restricted to high-functioning older adults in hospital settings.

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