INTRODUCTION: Muscle weakness in critically ill patients after discharge varies. It is not known whether the electrophysiological distinction between critical illness myopathy (CIM) and critical illness polyneuropathy (CIP) during the early part of a patient's stay in the intensive care unit (ICU) predicts long-term prognosis. METHODS: This was a prospective cohort study of mechanically ventilated ICU patients undergoing conventional nerve conduction studies and direct muscle stimulation in addition to neurological examination during their ICU stay and 1 year after ICU discharge. RESULTS: Twenty-six patients (7 ICU controls, 8 CIM patients, and 11 CIM/CIP patients) were evaluated 1 year after discharge from the ICU. Eighty-eight percent (n = 7) of CIM patients recovered within 1 year compared with 55% (n = 6) of CIM/CIP patients. Thirty-six percent (n = 4) of CIM/CIP patients still needed assistance during their daily routine (P = 0.005). CONCLUSIONS: Early electrophysiological testing predicts long-term outcome in ICU survivors. CIM has a significantly better prognosis than CIM/CIP.
INTRODUCTION:Muscle weakness in critically illpatients after discharge varies. It is not known whether the electrophysiological distinction between critical illness myopathy (CIM) and critical illness polyneuropathy (CIP) during the early part of a patient's stay in the intensive care unit (ICU) predicts long-term prognosis. METHODS: This was a prospective cohort study of mechanically ventilated ICU patients undergoing conventional nerve conduction studies and direct muscle stimulation in addition to neurological examination during their ICU stay and 1 year after ICU discharge. RESULTS: Twenty-six patients (7 ICU controls, 8 CIMpatients, and 11 CIM/CIPpatients) were evaluated 1 year after discharge from the ICU. Eighty-eight percent (n = 7) of CIMpatients recovered within 1 year compared with 55% (n = 6) of CIM/CIPpatients. Thirty-six percent (n = 4) of CIM/CIPpatients still needed assistance during their daily routine (P = 0.005). CONCLUSIONS: Early electrophysiological testing predicts long-term outcome in ICU survivors. CIM has a significantly better prognosis than CIM/CIP.
Authors: Luuk Wieske; Camiel Verhamme; Esther Witteveen; Aline Bouwes; Daniela S Dettling-Ihnenfeldt; Marike van der Schaaf; Marcus J Schultz; Ivo N van Schaik; Janneke Horn Journal: Neurocrit Care Date: 2015-06 Impact factor: 3.210
Authors: Kevin Cheung; Alasdair Rathbone; Michel Melanson; Jessica Trier; Benjamin R Ritsma; Matti D Allen Journal: J Appl Physiol (1985) Date: 2021-03-18
Authors: Luuk Wieske; Daniela S Dettling-Ihnenfeldt; Camiel Verhamme; Frans Nollet; Ivo N van Schaik; Marcus J Schultz; Janneke Horn; Marike van der Schaaf Journal: Crit Care Date: 2015-04-27 Impact factor: 9.097