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KMID : 1221920160090020013
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Journal of Korean Critical Care Nursing
2016 Volume.9 No. 2 p.13 ~ p.25
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Changes in Limb Circumferences among Intensive Care Unit Patients and Related Factors
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Shin Hye-Eun
Kang Ji-Yeon
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Abstract
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Purpose: This study was conducted to identify changes in limb circumferences among patients admitted to the intensive care unit (ICU) and related factors.
Methods: We conducted a prospective observational study with 27 patients from 3 ICUs at a university hospital located in B city of Korea, from September 1 to October 30, 2015. The circumferences of the left and right upper arms, thighs, and lower legs were measured on the first, third, fifth, and seventh days of ICU admission. Information on the related factors was collected from the medical records. The data were analyzed using a linear mixed model method.
Results: The limbs circumferences significantly reduced from day 3, and the changes continued till day 7. These changes were related to the gender of the subjects, restraints application, use of steroids, and continuous renal replacement therapy.
Conclusions: Based on the above results, it can be concluded that ICU-acquired weakness begins before the third day of admission. Thus, early mobilization protocols for ICU patients need to be developed and implemented in order to improve long-term outcomes.
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KEYWORD
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Intensive care units , Patients , Muscular atrophy , Steroids , Physical restraint
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