title: Intensive care unit-acquired weakness in the burn population.
abstract: Intensive care unit-acquired weakness is an evolving problem in the burn population. As patients are surviving injuries that previously would have been fatal, the focus of treatment is shifting from survival to long-term outcome. The rehabilitation of burn patients can be challenging; however, a certain subgroup of patients have worse outcomes than others. These patients may suffer from intensive care unit-acquired weakness, and their treatment, physiotherapy and expectations need to be adjusted accordingly. This study investigates the condition of intensive care unit-acquired weakness in our burn centre. We conducted a retrospective analysis of all the admissions to our burn centre between 2008 and 2012 and identified 22 patients who suffered from intensive care unit-acquired weakness. These patients were significantly younger with significantly larger burns than those without intensive care unit-acquired weakness. The known risk factors for intensive care unit-acquired weakness are commonplace in the burn population. The recovery of these patients is significantly affected by their weakness.
authors.affiliation: The Welsh Centre for Burns and Plastic Surgery Morriston Hospital, Morriston, Swansea SA6 6NL, UK. Electronic address: jonathan.cubitt@wales.nhs.uk.
authors.forename: Jonathan J
authors.initials: JJ
authors.lastname: Cubitt
authors.affiliation: The Welsh Centre for Burns and Plastic Surgery Morriston Hospital, Morriston, Swansea SA6 6NL, UK.
authors.forename: Menna
authors.initials: M
authors.lastname: Davies
authors.affiliation: The Welsh Centre for Burns and Plastic Surgery Morriston Hospital, Morriston, Swansea SA6 6NL, UK.
authors.forename: George
authors.initials: G
authors.lastname: Lye
authors.affiliation: The Welsh Centre for Burns and Plastic Surgery Morriston Hospital, Morriston, Swansea SA6 6NL, UK.
authors.forename: Janine
authors.initials: J
authors.lastname: Evans
authors.affiliation: The Welsh Centre for Burns and Plastic Surgery Morriston Hospital, Morriston, Swansea SA6 6NL, UK.
authors.forename: Tom
authors.initials: T
authors.lastname: Combellack
authors.affiliation: The Welsh Centre for Burns and Plastic Surgery Morriston Hospital, Morriston, Swansea SA6 6NL, UK.
authors.forename: William
authors.initials: W
authors.lastname: Dickson
authors.affiliation: The Welsh Centre for Burns and Plastic Surgery Morriston Hospital, Morriston, Swansea SA6 6NL, UK.
authors.forename: Dai Q
authors.initials: DQ
authors.lastname: Nguyen
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D002056:Burns / Q000150:complications* / Q000534:rehabilitation; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D035002:Lower Extremity; D008297:Male; D008875:Middle Aged; D018908:Muscle Weakness / Q000209:etiology*; D026741:Physical Therapy Modalities; D012121:Respiration, Artificial / Q000706:statistics & numerical data; D012151:Resuscitation; D012189:Retrospective Studies; D012307:Risk Factors; D018805:Sepsis / Q000150:complications; D034941:Upper Extremity
keywords: Burns; Intensive care-acquired weakness; Outcome; Rehabilitation