Article (Scientific journals)
Incidence and risk factors of peripheral nerve injuries 3 months after ICU discharge: a retrospective study comparing COVID-19 and non-COVID-19 critically ill survivors.
MALENGREAUX, Christophe; MINGUET, Pauline; COLSON, Camille et al.
2024In Journal of Anesthesia, Analgesia and Critical Care, 4 (1), p. 10
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Keywords :
COVID-19; Critical illness; Follow-up clinic; Glucocorticoids; Peripheral nerve injury; General Medicine
Abstract :
[en] [en] BACKGROUND: Peripheral nerve injuries (PNI) have been associated with prone positioning (PP) in mechanically ventilated (MV) patients with COVID-19 pneumonia. The aims of this retrospective study were to describe PNI prevalence 3 months (M3) after intensive care unit (ICU) discharge, whether patients survived COVID-19 or another critical illness, and to search for risk factors of PNI. RESULTS: A total of 55 COVID (62 [54-69] years) and 22 non-COVID (61.5 [48-71.5] years) patients were followed at M3, after an ICU stay of respectively 15 [9-26.5] and 13.5 [10-19.8] days. PNI symptoms were reported by 23/55 (42.6%) COVID-19 and 8/22 (36%) non-COVID-19 patients (p = 0.798). As the incidence of PNI was similar in both groups, the entire population was used to determine risk factors. The MV duration predicted PNI occurrence (OR (CI95%) = 1.05 (1.01-1.10), p = 0.028), but not the ICU length of stay, glucocorticoids, or inflammation biomarkers. CONCLUSION: In the present cohort, PNI symptoms were reported in at least one-third of the ICU survivors, in similar proportion whether patients suffered from severe COVID-19 or not.
Disciplines :
Anesthesia & intensive care
Author, co-author :
MALENGREAUX, Christophe  ;  Centre Hospitalier Universitaire de Liège - CHU > > Service d'anesthésie - réanimation
MINGUET, Pauline ;  Centre Hospitalier Universitaire de Liège - CHU > > Service des soins intensifs
COLSON, Camille ;  Centre Hospitalier Universitaire de Liège - CHU > > Soins intensifs chirurgie (+1D)
Dardenne, Nadia  ;  Université de Liège - ULiège > Département des sciences de la santé publique
Misset, Benoît  ;  Centre Hospitalier Universitaire de Liège - CHU > > Service des soins intensifs
Rousseau, Anne-Françoise  ;  Centre Hospitalier Universitaire de Liège - CHU > > Service des soins intensifs
Language :
English
Title :
Incidence and risk factors of peripheral nerve injuries 3 months after ICU discharge: a retrospective study comparing COVID-19 and non-COVID-19 critically ill survivors.
Publication date :
09 February 2024
Journal title :
Journal of Anesthesia, Analgesia and Critical Care
ISSN :
2731-3786
eISSN :
2731-3786
Publisher :
Springer Science and Business Media LLC, England
Volume :
4
Issue :
1
Pages :
10
Peer reviewed :
Peer reviewed
Available on ORBi :
since 15 February 2024

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