Abstract:
BACKGROUND : Outcome measures can assess the change in the health status of a patient in
an intensive care unit (ICU). The Chelsea Critical Care Physical Assessment (CPAx) tool
is used to assess the functional outcomes to monitor patient progression or regression in
an ICU.
OBJECTIVES : Our study aimed to identify studies that assess the functional outcomes of patients
nursed in ICUs that use the CPAx tool.
METHOD : An integrative review framework was used. Data were analysed in five steps to
formulate a conclusion that aligned with the objective of our study. Data were extracted from
peer-reviewed articles published online between 2013 and 2022. Databases that were used
include Google Scholar, Directory of Open Access Journals (DOAJ) and PubMed for reviewed
articles. Keywords were used in the search strategy, and screening of abstracts was done to
extract studies that met the inclusion criteria.
RESULTS : We retrieved 41 studies, of which 11 matched the inclusion criteria. Data were
thematically arranged into studies measuring the validity and reliability of the CPAx tool,
using the CPAx tool to measure outcomes in the ICU, the tool used at ICU and hospital
discharge.
CONCLUSION : The use of the CPAx tool has no impact on measuring the hospital length of stay
or quality of life.
CLINICAL IMPLICATIONS : The tool is comprehensive and enhances the accuracy of patient
assessment.
Description:
DATA AVAILABILITY : All the data that support the findings of our study can be
made available by the corresponding author, L.C.T., upon
reasonable request.