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302548

Evaluation of intensive care unit acquired weakness in patients with sepsis

Article

Last updated: 29 Dec 2024

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Tags

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Abstract

Purpose: Intensive care unit acquired weakness (ICUAW) has a negative impact on functional outcome and mortality. We aim to determine the incidence of ICUAW in septic ICU patients and to explore its significant correlations with clinical and laboratory findings. Patients and Methods: We included forty ICU patients diagnosed with sepsis on admission or within 48 hours later. Twenty-five ICU patients with no sepsis were included as a control group. All study populations were evaluated using clinical muscle assessment (medical research council, MRC) and muscle ultrasound at two-time points, the first was between days 2 and 5, and the second was between days 10 and 15. Laboratory workup included complete blood count, coagulation profile, arterial blood gases, liver, and kidney function tests. Results: There was a gradual declining neuromuscular function in all study populations and more significant in septic patients' group. The incidence of ICUAW was 60% (by MRC score <48) and 100% (by abnormal muscle ultrasound) at second evaluation point of septic patients. SOFA score, blood haemoglobin level, total leucocytic count and creatinine had significant correlations with neuromuscular dysfunction. Conclusions: ICUAW is a prevalent complication in septic ICU patients and was correlated with SOFA score, blood haemoglobin, leucocytic count and creatinine level.

DOI

10.21608/jicem.2023.195510.1017

Keywords

ICU acquired weakness, muscle ultrasound, muscle weakness, neuromuscular dysfunction, Sepsis

Authors

First Name

Mostafa

Last Name

Elkholy

MiddleName

M

Affiliation

Department of Clinical Neurophysiology (Neuro-Diagnostic and Research Center), Faculty of Medicine, Beni-Suef University, Egypt

Email

mostafaelkholy@med.bsu.edu.eg

City

-

Orcid

0000-0002-4954-5883

First Name

Mohammed

Last Name

Osman

MiddleName

A

Affiliation

Department of Critical Care Medicine, Arish general hospital, Ministry of Health, Egypt

Email

nohapril@yahoo.com

City

-

Orcid

-

First Name

Ahmed

Last Name

Abd El Basset

MiddleName

S

Affiliation

Department of Radiology, Faculty of Medicine, Beni-Suef University, Egypt

Email

dr.ahmedbasset@gmail.com

City

-

Orcid

-

First Name

Sameh

Last Name

El Maraghi

MiddleName

Kamal

Affiliation

Department of Critical Care Medicine, Faculty of Medicine, Beni-Suef University, Egypt

Email

sameh_elmaraghi@yahoo.com

City

Cairo

Orcid

0000-0001-5185-6923

First Name

Hamdy

Last Name

Saber

MiddleName

M

Affiliation

Department of Critical Care Medicine, Faculty of Medicine, Beni-Suef University, Egypt

Email

hamdysaber@hotmail.com

City

Beni Suef

Orcid

-

Volume

3

Article Issue

1

Related Issue

41723

Issue Date

2023-06-01

Receive Date

2023-02-22

Publish Date

2023-06-01

Page Start

7

Page End

19

Print ISSN

2812-5452

Online ISSN

2812-5460

Link

https://jicem.journals.ekb.eg/article_302548.html

Detail API

https://jicem.journals.ekb.eg/service?article_code=302548

Order

302,548

Type

Original papers

Type Code

2,351

Publication Type

Journal

Publication Title

The Egyptian Journal of Intensive Care and Emergency Medicine

Publication Link

https://jicem.journals.ekb.eg/

MainTitle

Evaluation of intensive care unit acquired weakness in patients with sepsis

Details

Type

Article

Created At

29 Dec 2024