Postgraduate Program in Rehabilitation Sciences and Physical Functional Performance - Federal University of Juiz de Fora/MG, Brazil.
Department of Cardiac and Respiratory Physiotherapy, Federal University of Juiz de Fora/MG, Brazil.
Heart Lung. 2023 Jan-Feb;57:283-289. doi: 10.1016/j.hrtlng.2022.10.011. Epub 2022 Oct 29.
Impaired physical function is a common complication in intensive care unit (ICU) patients. However, specific upper limb (UL) function is still poorly studied in this population.
To evaluate UL function at discharge and after a 6-month follow-up of individuals hospitalized in the ICU.
This was a longitudinal prospective 6-month multicentre cohort study with forty-six individuals hospitalized in the ICU undergoing mechanical ventilation for ≥ 48 h (ICU Group) and forty-six healthy individuals matched by sex, age, and socioeconomic status (control Group). The primary outcomes were measurements of UL disability using the Jebsen-Taylor Hand Function Test (JTT) and the Nine Hole Peg Test (NHPT). Secondary outcomes were physical function (Barthel index), muscle strength (Medical Research Council scale and hand grip strength), and quality of life (EuroQol-5 Dimension). All measurements were assessed after ICU discharge and at a 6-month follow-up.
The JTT performance time in the ICU group after discharge was worse than that in the control group [121 s (86-165) vs. 54 s (49-61), median (IQR), p<0,001] and was reduced after 6 months [62 s (54-81), p<0,01]. The NHPT performance time at discharge in the ICU group was worse than that in the controls [39 s (33-59) vs. 21 s (20-23), p<0,001] and was reduced after 6 months of follow-up [24 s (21-27), p<0,01]. Physical function, muscle strength and quality of life were reduced after ICU discharge.
Individuals hospitalized in the ICU presented with reduced UL function at discharge and at the 6-month follow-up.
身体机能受损是重症监护病房（ICU）患者的常见并发症。然而，该人群的上肢（UL）特定功能仍研究甚少。
评估 ICU 出院时和 6 个月随访时个体的 UL 功能。
这是一项纵向前瞻性 6 个月多中心队列研究，共有 46 名因机械通气时间≥48 h 而住院 ICU 的患者（ICU 组）和 46 名性别、年龄和社会经济状况匹配的健康个体（对照组）。主要结局是使用 Jebsen-Taylor 手功能测试（JTT）和 9 孔钉测试（NHPT）评估 UL 残疾程度。次要结局是身体功能（巴氏指数）、肌肉力量（医学研究委员会量表和手握力）和生活质量（EuroQol-5 维度）。所有测量均在 ICU 出院后和 6 个月随访时进行。
ICU 组出院后的 JTT 操作时间比对照组差[121s（86-165）比 54s（49-61），中位数（IQR），p<0.001]，且 6 个月后下降[62s（54-81），p<0.01]。ICU 组出院时的 NHPT 操作时间比对照组差[39s（33-59）比 21s（20-23），p<0.001]，6 个月随访时下降[24s（21-27），p<0.01]。ICU 出院后身体功能、肌肉力量和生活质量均下降。
ICU 住院患者出院时和 6 个月随访时上肢功能下降。
