Pre-Admission Predictors of Walking Independence in Critically Ill Patients.

cognitive impairment critically ill frailty malnutrition mechanical ventilation walking

Journal

Respiratory care
ISSN: 1943-3654
Titre abrégé: Respir Care
Pays: United States
ID NLM: 7510357

Informations de publication

Date de publication:
12 Jun 2024
Historique:
medline: 13 6 2024
pubmed: 13 6 2024
entrez: 12 6 2024
Statut: aheadofprint

Résumé

Recovery of walking independence in critically ill patients is required for safe discharge home. However, the pre-admission predictors affecting this outcome in this patient group are unknown. This study aimed to identify these predictors. We included subjects who required mechanical ventilation for at least 48 h and could walk before admission. We investigated frailty, cognitive impairment, and malnutrition risk according to the pre-admission health status. Walking independence was defined as the ability to walk for at least 45 m on level ground. The primary outcome was the association between the time to event from an ICU discharge to walking independence, and pre-admission predictors were analyzed using a Fine-Gray proportional hazards regression. The rate of walking independence was 38.0 (100 cases/person-month; sample Pre-admission frailty or pre-frailty, cognitive impairment, and malnutrition risk can help predict walking independence in critically ill patients who require mechanical ventilation.

Sections du résumé

BACKGROUND BACKGROUND
Recovery of walking independence in critically ill patients is required for safe discharge home. However, the pre-admission predictors affecting this outcome in this patient group are unknown. This study aimed to identify these predictors.
METHODS METHODS
We included subjects who required mechanical ventilation for at least 48 h and could walk before admission. We investigated frailty, cognitive impairment, and malnutrition risk according to the pre-admission health status. Walking independence was defined as the ability to walk for at least 45 m on level ground. The primary outcome was the association between the time to event from an ICU discharge to walking independence, and pre-admission predictors were analyzed using a Fine-Gray proportional hazards regression.
RESULTS RESULTS
The rate of walking independence was 38.0 (100 cases/person-month; sample
CONCLUSIONS CONCLUSIONS
Pre-admission frailty or pre-frailty, cognitive impairment, and malnutrition risk can help predict walking independence in critically ill patients who require mechanical ventilation.

Identifiants

pubmed: 38866416
pii: respcare.11777
doi: 10.4187/respcare.11777
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024 by Daedalus Enterprises.

Auteurs

Ryuji Yoshinaga (R)

Department of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan; and Department of Rehabilitation Medicine, National Hospital Organization Nagasaki Medical Center, Omura, Japan.

Narumi Yamada (N)

Department of Emergency and Critical Care Medicine, National Hospital Organization Nagasaki Medical Center, Omura, Japan.

Masatoshi Hanada (M)

Department of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan; and Department of Rehabilitation Medicine, Nagasaki University Hospital, Nagasaki, Japan.

Yuji Ishimatsu (Y)

Department of Nursing, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

Ryo Kozu (R)

Department of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan; and Department of Rehabilitation Medicine, Nagasaki University Hospital, Nagasaki, Japan. ryokozu@nagasaki-u.ac.jp.

Classifications MeSH