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Cited by 222

The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.

Impact of ICU-acquired weakness on post-ICU physical functioning: a follow-up study

Open access
Wieske, Luuk, Dettling-Ihnenfeldt, Daniela S, Verhamme, Camiel, Nollet, Frans, van Schaik, Ivo N, Schultz, Marcus J, Horn, Janneke, van der Schaaf, Marike·2015·Critical Care

Abstract

Introduction: ICU-acquired weakness is thought to mediate physical impairments in survivors of critical illness, but few studies have investigated this thoroughly. The purpose was to investigate differences in post-ICU mortality and physical functioning between patients with and without ICU-acquired weakness at 6 months after ICU discharge. Method: ICU patients, mechanically ventilated ≥2 days, were included in a single-center prospective observational cohort study. ICU-acquired weakness was diagnosed when the average Medical Research Council score was <4 in awake and attentive patients. Post-ICU mortality was recorded until 6 months after ICU discharge; in surviving patients, physical functioning was assessed using the Short-Form Health Survey physical functioning domain. The independent effect of ICU-acquired weakness on post-ICU mortality was analyzed using a multivariable Cox proportional hazards model. The independent effect of ICU-acquired weakness on the physical functioning domain score was analyzed using a multivariable linear regression model. Results: Of the 156 patients included, 80 had ICU-acquired weakness. Twenty-three patients died in the ICU (20 with ICU-acquired weakness); during 6 months follow-up after ICU discharge another 25 patients died (17 with ICU-acquired weakness). Physical functioning domain scores were available for 96 survivors (39 patients with ICU-acquired weakness). ICU-acquired weakness was independently associated with an increase in post-ICU mortality (hazard ratio 3.6, 95% confidence interval, 1.3 to 9.8; P = 0.01) and with a decrease in physical functioning (β: -16.7 points; 95% confidence interval, -30.2 to -3.1; P = 0.02). Conclusion: ICU-acquired weakness is independently associated with higher post-ICU mortality and with clinically relevant lower physical functioning in survivors at 6 months after ICU discharge.

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Metadata

Authors
Wieske, L., Dettling-Ihnenfeldt, D. S., Verhamme, C., Nollet, F., van Schaik, I. N., Schultz, M. J., Horn, J., & van der Schaaf, M.
Venue
Critical Care
Published
2015-12
Volume
19
Issue
1
Pages
196-196
ISSN
1364-8535 (ISSN-L)
OpenAlex
W2170128875
Cited by
222
References
9
FWCI
9.56
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Impact of ICU-acquired weakness on post-ICU physical functioning: a follow-up study. https://app.cochat.ai/papers/10.1186/s13054-015-0937-2
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Wieske, L., Dettling-Ihnenfeldt, D. S., Verhamme, C., Nollet, F., van Schaik, I. N., Schultz, M. J., Horn, J., & van der Schaaf, M. (2015). Impact of ICU-acquired weakness on post-ICU physical functioning: a follow-up study. Critical Care. https://doi.org/10.1186/s13054-015-0937-2

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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