Long term follow-up of quality of life and functional ability in patients with ICU acquired Weakness - A post hoc analysis
Autor: | Christina Routsi, G. Stranjalis, Maria Dakoutrou, Vasiliki Gerovasili, Irini Patsaki, Eleftherios Karatzanos, Alexandros Kouvarakos, Georgios Mitsiou, Serafim Nanas, Georgios Sidiras |
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Rok vydání: | 2019 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent Critical Care medicine.medical_treatment Critical Illness Critical Care and Intensive Care Medicine 03 medical and health sciences Young Adult 0302 clinical medicine Quality of life Surveys and Questionnaires Post-hoc analysis Activities of Daily Living medicine Humans Functional ability Muscle Strength Aged Aged 80 and over Rehabilitation Muscle Weakness Hand Strength business.industry 030208 emergency & critical care medicine Middle Aged Functional Independence Measure humanities Post-intensive care syndrome Patient Discharge Intensive Care Units Nottingham Health Profile 030228 respiratory system Physical therapy Quality of Life Female business Complication Follow-Up Studies |
Zdroj: | Journal of critical care. 53 |
ISSN: | 1557-8615 |
Popis: | ICU acquired Weakness (ICUaW) is a common complication of critical illness. The aim of our study was the assessment of quality of life (QoL) and functional ability of patients with ICUaW, 6 months post hospital discharge.Eight hundred seventy eight consecutive patients who had been discharged from the ICU were evaluated and 128 of them, 36 with ICUaW, were eligible for the study. Muscle strength was evaluated with MRC and Hand grip dynamometry. The Functional Independence Measure (FIM) was used to evaluate the functional ability while QoL was assessed with the Nottingham Health Profile and with the SF-36 questionnaire.Patients with ICUaW continued to have low MRC at hospital discharge, [53(49-56) vs. 59(58-60), p 0.05]. Patients who developed ICUaW had lower Hand grip dynamometry at ICU, hospital discharge and 6 months after (p 0.05). Patients with ICUaW have significantly lower FIM score at hospital discharge, 3 and 6 months post hospital discharge (p 0.05) and persistently lower QoL at 3 and 6 months post hospital discharge(p 0.05).ICUaW is associated with persistent deficiencies in functional ability and Qol leading to a prolonged period of recovery. Further research is needed in the field of prevention and targeted rehabilitation of functionality in this patient group. |
Databáze: | OpenAIRE |
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