Intensive Care Unit-acquired Paresis: Risk Factors in Conscious and Cooperative Patients in Intensive Care Units
Yıl: 2019 Cilt: 17 Sayı: 4 Sayfa Aralığı: 190 - 196 Metin Dili: İngilizce DOI: 10.4274/tybd.galenos.2019.15807 İndeks Tarihi: 20-04-2020
Intensive Care Unit-acquired Paresis: Risk Factors in Conscious and Cooperative Patients in Intensive Care Units
Öz: Objective: The aim of this study was to identify the frequency of intensive care unitacquired paresis (ICU-AP) and predisposing factors for muscle weakness in our ICU patients.Materials and Methods: A prospective observational study was conducted in a 25-bed ICU ofa tertiary hospital. Patients who were cooperated with muscle strength examination, stayed inICU more than three days and had no preexisting neuromuscular disorder were included in thestudy. The diagnosis of hospitalization, need for mechanical ventilation, comorbidities, length of ICUstay, mobilization level, discharge status, and Sequential Organ Failure Assessment (SOFA) wererecorded. Manual muscle strength test was assessed according to Medical Research Council scale.Handgrip and finger pinch strength values were recorded.Results: Forty-two patients completed muscle strength examination. ICU-AP was determined in16 (38.09%) patients. Length of ICU stay, mechanical ventilation rate, SOFA score and frequency ofdecubitus ulcers were higher in patients with ICU-AP (p<0.05). There was a significant relationshiponly between mechanical ventilation and ICU-APConclusion: ICU-AP is a common problem in critically ill patients and influences outcomes ofpatients. Patients without mechanical ventilation may develop ICU-AP and mechanical ventilationcan be determined as one of the risk factors for muscle weakness.
Anahtar Kelime: Konular:
Yoğun Bakım Ünitesinde Kazanılmış Parezi: Yoğun Bakım Ünitesinde Bilinci Açık ve Koopere Hastalarda Risk Faktörleri
Öz: Amaç: Çalışmamızın amacı yoğun bakım ünitesindeki (YBÜ) hastalarımızda, kazanılmış parezi (KP) sıklığını ve kas güçsüzlüğü için predispozan faktörleri belirlemektir. Gereç ve Yöntem: Üçüncü basamak bir hastanenin 25 yataklı YBÜ’de prospektif gözlemsel bir çalışma yürütülmüştür. Kas gücü muayenesine koopere olan, YBÜ’de kalışı üç günden fazla olan ve daha öncesinde nöromüsküler bozukluğu olmayan hastalar dahil edildi. Yatış tanısı, mekanik ventilasyon ihtiyacı, komorbiditeleri, yatış süresi, mobilizasyon düzeyi, taburculuk durumu, Organ Yetmezliği Değerlendirmesi (SOFA) kaydedildi. Manuel kas gücü testi Medical Research Council ölçeğine göre değerlendirildi. Kaba kavrama ve üçlü kavrama ölçüleri yapıldı. Bulgular: Kırk iki hasta kas gücü muayenesini tamamladı. YBÜ-KP 16 hastada (%38,09) saptandı. YBÜ’de yatış süresi, mekanik ventilasyon oranı, SOFA skoru ve dekübit ülser sıklığı YBÜ-KP olan hastalarda daha fazla idi (p<0,05). Mekanik ventilasyon ve YBÜ-KP arasında anlamlı ilişki bulundu. Sonuç: YBÜ-KP yoğun bakım hastalarında sık görülen bir problemdir ve hastaların son durumlarını etkilemektedir. Mekanik ventilasyona bağlı olmayan hastalarda da YBÜ-KP görülebilmektedir ve mekanik ventilasyon kas güçsüzlüğü için risk faktörlerinden biri olarak tanımlanabilir.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | GÜL YURDAKUL F, ÇALIŞKAN UÇKUN A, Bodur H, Mutlu N, SOYAL Ö, ÖZKOÇAK TURAN I (2019). Intensive Care Unit-acquired Paresis: Risk Factors in Conscious and Cooperative Patients in Intensive Care Units. , 190 - 196. 10.4274/tybd.galenos.2019.15807 |
| Chicago | GÜL YURDAKUL Fatma,ÇALIŞKAN UÇKUN Aslı,Bodur Hatice,Mutlu Nevzat Mehmet,SOYAL Özlem Balkız,ÖZKOÇAK TURAN Işıl Intensive Care Unit-acquired Paresis: Risk Factors in Conscious and Cooperative Patients in Intensive Care Units. (2019): 190 - 196. 10.4274/tybd.galenos.2019.15807 |
| MLA | GÜL YURDAKUL Fatma,ÇALIŞKAN UÇKUN Aslı,Bodur Hatice,Mutlu Nevzat Mehmet,SOYAL Özlem Balkız,ÖZKOÇAK TURAN Işıl Intensive Care Unit-acquired Paresis: Risk Factors in Conscious and Cooperative Patients in Intensive Care Units. , 2019, ss.190 - 196. 10.4274/tybd.galenos.2019.15807 |
| AMA | GÜL YURDAKUL F,ÇALIŞKAN UÇKUN A,Bodur H,Mutlu N,SOYAL Ö,ÖZKOÇAK TURAN I Intensive Care Unit-acquired Paresis: Risk Factors in Conscious and Cooperative Patients in Intensive Care Units. . 2019; 190 - 196. 10.4274/tybd.galenos.2019.15807 |
| Vancouver | GÜL YURDAKUL F,ÇALIŞKAN UÇKUN A,Bodur H,Mutlu N,SOYAL Ö,ÖZKOÇAK TURAN I Intensive Care Unit-acquired Paresis: Risk Factors in Conscious and Cooperative Patients in Intensive Care Units. . 2019; 190 - 196. 10.4274/tybd.galenos.2019.15807 |
| IEEE | GÜL YURDAKUL F,ÇALIŞKAN UÇKUN A,Bodur H,Mutlu N,SOYAL Ö,ÖZKOÇAK TURAN I "Intensive Care Unit-acquired Paresis: Risk Factors in Conscious and Cooperative Patients in Intensive Care Units." , ss.190 - 196, 2019. 10.4274/tybd.galenos.2019.15807 |
| ISNAD | GÜL YURDAKUL, Fatma vd. "Intensive Care Unit-acquired Paresis: Risk Factors in Conscious and Cooperative Patients in Intensive Care Units". (2019), 190-196. https://doi.org/10.4274/tybd.galenos.2019.15807 |
| APA | GÜL YURDAKUL F, ÇALIŞKAN UÇKUN A, Bodur H, Mutlu N, SOYAL Ö, ÖZKOÇAK TURAN I (2019). Intensive Care Unit-acquired Paresis: Risk Factors in Conscious and Cooperative Patients in Intensive Care Units. Türk Yoğun Bakım Dergisi, 17(4), 190 - 196. 10.4274/tybd.galenos.2019.15807 |
| Chicago | GÜL YURDAKUL Fatma,ÇALIŞKAN UÇKUN Aslı,Bodur Hatice,Mutlu Nevzat Mehmet,SOYAL Özlem Balkız,ÖZKOÇAK TURAN Işıl Intensive Care Unit-acquired Paresis: Risk Factors in Conscious and Cooperative Patients in Intensive Care Units. Türk Yoğun Bakım Dergisi 17, no.4 (2019): 190 - 196. 10.4274/tybd.galenos.2019.15807 |
| MLA | GÜL YURDAKUL Fatma,ÇALIŞKAN UÇKUN Aslı,Bodur Hatice,Mutlu Nevzat Mehmet,SOYAL Özlem Balkız,ÖZKOÇAK TURAN Işıl Intensive Care Unit-acquired Paresis: Risk Factors in Conscious and Cooperative Patients in Intensive Care Units. Türk Yoğun Bakım Dergisi, vol.17, no.4, 2019, ss.190 - 196. 10.4274/tybd.galenos.2019.15807 |
| AMA | GÜL YURDAKUL F,ÇALIŞKAN UÇKUN A,Bodur H,Mutlu N,SOYAL Ö,ÖZKOÇAK TURAN I Intensive Care Unit-acquired Paresis: Risk Factors in Conscious and Cooperative Patients in Intensive Care Units. Türk Yoğun Bakım Dergisi. 2019; 17(4): 190 - 196. 10.4274/tybd.galenos.2019.15807 |
| Vancouver | GÜL YURDAKUL F,ÇALIŞKAN UÇKUN A,Bodur H,Mutlu N,SOYAL Ö,ÖZKOÇAK TURAN I Intensive Care Unit-acquired Paresis: Risk Factors in Conscious and Cooperative Patients in Intensive Care Units. Türk Yoğun Bakım Dergisi. 2019; 17(4): 190 - 196. 10.4274/tybd.galenos.2019.15807 |
| IEEE | GÜL YURDAKUL F,ÇALIŞKAN UÇKUN A,Bodur H,Mutlu N,SOYAL Ö,ÖZKOÇAK TURAN I "Intensive Care Unit-acquired Paresis: Risk Factors in Conscious and Cooperative Patients in Intensive Care Units." Türk Yoğun Bakım Dergisi, 17, ss.190 - 196, 2019. 10.4274/tybd.galenos.2019.15807 |
| ISNAD | GÜL YURDAKUL, Fatma vd. "Intensive Care Unit-acquired Paresis: Risk Factors in Conscious and Cooperative Patients in Intensive Care Units". Türk Yoğun Bakım Dergisi 17/4 (2019), 190-196. https://doi.org/10.4274/tybd.galenos.2019.15807 |
