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About:
Acquired neuromuscular disorders in critically ill patients: a systematic review
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wasabi.inria.fr
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research paper
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Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
Acquired neuromuscular disorders in critically ill patients: a systematic review
Creator
Mondor, Henri
Carlet, J
Cook, D
Cook, Jonghe
De Jonghe, B
De, B
De, Service
Fonctionnelles, Physiologie-Explorations
Lefaucheur, J.-P
Outin, H
Outin, ×
Sharshar, T
source
PMC
abstract
Objective: To summarize the prospective clinical studies of neuromuscular abnormalities in intensive care unit (ICU) patients. Study identification and selection: Studies were identified through MEDLINE, EMBASE, references in primary and review articles, personal files, and contact with authors. Through duplicate independent review, we selected prospective cohort studies evaluating ICU-acquired neuromuscular disorders. Data abstraction: In duplicate, independently, we abstracted key data regarding design features, the population, clinical and laboratory diagnostic tests, and clinical outcomes. Results: We identified eight studies that enrolled 242 patients. Inception cohorts varied; some were mechanically ventilated patients for ≥ 5 days, others were based on a diagnosis of sepsis, organ failure, or severe asthma while others were selected on the basis of exposure to muscle relaxants, or because of participation in muscle biochemistry studies. Weakness was systematically assessed in two of the eight studies, concerning patients with severe asthma, with a reported frequency of 36 and 70 %, respectively. Electrophysiologic and histologic abnormalities consisted of both peripheral nerve and muscle involvement and were frequently reported, even in non-selected ICU patients. In a population of patients mechanically ventilated for more than 5 days, electrophysiologic abnormalities were reported in 76 % of cases. Two studies showed a clinically important increase (5 and 9 days, respectively) in duration of mechanical ventilation and a mortality twice as high in patients with critical illness neuromuscular abnormalities, compared to those without. Conclusions: Prospective studies of ICU-acquired neuromuscular abnormalities include a small number of patients with various electrophysiologic findings but insufficiently reported clinical correlations. Evaluation of risk factors for these disorders and studies examining their contribution to weaning difficulties and long-term disability are needed.
has issue date
1998-01-01
(
xsd:dateTime
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bibo:doi
10.1007/s001340050757
bibo:pmid
9885875
has license
no-cc
sha1sum (hex)
c9423249e37051fad0a9cf9e6dae6274cb6511c9
schema:url
https://doi.org/10.1007/s001340050757
resource representing a document's title
Acquired neuromuscular disorders in critically ill patients: a systematic review
has PubMed Central identifier
PMC7094970
has PubMed identifier
9885875
schema:publication
Intensive Care Med
resource representing a document's body
covid:c9423249e37051fad0a9cf9e6dae6274cb6511c9#body_text
is
schema:about
of
named entity 'critical illness'
named entity 'severe'
named entity 'neuromuscular system'
named entity 'systematic review'
named entity 'DESCRIBED'
named entity 'WOMAN'
named entity 'WEAKNESS'
named entity 'CRITICAL ILLNESS'
named entity 'ASTHMA'
named entity 'patients'
named entity 'published'
named entity 'hydrocortisone'
named entity 'patients'
named entity 'mechanical ventilation'
named entity 'polyneuropathy'
named entity 'case report'
named entity 'systematic review'
named entity 'ICU'
named entity 'confounding'
named entity 'muscle biopsies'
named entity 'EMBASE'
named entity 'clinical outcome'
named entity 'immunotherapy'
named entity 'histologic'
named entity 'ICU'
named entity 'MOF'
named entity 'prospective studies'
named entity '19, 20'
named entity 'organ'
named entity 'risk factors'
named entity 'ICU'
named entity 'hypophosphatemia'
named entity 'case series'
named entity 'muscle fibers'
named entity 'aminoglycosides'
named entity 'central nervous'
named entity 'critical illness'
named entity 'sepsis'
named entity 'myopathic'
named entity 'muscle'
named entity 'neuromuscular blockers'
named entity 'asthma'
named entity 'polyneuropathy'
named entity 'cohort studies'
named entity 'EMBASE'
named entity 'non-depolarizing'
named entity 'diabetes'
named entity 'proteolysis'
named entity 'clinical sign'
named entity 'cohort studies'
named entity 'electrophysiologic'
named entity 'clinical evaluation'
named entity 'muscle disease'
named entity 'data abstraction'
named entity 'critical illness'
named entity 'malignancy'
named entity 'histologic'
named entity 'follow-up'
named entity 'ICU'
named entity 'corticosteroids'
named entity 'clinical studies'
named entity 'muscle fiber'
named entity 'muscle'
named entity 'antibiotics'
named entity 'muscle relaxants'
named entity 'corticosteroids'
named entity 'electrophysiologic'
named entity 'intensive care unit'
named entity 'ICU'
named entity 'selection bias'
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