Physical function and actigraphy in intensive care survivors: A prospective 3-month follow-up cohort study
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Physical function and actigraphy in intensive care survivors : A prospective 3-month follow-up cohort study. / Estrup, Stine; Kjer, Cilia K.W.; Vilhelmsen, Frederik; Poulsen, Lone M.; Gøgenur, Ismail; Mathiesen, Ole.
In: Acta Anaesthesiologica Scandinavica, Vol. 63, No. 5, 2019, p. 647-652.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Physical function and actigraphy in intensive care survivors
T2 - A prospective 3-month follow-up cohort study
AU - Estrup, Stine
AU - Kjer, Cilia K.W.
AU - Vilhelmsen, Frederik
AU - Poulsen, Lone M.
AU - Gøgenur, Ismail
AU - Mathiesen, Ole
PY - 2019
Y1 - 2019
N2 - Background: Impaired physical function after intensive care unit (ICU) stay is common. We aimed to study the association between activity levels in the ward after discharge from ICU and physical function at 3-month follow-up. Methods: Prospective cohort study of adult patients admitted to the ICU for more than 24 hours. Patients wore an accelerometer for up to 7 days at the ward. At discharge from ICU and at 3-month follow-up, patients were tested with the Chelsea Critical Care Physical Assessment Tool (CPAx). Results: We screened 66 consecutive, eligible patients; 41 completed actigraphy and 19 patients were visited at 3 months. The median CPAx increased from 31 (IQR 23-41) at discharge from ICU to 47 (IQR 44-49) at follow-up (P < 0.0001). Mean daily activity for the first week was correlated with CPAx at ICU discharge (R 2 = 0.14, P = 0.017; all 41 patients). For the 19 visited patients, we found no significant correlation for activity levels with CPAx at ICU discharge (R 2 = 0.12, P = 0.14) nor at visit (R 2 = 0.2, P = 0.058). Conclusion: We found improved physical function for most patients 3 months after ICU treatment. Activity levels for 1 week after ICU discharge at the ward were not associated with better physical function at 3-month follow-up.
AB - Background: Impaired physical function after intensive care unit (ICU) stay is common. We aimed to study the association between activity levels in the ward after discharge from ICU and physical function at 3-month follow-up. Methods: Prospective cohort study of adult patients admitted to the ICU for more than 24 hours. Patients wore an accelerometer for up to 7 days at the ward. At discharge from ICU and at 3-month follow-up, patients were tested with the Chelsea Critical Care Physical Assessment Tool (CPAx). Results: We screened 66 consecutive, eligible patients; 41 completed actigraphy and 19 patients were visited at 3 months. The median CPAx increased from 31 (IQR 23-41) at discharge from ICU to 47 (IQR 44-49) at follow-up (P < 0.0001). Mean daily activity for the first week was correlated with CPAx at ICU discharge (R 2 = 0.14, P = 0.017; all 41 patients). For the 19 visited patients, we found no significant correlation for activity levels with CPAx at ICU discharge (R 2 = 0.12, P = 0.14) nor at visit (R 2 = 0.2, P = 0.058). Conclusion: We found improved physical function for most patients 3 months after ICU treatment. Activity levels for 1 week after ICU discharge at the ward were not associated with better physical function at 3-month follow-up.
U2 - 10.1111/aas.13317
DO - 10.1111/aas.13317
M3 - Journal article
C2 - 30623414
AN - SCOPUS:85059684984
VL - 63
SP - 647
EP - 652
JO - Acta Anaesthesiologica Scandinavica
JF - Acta Anaesthesiologica Scandinavica
SN - 0001-5172
IS - 5
ER -
ID: 239956609