ICU sedation, delirium & recovery

Recovery of motor functions and cognitive functions in patients with intensive care unit–acquired weakness

J Crit CarePublished Retrospective cohort study

Authors' conclusion

Cognitive function at ICU discharge and delirium duration significantly predicted ADL recovery.

Study context

Population
Patients with ICU-acquired weakness (ICU-AW) after ICU discharge
Participants
65 patients
Outcome
ADL recovery
Methodological detailsData collected from ICU discharge to 4 weeks post-discharge
  • Data collected from ICU discharge to 4 weeks post-discharge

Main finding

As reported in the abstract

Factors independently associated with ADL recovery (multivariable analysis)

Cognitive Functional Independence Measure (FIM) score at ICU discharge, β

19.12

p = 0.001

Delirium duration, β

−9.83

p < 0.001

Observational data: associations, not effects.

Further findings

OutcomeP value
Motor FIM gain, preserved cognition vs cognitive dysfunction (linear mixed model)Significant differenceP = 0.001

Cohort characteristics

Age, median (IQR) years
61 (50-70)
Females
44.6 %
APACHE-II score, median (IQR)
25 (20-29)
Surgical ICU patients
69.2 %
Mechanical ventilation duration, median (IQR) days
19 (10-34)
Delirium duration, median (IQR) days
3 (1-7)

Original publication

Recovery of motor functions and cognitive functions in patients with intensive care unit–acquired weakness. J Crit Care. Published 27 September 2025. doi:10.1016/j.jcrc.2025.155273

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