| ARCHETYPE ID | openEHR-EHR-OBSERVATION.cpax.v1 |
|---|---|
| Concept | Chelsea Critical Care Physical Assessment (CPAx) tool |
| Description | A scoring system to measure physical morbidity in critical care. |
| Use | Use to record the results for each component parameter for the Chelsea Critical Care Physical Assessment Tool (CPAx). |
| Purpose | To record the results for each component parameter for the Chelsea Critical Care Physical Assessment Tool (CPAx). |
| References | Corner EJ, Wood H, Englebretsen C, Thomas A, Grant RL, Nikoletou D, Soni N. The Chelsea critical care physical assessment tool (CPAx): validation of an innovative new tool to measure physical morbidity in the general adult critical care population; an observational proof-of-concept pilot study. Physiotherapy. 2013 Mar;99(1):33-41. doi: 10.1016/j.physio.2012.01.003. Epub 2012 Mar 30. PubMed PMID: 23219649. Norwegian Version of the Chelsea Critical Care Physical Assessment Tool (CPAx-NOR): Translation, Face Validity, Cross-Cultural Adaptation and Inter-Rater Reliability - PubMed (nih.gov). https://pubmed.ncbi.nlm.nih.gov/37568435/ |
| Copyright | © openEHR Foundation |
| Authors | Author name: Silje Ljosland Bakke Organisation: Helse Vest IKT AS Email: silje.ljosland.bakke@helse-vest-ikt.no Date originally authored: 2023-04-14 |
| Other Details Language | Author name: Silje Ljosland Bakke Organisation: Helse Vest IKT AS Email: silje.ljosland.bakke@helse-vest-ikt.no Date originally authored: 2023-04-14 |
| Other Details (Language Independent) |
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| Keywords | |
| Lifecycle | published |
| UID | e829956d-b6f5-45c7-9236-5461231f55da |
| Language used | en |
| Citeable Identifier | 1246.145.2871 |
| Revision Number | 1.0.0 |
| protocol | |
| Extension | Extension: Additional information required to extend the model with local content or to align with other reference models or formalisms. For example: local information requirements; or additional metadata to align with FHIR. Include: All not explicitly excluded archetypes |
| data | |
| Respiratory function | Respiratory function: 0: Complete ventilator dependence. Mandatory breaths only. May be fully sedated/ paralysed 1: Ventilator dependence. Mandatory breaths with some spontaneous effort 2: Spontaneously breathing with continuous invasive or non-invasive ventilatory support 3: Spontaneously breathing with intermittent invasive or non-invasive ventilatory supportor continuous high flow oxygen (>15 L) 4: Receiving standardoxygen therapy (<15L) 5: Self-ventilating with no oxygen therapy |
| Cough | Cough: 0: Absent cough, may be fully sedated or paralysed 1: Cough stimulated on deep suctioning only 2: Weak ineffective voluntary cough, unable to clear independently (e.g. requires deep suction) 3: Weak, partially effective voluntary cough, sometimes able to clear secretions (e.g. requires Yankauer suctioning) 4: Effective cough, clearing secretions with airways clearance techniques 5: Consistent effective voluntary cough, clearing secretions independently |
| Moving within the bed (e.g. rolling) | Moving within the bed (e.g. rolling): 0: Unable, maybe fully sedated/ paralysed 1: Initiates movement. Requires assistance of two or more people (maximal) 2: Initiates movement. Requires assistance of at least one person (moderate) 3: Initiates movement. Requires assistance of one person (minimal) 4: Independent in ≥3 seconds 5: Independent in <3 seconds |
| Supine to sitting on the edge of the bed | Supine to sitting on the edge of the bed: 0: Unable/unstable 1: Initiates movement. Requires assistance of two or more people (maximal) 2: Initiates movement. Requires assistance of at least one person (moderate) 3: Initiates movement. Requires assistance of one person (minimal) 4: Independent in ≥3 seconds 5: Independent in <3 seconds |
| Dynamic sitting (i.e. when sitting on the edge of the bed/unsupported sitting) | Dynamic sitting (i.e. when sitting on the edge of the bed/unsupported sitting): 0: Unable/unstable 1: Requires assistance of two or more people (maximal) 2: Requires assistance of at least one person (moderate) 3: Requires assistance of one person (minimal) 4: Independent with some dynamic sitting balance (i.e. able to alter trunk position within base of support) 5: Independent with full dynamic sitting balance (i.e. able to reach out of base of support) |
| Standing balance | Standing balance: 0: Unable/unstable/bedbound 1: Tilt table or similar 2: Standing hoist or similar 3: Dependent on frame, crutches or similar 4: Independent without aids 5: Independent without aids and full dynamic standing balance (i.e. able to reach out of base of support) |
| Sit to stand (starting position: ≤90º hip flexion) | Sit to stand (starting position: ≤90º hip flexion): 0: Unable/unstable 1: Sit to stand with maximal assistance (standing hoist or similar) 2: Sit to stand with moderate assistance (e.g. one or two people) 3: Sit to stand with minimal assistance (e.g. one person) 4: Sit to stand independently pushing through arms of the chair 5: Sit to stand independently without upper limb involvement |
| Transferring from bed to chair | Transferring from bed to chair: 0: Unable/unstable 1: Full hoist 2: Standing hoist or similar 3: Pivot transfer (no stepping) with mobility aid or physical assistance 4: Stand and step transfer with mobility aid or physical assistance 5: Independent transfer without equipment |
| Stepping | Stepping: 0: Unable/unstable 1: Using a standing hoist or similar 2: Using mobility aids and assistance of at least one person (moderate) 3: Using mobility aid and assistance of one person (minimal) 4: Using mobility aid or assistance of one person (minimal) 5: Independent without aid |
| Grip strength (predicted mean for age and gender on the strongest hand) | Grip strength (predicted mean for age and gender on the strongest hand): 0: Unable to assess 1: <20% 2: <40% 3: <60% 4: <80% 5: ≥80% |
| Total score | Total score: The total sum of each component variable for the Chelsea Critical Care Physical Tool. min: >=0; max: <=50 |
| events | |
| Any event | Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. |
| Other contributors | Vebjørn Arntzen, Oslo University Hospital, varntzen@ous-hf.no |
| Translators |