Intensive care unit-acquired weakness in the burn population

被引:7
|
作者
Cubitt, Jonathan J. [1 ]
Davies, Menna [1 ]
Lye, George [1 ]
Evans, Janine [1 ]
Combellack, Tom [1 ]
Dickson, William [1 ]
Nguyen, Dai Q. [1 ]
机构
[1] Morriston Hosp, Welsh Ctr Burns & Plast Surg, Swansea SA6 6NL, W Glam, Wales
关键词
Burns; Intensive care-acquired weakness; Rehabilitation; Outcome; CRITICALLY-ILL PATIENTS; CRITICAL ILLNESS POLYNEUROPATHY; NEUROMUSCULAR DISORDERS; WEANING FAILURE; NEUROPATHY; PATIENT;
D O I
10.1016/j.bjps.2016.01.033
中图分类号
R61 [外科手术学];
学科分类号
摘要
Intensive care unit-acquired weakness is an evolving problem in the burn population. As patients are surviving injuries that previously would have been fatal, the focus of treatment is shifting from survival to long-term outcome. The rehabilitation of burn patients can be challenging; however, a certain subgroup of patients have worse outcomes than others. These patients may suffer from intensive care unit-acquired weakness, and their treatment, physiotherapy and expectations need to be adjusted accordingly. This study investigates the condition of intensive care unit-acquired weakness in our burn centre. We conducted a retrospective analysis of all the admissions to our burn centre between 2008 and 2012 and identified 22 patients who suffered from intensive care unit-acquired weakness. These patients were significantly younger with significantly larger burns than those without intensive care unit-acquired weakness. The known risk factors for intensive care unit-acquired weakness are commonplace in the burn population. The recovery of these patients is significantly affected by their weakness. (C) 2016 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:E105 / E109
页数:5
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