期刊
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
卷 96, 期 4, 页码 236-242出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/PHM.0000000000000586
关键词
Intensive Care Units; Critical Illness; Muscle Weakness; Recovery of Function; Rehabilitation
资金
- Center of Translational Molecular Medicine project MARS [04I-201]
- Netherlands Organization for Health Research and Development (ZonMwAGIKO) [40-00703-98-11636]
Objective: The aim of this work was to compare the patient-reported functional health status with regard to physical, psychological, and social functioning of intensive care unit (ICU) survivors with and without ICU-acquired weakness (ICU-AW). Design: Single-center prospective study in ICU patients who were mechanically ventilated for more than 2 days and who survived to ICU discharge. Functional health status was assessed at 3, 6, and 12 months after ICU discharge, using the Sickness Impact Profile 68 (SIP68). The independent effect of ICU-AW on impaired functional status (SIP68 scores > 20) was analyzed using a multivariable logistic regression model. Results: A total of 133 patients were included, 60 with ICU-AW. Intensive care unit-acquired weakness was an independent predictor for impaired functional health status at 3 months after ICU discharge (odds ratio, 0.27; 95% confidence interval, 0.08-0.94; P = 0.04) but not at 6 and 12 months. Physical functioning was significantly more impaired in patients with ICU-AW at 3 and 12 months. Psychological functioning and social functioning were comparable between the groups, with little restrictions in psychological functioning, and severe long-lasting restrictions in social functioning. Conclusions: The findings of this study urge the need to develop interdisciplinary rehabilitation interventions for ICU survivors, which should be continued after hospital discharge.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据