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Risk Factors for Paresis in Patient in Intensive Care Unit (ICU)

Purpose: To evaluate a patient in the intensive care unit (ICU) for risk factors associated with ICU-acquired paresis based on the study of De Jonghe et al.

Description

Persistent weakness may be a complication for patients treated in the ICU. De Jonghe et al identified risk factors for ICU-acquired paresis (ICUAP). The authors are from multiple hospitals in France (members of the Groupe de Reflexion et d'Etude des Neuromyopathies en Reanimation).


 

NOTE: The authors do not appear to separate critical care polyneuropathy from myopathy.

 

Parameters:

(1) gender

(2) duration of multiple organ failures (>= 2 organ failures)

(3) duration of mechanical ventilation

(4) therapy with corticosteroids before day 1 (day of awakening, page 2860)

Parameter

Finding

Odds Ratio (Mean)

gender

male

1.0

 

female

4.7

duration of multiple organ failure (2 or more)

absent

1.0

 

present

1.3 ^ (number of days)

duration of mechanical ventilation

none

1.0

 

present

1.1 ^ (number of days)

therapy with corticosteroids

no

1.0

 

yes

14.9

 

cumulative odds ratios =

= PRODUCT(odds ratios for the 4 parameters)

 


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Specialty

Objective

ICD-10