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Risk Factors of Critical Illness Polyneuropathy on Intensive Care Unit Patients

Authors
Hong, JY; Kim, JK; Rah, UW; Yoon, SH; Lee, YJ
Citation
Taehan Chaehwal Ŭihakhoe chi, 34(6):670-676, 2010
Journal Title
Taehan Chaehwal Ŭihakhoe chi; The Journal of Korean Academy of Rehabilitation Medicine; 대한재활의학회지
ISSN
1225-584X
Abstract
Objective: To find the risk factors of critical illness polyneuropathy (CIP) on intensive care unit patients using early electrodiagnosis.



Method: The 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.



Conclusion: The 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.
Keywords
Critical illness polyneuropathyRisk factorElectrodiagnosis
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Anesthesiology & Pain Medicine
Journal Papers > School of Medicine / Graduate School of Medicine > Physical Medicine & Rehabilitation
AJOU Authors
김, 종규나, 은우윤, 승현이, 영주
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