J Korean Acad Rehabil Med Search

CLOSE


Journal of the Korean Academy of Rehabilitation Medicine 2010;34(6):670-676.
Risk Factors of Critical Illness Polyneuropathy on Intensive Care Unit Patients.
Hong, Ji Yeon , Kim, Jong Kyu , Rah, Ueon Woo , Yoon, Seung Hyun , Lee, Young Joo
1Department of Physical Medicine and Rehabilitation, Ajou University School of Medicine, Suwon 443-721, Korea. jongkyu.kim.md@gmail.com
2Department of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon 443-721, Korea.
Abstract
ObjectiveTo find the risk factors of critical illness polyneuropathy (CIP) on intensive care unit patients using early electrodiagnosis.

MethodThe adult patient who were admitted to the ICU and taken ventilator care with endotracheal intubation were included. The time after admission was 48 to 144 hours. In case of axonal neuropathy of peripheral nerve, if affected nerves were in different two limbs or different three nerves were affected, CIP was diagnosed. If some nerves got abnormal results but did not satisfied the above criteria, the patient was classified as peripheral neuropathy group. The days of using neuromuscular blockade, continuous insulin infusion, catecholamine, vasopressor, corticosteroid, benzodiazepine, parenteral nutrition and fact for continuous renal replacement therapy, SOFA (sequential organ failure assessment) score were evaluated to find the risk factors.


Results
Eighteen patients were included. Six patients were CIP and another six were peripheral neuropathy. Risk factors for CIP were age, duration of intensive care, days of neuromuscular blockade and parenteral nutrition (p<0.05). There was no difference on mortality rate among the three groups.

ConclusionThe result of early electrodiagnosis on ICU patients for CIP diagnosis revealed that risk factors of CIP were age, duration of intensive care, days of neuromuscular blockade and parenteral nutrition.

Key Words: Critical illness polyneuropathy, Risk factor, Electrodiagnosis


ABOUT
ARTICLE CATEGORY

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Terms of Use   |   Privacy Polity
Editorial Office
Department of Rehabilitation Medicine, Seoul National University Boramae Medical Center,
20 Boramae-ro 5-gil, Dongjak-gu, Seoul, 07061, Korea
Tel: +82-10-8678-2671    Fax: +82-2-870-2679    E-mail: edit@e-arm.org
Business Registration: 110-82-07460                

Copyright © 2022 by Korean Academy of Rehabilitation Medicine.

Developed in M2PI

Close layer
prev next