无法坐立在医疗ICU的幸存者:什么时候以及为什么我们应该关心
Shu-Fen Siao1, Tyng-Guey Wang2, Shih-Chi Ku3
1School of Nursing, National Taiwan University College of Medicine, Taipei, Taiwan.
Critical care medicine
|September 11, 2024
概括
许多医疗ICU幸存者在出院三个月后难以独立站立,这种情况与死亡率增加有关. 早期康复和查坐立能力对于改善结果至关重要.
科学领域:
- 临界护理医学 临界护理医学
- 康复科学 康复科学 康复科学
- 预测研究 预测研究
背景情况:
- 重症患者在重症监护室 (ICU) 退院后经常经历功能衰退.
- 独立执行坐立的能力是功能恢复的关键指标.
- 关于医疗ICU幸存者的坐立不能力的长期患病率和预后影响的数据有限.
研究的目的:
- 为了确定在医疗ICU出院后3个月内无法独立进行坐立的患病率.
- 调查这种功能限制与6个月和12个月的死亡率之间的关联.
- 探索坐立能力改善对死亡风险的影响.
主要方法:
- 在一家三级医院的六个医疗ICU中进行的前性队列研究.
- 包括医疗ICU幸存者,他们可以在住院之前独立执行坐立.
- 在出院后的多个时间点评估了坐站不起的能力和死亡率.
主要成果:
- 出院3个月后,36%的幸存者无法独立坐立.
- 3个月后无法坐立,与12个月死亡率增加4.2倍的风险有关.
- 坐立能力的任何改善,即使有帮助,与死亡风险降低相关.
结论:
- 医疗ICU幸存者的很大一部分在出院后3个月内面临着坐立功能方面的挑战.
- 评估坐立能力是有必要的,以确定风险较高的幸存者,并指导康复.
- 坐立功能可以作为旨在改善功能恢复和降低死亡率的干预措施的选工具.
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