[Convalescence and decline in physical function level following intensive therapy].
More patients survive critical illness, which emphasises the need to assess outcome measures other than mortality. A prolonged decline in physical function is frequently observed after discharge in the critically ill. Neuromuscular dysfunction and muscle atrophy incurred during intensive care may prolong convalescence after discharge. Thus, strategies to counteract neuromuscular dysfunction and to improve physical outcome may reduce the overall burden of critical illness. This review describes the most common predisposing factors and discusses preventative measures and interventions.
Poulsen
Jesper B
JB
Intensiv Terapi Afsnit 4131, Abdominalcenteret, Rigshospitalet, DK-2100 København Ø, Denmark. jpoulsen@dadlnet.dk
Møller
Kirsten
K
Perner
Anders
A
D003289:Convalescence; D003422:Critical Care; D016638:Critical Illness / Q000534:rehabilitation*; D006801:Humans; D007103:Immobilization / Q000009:adverse effects; D009133:Muscular Atrophy / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D009468:Neuromuscular Diseases / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D020127:Recovery of Function; D018582:Sick Leave