Programa de Pós-Graduação em Ciências e Tecnologias em Saúde, Universidade de Brasília. Centro Metropolitano conjunto A lote 01 1º andar sala A1-04/67. 72220-275 Brasília DF Brasil.
Programa de Pós-Graduação em Ciências da Reabilitação, Universidade de Brasília. Brasília DF Brasil.
Cien Saude Colet. 2021 Jul;26(7):2899-2910. doi: 10.1590/1413-81232021267.21422019. Epub 2019 Sep 7.
The aim of this study was to analyze and assess the association between functional status (FS) and muscle strength (MS) in young adults, adults and older adults in an intensive care unit (ICU). We conducted a prospective cohort study with 48 patients. FS was assessed using the Functional Status Score for the Intensive Care Unit (FSS-ICU) and MS was measured using the Medical Research Council Sum-Score (MRC-SS) and by testing handgrip strength (HS). The assessments were performed on awakening and ICU discharge. The data were analyzed using the Kruskall-Wallis, chi-squared, Wilcoxon and Spearman's correlation tests. FS and MRC-SS scores were higher on ICU discharge in all groups. Gains were lowest in the older adult group. HS was greater in both hands on ICU discharge in all groups except the adults. FSS-ICU on both awakening and ICU discharge was highest in the adults; HS-R was lowest in the older adults. There was a strong association between FS and MS in the young adults and adults. FS and MS showed progressive improvement during ICU stay. Gains in FS and MS on awakening and ICU discharge were lowest among the older adults. Important associations were found between these variables in all groups except the older adults. This can be explained by the multifactorial nature of illness and incapacity in this group.
本研究旨在分析和评估 ICU 中年轻成年人、成年人和老年人的功能状态（FS）和肌肉力量（MS）之间的关联。我们进行了一项前瞻性队列研究，纳入了 48 名患者。使用 ICU 功能状态评分（FSS-ICU）评估 FS，使用医学研究委员会总和评分（MRC-SS）和握力测试（HS）测量 MS。评估在清醒和 ICU 出院时进行。使用 Kruskal-Wallis、卡方、Wilcoxon 和 Spearman 相关检验对数据进行分析。所有组在 ICU 出院时的 FS 和 MRC-SS 评分均较高。在所有组中，老年人组的增幅最低。除了成年人，所有组在 ICU 出院时双手的 HS 均较大。在清醒和 ICU 出院时，FSS-ICU 在成年人中最高；在老年人中，HS-R 最低。年轻成年人和成年人的 FS 和 MS 之间存在很强的关联。在 ICU 住院期间，FS 和 MS 逐渐改善。在老年人中，在清醒和 ICU 出院时 FS 和 MS 的增加最低。除了老年人，所有组都发现这些变量之间存在重要关联。这可以用该组疾病和失能的多因素性质来解释。
