From: ICU-acquired weakness, diaphragm dysfunction and long-term outcomes of critically ill patients
Characteristics and outcomes | Diaphragm dysfunction | No diaphragm dysfunction | p | ||
---|---|---|---|---|---|
No ICU-AW N = 32 | ICU-AW N = 16 | No ICU-AW N = 18 | ICU-AW N = 10 | ||
Men, n (%) | 20 (63) | 12 (75) | 15 (83) | 5 (50) | 0.23 |
Age, years | 63 (47–74) | 65 (54–72) | 47 (33–64) | 60 (51–68) | 0.05 |
SAPS II upon admission | 44 (24–64) | 43 (28–67) | 32 (15–42) | 37 (26–63) | 0.18 |
SOFA upon admission | 4 (3–7) | 5 (5–7) | 5 (4–5) | 6 (4–10) | 0.47 |
Duration of MV at inclusion, days | 4 (1–6) | 6 (4–10)a | 2 (1–5) | 5 (3–6) | <0.01 |
Main reason for admission, n (%) | |||||
Acute respiratory failure | 17 (53) | 8 (50) | 3 (17) | 3 (30) | 0.06 |
Coma | 2 (6) | 4 (25) | 13 (72) | 3 (30) | <0.01 |
Shock | 13 (41) | 4 (25) | 2 (11) | 4 (40) | 0.14 |
Comorbidities, n (%) | |||||
Chronic respiratory disease | 8 (25) | 2 (13) | 2 (11) | 0 (0) | 0.23 |
Chronic cardiac disease | 7 (22) | 3 (19) | 2 (11) | 0 (0) | 0.36 |
Diabetes | 5 (16) | 4 (25) | 4 (22) | 1 (10) | 0.74 |
Immunocompromised | 6 (19) | 6 (38) | 3 (16) | 3 (30) | 0.42 |
Current smoking | 18 (56) | 7 (44) | 7 (39) | 5 (50) | 0.66 |
Limbs muscles strength | |||||
Medical Research Council score | 54 (51–57) | 36 (30–44) | 59 (52–60) | 40 (33–44) | – |
Diaphragm function | |||||
Ptr,stim, cmH2O | 7 (6–8) | 6 (3–8) | 14 (13–20) | 12 (11–17) | – |
Main outcomes | |||||
Total duration of MV, days | 6 (3–12) | 10 (5–22)a | 2 [1–5] | 7 (5–20)a | < 0.01 |
Duration of ICU stay, days | 9 (3–16) | 17 (7–27)a | 4 [3–10] | 13 (8–27) | < 0.01 |
Duration of hospital stay, days | 21 (15–31) | 25 (15–49)a | 9 [5–23] | 27 (13–32) | 0.03 |
ICU survival, n (%) | 27/32 (84) | 10/16 (69) | 18/18 (100) | 8/10 (80) | 0.33 |
Hospital survival, n (%) | 26/32 (81) | 9/16 (63) | 18/18 (100) | 8/10 (80) | 0.02 |
Two-year survival, n (%) | 24/31 (77) | 5/14 (36) | 11/14 (79) | 6/10 (60) | 0.03 |