重症病患在重症监护病房获得的弱点的轨迹和决定因素:一个多中心,前性,纵向研究
Xue-Xian Chen1, Jing Xiong2, Jin-Xia Chen1
1Critical Care Medicine, Ningde Municipal Hospital of Ningde Normal University, Ningde, China.
Nursing in critical care
|December 4, 2024
概括
在重症监护室获得的弱点 (ICU-AW) 影响患者的康复. 确定了三个肌肉力量轨迹:衰退,稳定和恢复,前两组的死亡率更高. 早期干预是关键的.
科学领域:
- 关键护理医学 关键护理医学
- 神经学 神经学
- 康复医学 康复医学 康复医学
背景情况:
- 在重症监护室获得的虚弱 (ICU-AW) 是影响患者结果的常见并发症.
- 关键病患者的肌肉强度轨迹及其决定因素尚未得到充分理解.
研究的目的:
- 调查ICU获得的弱点的轨迹和决定因素.
- 为了检查肌肉强度变化对60天治疗后死亡率的影响.
主要方法:
- 一项多中心前性队列研究,涉及343名重症患者.
- 肌肉力量使用医学研究委员会 (MRC) 尺度在三个时间点进行评估.
- 隐性类增长混合模型和多变量后勤回归被用于分析.
主要成果:
- 确定了三种不同的肌肉力量轨迹:低级下降 (5.83%),中级稳定 (25.36%),高级恢复 (68.81%).
- 查尔森并发症指数 (CCI) 和酒精消费是肌肉力量轨迹的重要决定因素.
- 60天后的死亡率在低水平衰退和中等水平稳定群体中明显高于高水平恢复群体.
结论:
- 在ICU患者的肌肉强度遵循不同的轨迹,受并发症和酒精消费的影响.
- 患有低水平衰退或稳定的肌肉力量的患者的死亡率更高.
- 有针对性的康复策略对于改善危险型ICU人群的康复和结果至关重要.
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