评估重症监护室的流动性 - - 一种尺寸可能不适合所有人
Rebekah Haylett1, Rebecca Dalton1, Elizabeth King1,2
1Oxford Allied Health Professions Research and Innovation Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Disability and rehabilitation
|July 29, 2025
概括
在重症监护室 (ICU) 退院时,实现将步骤转移到椅子上与更好的结果有关. 没有ICU-Acquired Weakness (ICU-AW) 是这一移动性里程碑的关键.
科学领域:
- 关键护理医学 关键护理医学
- 康复科学 康复科学 康复科学
- 患者的治疗结果.
背景情况:
- 在ICU出院时踏上椅子的患者显示,ICU后的管理和住院结果有所改善.
- 关于影响这种移动性里程碑的因素的证据有限.
- 本研究评估了实现阶段转移的预测因素及其与康复的关系.
研究的目的:
- 识别与在ICU放电时实现阶段转移到椅子相关的因素.
- 探索实现这一移动性里程碑和康复提供之间的关系.
- 改善重症监护室 (ICU) 后管理和医院治疗结果.
主要方法:
- 对355名连续住院≥5天的ICU患者的回顾性分析.
- 多变量逻辑回归用于分析人口和临床变量.
- 曼彻斯特移动性得分 (MMS) ≥5定义为实现向椅子转移.
主要成果:
- 没有ICU获得的软弱 (ICU-AW) 独立预测达到MMS≥5 (OR6.09,p=0.03).
- 达到MMS≥5的患者使用的康复治疗较少 (4 vs 7次,p<0.001).
- 患有MMS≥5的患者更快地获得了更高的出院流动性 (MMS7与5,p<0.001) (3与6天,p<0.001).
结论:
- 优先考虑ICU-AW患者的康复.
- 将资源重新分配给在第一次流动性时没有达到MMS≥5的患者.
- 提供以障碍为重点的个性化康复,以提高流动性结果.
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