| Long-term outcome in patients with critical illness myopathy or neuropathy: the Italian multicentre CRIMYNE study. | |
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MedLine Citation:
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PMID: 18339730 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Critical illness myopathy (CIM) and polyneuropathy (CIP), alone or in combination (CIP/CIM), are frequent complications in patients in the intensive care unit (ICU). There is no evidence that differentiating between CIP and CIM has any impact on patient prognosis. METHODS: 1-year prospective cohort study of patients developing CIP, CIM or combined CIP and CIM during ICU stay. RESULTS: 28 out of 92 (30.4%) patients developed electrophysiological signs of CIP and/or CIM during their ICU stay, which persisted in 18 patients at ICU discharge. At hospital discharge, diagnoses in the 15 survivors were CIM in six cases, CIP in four, combined CIP and CIM in three and undetermined in two uncooperative patients. During the 1-year follow-up of six patients with CIM, one patient died and five recovered completely within 3 (three patients) to 6 (two patients) months. Of three patients with CIP/CIM, one died, one recovered and one with residual CIP remained tetraplegic. Of four patients with CIP, one recovered, two had persisting muscle weakness and one remained tetraparetic. CONCLUSION: CIM has a better prognosis than CIP. Differential diagnosis is important to predict long-term outcome in ICU patients. |
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Authors:
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B Guarneri; G Bertolini; N Latronico |
Publication Detail:
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Type: Journal Article; Multicenter Study Date: 2008-03-13 |
Journal Detail:
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Title: Journal of neurology, neurosurgery, and psychiatry Volume: 79 ISSN: 1468-330X ISO Abbreviation: J. Neurol. Neurosurg. Psychiatr. Publication Date: 2008 Jul |
Date Detail:
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Created Date: 2008-06-18 Completed Date: 2008-07-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 2985191R Medline TA: J Neurol Neurosurg Psychiatry Country: England |
Other Details:
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Languages: eng Pagination: 838-41 Citation Subset: IM |
Affiliation:
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Department of Neuroscience, Section of Clinical Neurophysiology, University of Brescia, Spedali Civili, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Critical Care* Diagnosis, Differential Female Follow-Up Studies Humans Italy Length of Stay Male Middle Aged Muscular Diseases / diagnosis*, therapy Polyneuropathies / diagnosis*, therapy Recovery of Function Time Factors Treatment Outcome |
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