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重症监护病房幸存者身体活动水平的报告。

Reporting of physical activity levels in intensive care unit survivors.

作者信息

Surve Sakshi, Sinha Mukesh Kumar, Shanbhag Vishal, Maiya G Arun

机构信息

Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.

Department of Critical Care Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.

出版信息

Sci Rep. 2025 Mar 5;15(1):7664. doi: 10.1038/s41598-024-83262-1.

Abstract

The primary aim of this study was to report the physical activity profiles and the functional status of critically ill patients at one-month post-discharge using the 'Physical Activity Scale for the Elderly (PASE)' questionnaire. Study participants included were between 45 and 75 years of age, admitted to ICUs for a minimum of 24 h. Altogether, 110 study participants were included by consecutive sampling, from which six were lost to follow up. This prospective observational study was carried out in the ICU settings of Kasturba Hospital, Manipal. All the participants were assessed for ICU-acquired weakness at ICU discharge and were later followed up after one month for their physical activity level via telephonic follow-up. Participants' mean age was 57.5 ± 9.82 years, out of which 71% were female. The prevalence of ICU-acquired weakness was found to be 80% in these participants. The median PASE score was 5 (2-27) at one-month follow-up among the participants. Medical Research Council (MRC) sum score showed a statistically significant positive moderate association with PASE score ('r = 0.70, p < 0.05). The study showed that about 97.1% of ICU survivors lead a sedentary lifestyle and showed alarmingly high levels of physical inactivity at one month post-hospital discharge.

摘要

本研究的主要目的是使用“老年人身体活动量表(PASE)”问卷报告危重症患者出院后1个月的身体活动情况和功能状态。研究参与者年龄在45至75岁之间,入住重症监护病房(ICU)至少24小时。通过连续抽样共纳入110名研究参与者,其中6人失访。这项前瞻性观察性研究在马尼帕尔卡斯图尔巴医院的ICU进行。所有参与者在ICU出院时均接受了ICU获得性肌无力评估,随后在1个月后通过电话随访其身体活动水平。参与者的平均年龄为57.5±9.82岁,其中71%为女性。这些参与者中ICU获得性肌无力的患病率为80%。在参与者1个月随访时,PASE评分中位数为5(2 - 27)。医学研究委员会(MRC)总分与PASE评分呈统计学显著的正中度相关(“r = 0.70,p < 0.05”)。研究表明,约97.1%的ICU幸存者生活方式久坐,出院后1个月身体活动水平低得惊人。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db83/11882912/757641b88d54/41598_2024_83262_Fig1_HTML.jpg

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