Joint contracture following prolonged stay in the intensive care unit

Clavet, Heidi; Hébert, Paul C.; Fergusson, Dean; Doucette, Steve; Trudel, Guy

doi:10.1503/cmaj.071056

Cited by 155 publications

(119 citation statements)

References 31 publications

Supporting

Mentioning

102

Contrasting

Unclassified

Order By: Relevance

“…1 The title of my commentary may seem improbable, yet the article by Clavet and investigators highlights an important and previously under-recognized consequence of immobility caused by prolonged critical illness. Joint contractures and their contribution to long-term functional disability represent a small part of the problem as we continue to document the varied and often staggering morbidities associated prolonged severe critical illness.…”

mentioning

confidence: 97%

Mobile, awake and critically ill

Herridge¹

2008

Canadian Medical Association Journal

View full text Add to dashboard Cite

mentioning

confidence: 97%

Mobile, awake and critically ill

Herridge¹

2008

Canadian Medical Association Journal

View full text Add to dashboard Cite

“…In a study by Clavet et al (23), one third of patients hospitalized for an extended period of time in a tertiary ICU, presented joint contractures and limitedamplitude of the entire moviment, that still lasted after two weeks of discharge. It is possible that the loss of functional independence identified is associated with decreased flexibility by muscle contractures, reduced muscle strength or other disabilities as a result from immobility.…”

Section: Resultsmentioning

confidence: 99%

Time influence of mechanical ventilation on functional independence in patients submitted to cardiac surgery: literature review

et al. 2015

View full text Add to dashboard Cite

Infl uência do tempo de ventilação mecânica sobre a independência funcional em pacientes submetidos à cirurgia cardíaca: uma revisão da literatura [A] André Luiz Cordeiro [a] , Thiago Araújo de Melo [b] , Andriele Medeiros Santos [a] , Gisele Freitas Lopes [a] * [a] Faculdade Nobre de Feira de Santana (FAN), Feira de Santana, BA, Brazil [b] Universidade Salvador (UNIFACS), Salvador, BA, Brazil [R] Abstract Introduction: Patients submitted to cardiovascular surgery present motor and respiratory complications mainly due to high surgery manipulation and the use of mechanical ventilation. Reducing the weaning start time and disconnecting patient's ventilation system prematurely can decrease the pulmonary complications and hospitalization time. Motor complications are the most relevant as they have a direct effect on functional independence provoked by immobility time. Objectives: Identify if mechanical ventilation time has an impact on functional capacity on patients submitted to cardiac surgery in order to contribute to the establishment of reliable evidence to practice through this patient's profile. Materials and methods:

show abstract

“…Ovi znakovi i simptomi često uzrokuju smanjenje u aktivnostima svakodnevnog života (npr. sposobnost uzimanja lijekova, obavljanje kućanskih poslova) [26]. Dodatni čimbenici, koji doprinose fizičkoj disfunkciji su kontrakture, smanjenje fiziološke plućne funkcije i pothranjenost.…”

Section: Psihički čImbeniciunclassified

Sindrom postintenzivne skrbi Post-intensive care syndrome

Kovačević

Kalauz

Krikšić

et al. 2017

SG/NJ

View full text Add to dashboard Cite

SažetakPozadina: Sindrom postintenzivne skrbi (engl. PICS-post-intenzive care syndrome) definira se kao pogoršanje kognitivnih, psihičkih i fizičkih funkcija kod bolesnika koji su preboljeli bolesti s visokim stupnjem smrtnog ishoda u jedinici intenzivnog liječenja (JIL). Precizna prevalencija sindroma je nepoznata: prema publiciranim rezultatima procjenjuje se da se kod jedne četvrtine do jedne polovine preživjelih verificira postojanje nekih od navedenih smetnji. Cilj: Cilj je preglednog članka iznaći zaključke provedenog empirijskog istraži-vanja koje istražuje učestalost kognitivnih, psihičkih i fizičkih simptoma u bolesnika nakon otpuštanja iz jedinice intenzivnog liječenja. Istraživanje je trostupanjsko te se ispituju pokazatelji sindroma PICS-a, koji su čimbenici rizika povezani s povećanom incidencijom nastanka sindroma postintenzivne skrbi, i ispitati koje metode i terapijski postupci smanjuju rizik u nastanku PICS-a. Rezultati: Simptomi su sindroma postintenzivne skrbi slabost mišića, slabija pokretljivost, lošija koncentracija, slabljenje memorije, umor, anksioznost i depresivno raspoloženje. Čimbenici rizika nastanka sindroma postintenzivne skrbi neuromuskularni su poremećaji, demencija, psihijatrijske bolesti, JIL-specifični čimbenici, uporaba mehaničke ventilacije, delirij, sepsa i sindrom akutnog respiratornog distresa. Učestalost nastanka PICS-a može se smanjiti uporabom metoda/postupaka koji smanjuju vremensko trajanje sedacije i ubrzavaju ranu fizičku rehabilitaciju. Zaključak: Sindrom se verificira kad se pronađu novi ili utvrdi postojanje pogoršanja znakova i simptoma jednog ili više od triju organskih sustava: kognitivni, psihički i fizički. Identifikacija svake navedene komponente potvrđuje se testiranjima. Znakovi i simptomi sindroma postintenzivne skrbi mogu se poboljšati tijekom prvih 6 do 12 mjeseci nakon otpuštanja iz jedinice intenzivnog liječenja. Međutim, kod mnogih pacijenata, deficiti perzistiraju godinama. PICS je povezan s nemogućnošću povratka na posao i smanjenom kvalitetom stupnja života, kao i povećanim rizikom od smrti tijekom nekoliko sljedećih godina. AbstractBackground: Post-intensive care syndrome (PICS) is defined as worsening of cognitive, psychological and physiological functions in patients with critical conditions, treated in the intensive care units (ICU). Despite the fact that the prevalence of the PICS is yet unknown, it is estimated that up to ¼ to one half of the above-mentioned patients is suffering from some of the issues associated with PICS. Previous neuromuscular disorders, dementia, psychiatric illnesses as well as ICU-specific factors, especially mechanical ventilation, delirium, sepsis and acute respiratory distress syndrome are known as risk factors for occurrence of PICS. Aim/Purpose: The aim of this systematic review is to extract conclusions from empirical data regarding different cognitive, psychological and physiological functions that the patients released from the intensive care units (ICU) are facing. The objective of this review was to deter...

show abstract

Joint contracture following prolonged stay in the intensive care unit

Cited by 155 publications

References 31 publications

Mobile, awake and critically ill

Mobile, awake and critically ill

Time influence of mechanical ventilation on functional independence in patients submitted to cardiac surgery: literature review

Sindrom postintenzivne skrbi Post-intensive care syndrome

Contact Info

Product

Resources

About