Determinants of gait independence after mechanical ventilation in the intensive care unit: a Japanese multicenter retrospective exploratory cohort study
| Autor: | Shuichi Suzuki, Ryo Kozu, Yasunari Morita, Kohei Ota, Hajime Katsukawa, Ritsuro Arakawa, Mika Ono, Shunsuke Taito, Toru Kotani, Shinichi Watanabe, Kenzo Ishii |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Multivariate analysis medicine.medical_treatment 030204 cardiovascular system & hematology Critical Care and Intensive Care Medicine Gait independence law.invention 03 medical and health sciences Mechanical ventilation 0302 clinical medicine law medicine Univariate analysis Intensive care unit-acquired weakness business.industry Research Incidence (epidemiology) lcsh:Medical emergencies. Critical care. Intensive care. First aid lcsh:RC86-88.9 Early mobilization Gait Intensive care unit 030228 respiratory system Emergency medicine Delirium medicine.symptom business Cohort study |
| Zdroj: | Journal of Intensive Care, Vol 7, Iss 1, Pp 1-9 (2019) Journal of Intensive Care |
| ISSN: | 2052-0492 |
| DOI: | 10.1186/s40560-019-0404-2 |
| Popis: | Purpose Gait independence is one of the most important factors related to returning home from the hospital for patients treated in the intensive care unit (ICU), but the factors affecting gait independence have not been clarified. This study aimed to determine the factors affecting gait independence at hospital discharge using a standardized early mobilization protocol that was shared by participating hospitals. Materials and methods Patients who entered the ICU from January 2017 to March 2018 were screened. The exclusion criteria were mechanical ventilation Results One hundred thirty-two patients were analyzed. In the univariate analysis, age, APACHE II score, duration of mechanical ventilation, ICU length of stay, incidence of delirium, and MRC sum-score at ICU discharge were extracted as significant. In the multivariate analysis, age (p = 0.014), MRC sum-score < 48 (p = 0.021), and delirium at discharge from ICU (p < 0.0001) were extracted as significant variables. Conclusions We found that age and incidence of ICU-AW and delirium were significantly related to impaired gait independence at hospital discharge. |
| Databáze: | OpenAIRE |
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