Early incidence and prognosis of ICU-acquired weakness in mechanical ventilation patients
10.3760/cma.j.issn.2095-4352.2019.07.005
- VernacularTitle:机械通气患者ICU获得性肌无力早期发病率及预后研究
- Author:
Yu QIU
1
;
Li JIANG
;
Xiuming XI
Author Information
1. 首都医科大学附属复兴医院ICU
- Keywords:
ICU-acquired weakness;
Neuro-electrophysiological examination;
Early incidence;
Prognosis;
Risk factor
- From:
Chinese Critical Care Medicine
2019;31(7):821-826
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the early morbidity of ICU-acquired weakness (ICU-AW) in mechanical ventilation patients, and to analyze the risk factors and prognosis of ICU-AW. Methods A prospective cohort study was conducted. The patients undergoing mechanical ventilation admitted to intensive care unit (ICU) of Fu Xing Hospital of Capital Medical University from April 2016 to February 2017 were enrolled. The peroneal nerve test was performed on (3±1) days of mechanical ventilation, and complete neuro-electrophysiological examination was performed next on the patients with positive result of peroneal nerve test. The abnormal cases were enrolled in the observation group, others were enrolled in the control group, then the early incidence of ICU-AW was obtained. The control group reviewed the peroneal nerve test after 10 days, and the late ICU-AW incidence was obtained. Death, ICU discharge, or over 60 days of ICU stay were set to the endpoints of observation. Demographic data, basic indicators, drug usage, comorbidities and metabolic markers during the study period, outcome data were collected and analyzed, and risk factors and of early ICU-AW in mechanical ventilation patients were identified by multivariate Logistic regression analysis. Results A total of 60 patients were enrolled in the study, with 19 patients in the observation group, and 41 in the control group, with the early ICU-AW incidence of 31.7%. In the control group, 8 patients reviewed the peroneal nerve test after 10 days, of
