Get out of bed: immobility in the neurologic ICU.
Get out of bed: immobility in the neurologic ICU.
复制标题
起床：神经科 ICU 中不能活动。
DOI：
10.1097/ccm.0000000000000836
复制
发表时间：
2015
影响因子：
8.8
通讯作者：
Hough,CatherineL
中科院分区：
文献类型：
--
作者：
Creutzfeldt,ClaireJ;Hough,CatherineL
Patients admitted to the neurological ICU (Neuro ICU) face a myriad of difficulties, including a high risk of death and severe physical and cognitive impairments. Clinical treatment decisions often have to be made at a time when prognosis is uncertain. Admitted with stroke, head trauma, or other severe acute brain injury, these patients are typically immobilized by their illness alone. Add to that intracerebral catheters and monitoring devices, bed rest may at first seem not only necessary but also inevitable. The consequences, however, of prolonged immobility are detrimental (1, 2).Even among critically ill patients without acute brain injury, ICU-acquired weakness is common. At least 25% of patients receiving 1 week or more of mechanical ventilation develop such significant weakness that they are unable to lift their limbs against gravity (2). In patients with high severity of illness, such as the acute respiratory distress syndrome, ICU-acquired weakness may be even more common and persists at hospital discharge (3). ICU-acquired weakness is associated with poorer hospital outcomes, including death (4, 5), prolonged mechanical ventilation (2), and recurrent respiratory failure (6), and delays recovery and return home (2, 7). Long-term outcomes, such as health-related quality of life and functional status at 12 months, are also adversely affected by ICU-acquired weakness (3).
影响因子：
120.7
作者：
Puthucheary, Zudin A.;Rawal, Jaikitry;Montgomery, Hugh E.
通讯作者：
Montgomery, Hugh E.
影响因子：
8.8
作者：
Klein, Kate;Mulkey, Malissa;Albert, Nancy M.
通讯作者：
Albert, Nancy M.
影响因子：
168.9
作者：
Allen, C;Glasziou, P;Del Mar, C
通讯作者：
Del Mar, C