| Autor: |
M. Raurell-Torredà, S. Arias-Rivera, J.D. Martí, M.J. Frade-Mera, I. Zaragoza-García, E. Gallart, T.R. Velasco-Sanz, A. San José-Arribas, E. Blazquez-Martínez, María Esther Rodríguez Delgado, Antonia María Contreras Rodríguez, Ester Oreña Cimiano, Alvaro Ortega Guerrero, María del Carmen, Martínez del Aguila, Virginia Rodríguez Monsalve, Carlos Leonardo Cano Herrera, Juan Manuel Masegosa Pérez, DeliaMaría González de la Cuesta, María Inmaculada Pardo Artero, Marta Palacios Laseca, Ana Isabel Cabello Casao, María BelénVicente de Vera Bellostas, Carmen Pérez Martínez, SheilaEscuder González, Amelia Lezcano Cisneros, Antonio Miguel Romeo, Isabel López Alegre, Emilia Romero de San Pío, Helena Fernández Alonso, Lara María Rodríguez Villanueva, Roberto Riaño Suárez, Begoña Sánchez Cerviño, Sergio Carrasco Santos, Alicia San José Arribas, Miriam González García, Antonio Linares Tavio, Paz Álvarez García, Nuria Polo Hernández, Lourdes Gómez Cosío, Isabel Pérez Loza, Ángela Suárez Pérez, Sonia Crespo Rebollo, Juan Carlos Muñoz Camargo, Julián García García, César Rojo Aguado, José Gómez López, Laura Sonseca Bartolomé, Sonia del Olmo Nuñez, Patricia García Mazo, Eduardo Siguero Torre, Isabel Muñoz Díez, Pilar Delgado Hito, Mercedes Olalla Garrido Martín, Gemma Marín Vivó, Maria del Mar Eseverri Rovira, Montserrat Guillen Dobon, Montserrat Aran Esteve, Maribel Mirabete Rodríguez, Albert Mariné Méndez, Silvia Rodríguez Fernández, Joan Rosselló Sancho, Valeria Zafra Lamas, Inmaculada Carmona Delgado, Àngels Navarro Arilla, Gustau Zariquiey Esteva, Angel Lucas Bueno Luna, Cristina Lerma Brianso, Rubén Gómez García, Bernat Planas Pascual, Marta Sabaté López, Ana Isabel Mayer Frutos, Roser Roca Escrihuela, Gemma Torrents Albà, Vanesa Garcia Flores, Joan Melis Galmés, Sandra Belmonte Moral, Montserrat Grau Pellicer, Aintzane Ruiz Eizmendi, Carme Garriga Moll, Esteve Bosch de Jaureguízar, Sergio Cordovilla Guardia, Fidel López Espuela, Lara Mateos Hinojal, María Isabel Redondo Cantos, Ma del Rosario Villar Redondo, Jesús Vila Rey, Susana Sánchez Méndez, Yolanda García Fernández, María Cristina Benítez Canosa, Mauricio Díaz Álvarez, José Ramón Cordo Isorna, Ángeles Estébez Penín, Gloria Güeto Rial, Esther Bouzas López, Susana Arias Rivera, María Jesús Frade Mera y María Jesús Luengo Alarcia, Noelia Regueiro Díaz, Luis Fernando Carrasco Rodríguez-Rey, María del Rosario Hernández García, Gema Sala Gómez, Javier Vecino Rubio, Saúl García González, María del Mar Sánchez Sánchez, Carmen Cruzado Franco, Beatriz Martín Rivera, Rocío González Blanco, Ana Belén Sánchez de la Ventana, Maria Luisa Bravo Arcas, Josefa Escobar Lavela, María del Pilar Domingo Moreno, Mercedes García Arias, Inmaculada Concepción Collado Saiz, María Acevedo Nuevo, Alejandro Barrios Suárez, Francisco Javier Zarza Bejarano, María Catalina Pérez Muñoz, Virginia Toribio Rubio, Patricia Martínez Chicharro, Alexandra Pascual Martínez, Sergio López Pozo, Laura Sánchez Infante, Verónica Ocaña García, Daniel Menes Medina, Ana Vadillo Cortázar, Gema Lendínez Burgos, Jesús Díaz Juntanez, María Teresa Godino Olivares, Juan José Rodríguez Mondéjar, Francisco José Martínez Rojo, María Vanessa Ruiz Martínez, Daniel Linares Celdrán, Antonio Ros Molina, Javier Sáez Sánchez, José María Martínez Oliva, Ana Bernal Gilar, María Belén Hernández García, Antonio Tomás Ríos Cortés, Raquel Navarro Méndez, Sebastián Gil García, Juan Sánchez Garre, Miriam del Barrio Linares, Rosana Goñi Viguria, Raquel Aguirre Santano, Ma Rosario García Díez, Laura Aparicio Cilla, Mónica Delicado Domingo, César Rodríguez Núñez, Ane Arrasate López, Ángela Romero Morán, Rosa Paños Melgoso, Mónica Yañez Cerón, Amparo Mercado Martínez, Beatriz Martínez Llopis, María Josefa Vayá Albelda, Javier Inat Carbonell, M.Rosario Alcayne Senent, Fátima Giménez García, Eva Cristina Fernández Gonzaga, Laura Febrer Puchol, Senén Berenguer Ortuño, María Pastor Martínez, Dunia Valera Talavera, María José Segrera Rovira, Yolanda Langa Revert, Maricruz Espí Pozuelo, María Ángeles de Diego, Beatriz Garijo Aspas, María del Rosario Asensio García, José Ramón Sánchez Muñoz, Quirico Martínez Sánchez, Ramón López Mateu |
| Rok vydání: |
2019 |
| Předmět: |
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| Zdroj: |
Australian critical care : official journal of the Confederation of Australian Critical Care Nurses. 34(5) |
| ISSN: |
1036-7314 |
| Popis: |
Background Intensive care unit–acquired muscle weakness (ICUAW) has an incidence of 40–46%. Early mobilisation is known to be a protective factor. Objective The aim of the study was to identify the incidence of ICUAW in Spain and to evaluate variables likely to contribute to the development of ICUAW. Methods A 4-month, prospective observational multicentre cohort study was conducted on patients receiving invasive mechanical ventilation for at least 48 h. Data were collected from ICU day 3 until ICU discharge. The primary outcome was presence of ICUAW (diagnosed using the Medical Research Council [MRC] scale). The secondary outcome was nurse–patient ratio, physiotherapist availability, analgesia, sedation and delirium management, glycaemic control, and daily level of mobility during the ICU stay as per the ICU Mobility Scale. A logistic regression model was constructed based exclusively on days 3–5 of the ICU stay. Results The data of 642 patients were analysed from 80 ICUs, accounting for 35% of all ICUs in Spain. The incidence of ICUAW was 58% (275 of 474 patients; 95% confidence interval [CI] [53–62]). The predictors for ICUAW were older age (odds ratio [OR] = 1.01; 95% CI [1.00–1.03]) and more days with renal replacement therapy (OR = 1.01; 95% CI [1.00–1.02]). The protective factors for ICUAW were male gender (OR = 0.58; 95% CI [0.38–0.89]), higher Barthel Index (showing prehospital functional independence) (OR = 0.97; 95% CI [0.95–0.99]), more days of being awake and cooperative (defined by a feasible MRC assessment) (OR = 0.98; 95% CI [0.97–0.99]), presence of delirium (OR = 0.98; 95% CI [0.97–0.99]), and more days with active mobilisation (ICU Mobility Scale ≥ 4) (OR = 0.98; 95% CI [0.97–0.99]). Conclusions The risk factors for ICUAW were functional dependence before admission, female gender, older age, and more days on renal replacement therapy. The protective factors for ICUAW were feasibility of MRC assessment, the presence of delirium, and being actively mobilised during the first 5 days in the ICU. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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Full Text from ScienceDirect 