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Journals / Türk Yoğun Bakım Dergisi / 2019 / Cilt: 17 - Sayı: 4

Intensive Care Unit-acquired Paresis: Risk Factors in Conscious and Cooperative Patients in Intensive Care Units

Yoğun Bakım Ünitesinde Kazanılmış Parezi: Yoğun Bakım Ünitesinde Bilinci Açık ve Koopere Hastalarda Risk Faktörleri

Aslı ÇALIŞKAN UÇKUN
Fatma GÜL YURDAKUL
Nevzat Mehmet MUTLU
Özlem Balkız SOYAL
Işıl ÖZKOÇAK TURAN
Hatice BODUR
Pages
190–196
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Length of ICU stay, mechanical ventilation rate, SOFA score and frequency ofdecubitus ulcers were higher in patients with ICU-AP (p

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of this study was to identify the frequency of intensive care unitacquired paresis (ICU-AP) and predisposing factors for muscle weakness in our ICU patients.Materials and Methods: A prospective observational study was conducted in a 25-bed ICU ofa tertiary hospital.
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Key Findings & Data:Patients who were cooperated with muscle strength examination, stayed inICU more than three days and had no preexisting neuromuscular disorder were included in thestudy.
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Conclusion & Impact:Length of ICU stay, mechanical ventilation rate, SOFA score and frequency ofdecubitus ulcers were higher in patients with ICU-AP (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: The aim of this study was to identify the frequency of intensive care unitacquired paresis (ICU-AP) and predisposing factors for muscle weakness in our ICU patients.Materials and Methods: A prospective observational study was conducted in a 25-bed ICU ofa tertiary hospital. Patients who were cooperated with muscle strength examination, stayed inICU more than three days and had no preexisting neuromuscular disorder were included in thestudy. The diagnosis of hospitalization, need for mechanical ventilation, comorbidities, length of ICUstay, mobilization level, discharge status, and Sequential Organ Failure Assessment (SOFA) wererecorded. Manual muscle strength test was assessed according to Medical Research Council scale.Handgrip and finger pinch strength values were recorded.Results: Forty-two patients completed muscle strength examination. ICU-AP was determined in16 (38.09%) patients. Length of ICU stay, mechanical ventilation rate, SOFA score and frequency ofdecubitus ulcers were higher in patients with ICU-AP (p

Özet

Amaç: Çalışmamızın amacı yoğun bakım ünitesindeki (YBÜ) hastalarımızda, kazanılmış parezi (KP) sıklığını ve kas güçsüzlüğü için predispozan faktörleri belirlemektir. Gereç ve Yöntem: Üçüncü basamak bir hastanenin 25 yataklı YBÜ’de prospektif gözlemsel bir çalışma yürütülmüştür. Kas gücü muayenesine koopere olan, YBÜ’de kalışı üç günden fazla olan ve daha öncesinde nöromüsküler bozukluğu olmayan hastalar dahil edildi. Yatış tanısı, mekanik ventilasyon ihtiyacı, komorbiditeleri, yatış süresi, mobilizasyon düzeyi, taburculuk durumu, Organ Yetmezliği Değerlendirmesi (SOFA) kaydedildi. Manuel kas gücü testi Medical Research Council ölçeğine göre değerlendirildi. Kaba kavrama ve üçlü kavrama ölçüleri yapıldı. Bulgular: Kırk iki hasta kas gücü muayenesini tamamladı. YBÜ-KP 16 hastada (%38,09) saptandı. YBÜ’de yatış süresi, mekanik ventilasyon oranı, SOFA skoru ve dekübit ülser sıklığı YBÜ-KP olan hastalarda daha fazla idi (p

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Cite This Article

UÇKUN, A. Ç., YURDAKUL, F. G., MUTLU, N. M., SOYAL, Ö. B., TURAN, I. Ö., BODUR, H. (2022). Intensive Care Unit-acquired Paresis: Risk Factors in Conscious and Cooperative Patients in Intensive Care Units. Türk Yoğun Bakım Dergisi, Cilt: 17 - Sayı: 4, 190–196. https://ajindex.com/articles/643439

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