ICU sedation, delirium & recovery
The impact of musculoskeletal ill health on quality of life and function after critical care: a multicentre prospective cohort study
Authors' conclusion
This study found that musculoskeletal health problems were common after intensive care unit stay.
Study context
- Population
- Adults admitted to ICU for > 48 h without musculoskeletal trauma or neurological insult
- Participants
- 254 adults
- Exposure
- ICU survivors with vs without a musculoskeletal problem
- Musculoskeletal problemn = 150
- Outcome
- Musculoskeletal health state (validated Musculoskeletal Health Questionnaire score)
- Follow-up
- 6 months after admission
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
Musculoskeletal problem · 6 months
Musculoskeletal problem
150
59%
Received physiotherapy after discharge
60
24%
Observational data: associations, not effects.
Further findings
30 min physical activity sessions per week · less physically active
P < 0.001
Factors independently associated with worse musculoskeletal health
- Functional Comorbidity Index, Clinical Frailty Scale, duration of ICU stay and prone positioning all independently associated with worse musculoskeletal health
Correlation of musculoskeletal health state with quality of life, anxiety and depression
- Quality of life, rs
- 0.499 (95%CI 0.392-0.589)
- Anxiety, rs
- −0.433 (95%CI −0.538 to −0.315)
- Depression, rs
- −0.537 (95%CI −0.631 to −0.434)
- Moderate correlation
- All p < 0.001
Original publication
The impact of musculoskeletal ill health on quality of life and function after critical care: a multicentre prospective cohort study. Anaesthesia. Published 27 March 2024. doi:10. 1111/ anae. 16285
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