The association between major complications of immobility during hospitalization and quality of life among bedridden patients: A 3 month prospective multi-center study

Wu, Xinjuan; Li, Zhen; Cao, Jianzhong; Jiao, Jing; Wang, Yingli; Liu, Ge; Liu, Ying; Li, Fangfang; Song, Bao; Jin, Jingfen; Liu, Yilan; Wen, Xiaozhong; Cheng, Songbai; Wan, Xia

doi:10.1371/journal.pone.0205729

Cited by 77 publications

(81 citation statements)

References 39 publications

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“…The relatively high number of complications in this series, compared with literature [ 39 , 47 , 60 ], could be caused by the neurological impairment, i.e. severity of disease in our patient population.…”

Section: Discussionmentioning

confidence: 66%

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Complications of external cerebrospinal fluid drainage in aneurysmal subarachnoid haemorrhage

et al. 2021

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Background The need for external cerebrospinal fluid (CSF) drains in aneurysmal subarachnoid haemorrhage (aSAH) patients is common and might lead to additional complications. Objective A relation between the presence of an external CSF drain and complication risk is investigated. Methods A prospective complication registry was analysed retrospectively. We included all adult aSAH patients admitted to our academic hospital between January 2016 and January 2018, treated with an external CSF drain. Demographic data, type of external drain used, the severity of the aSAH and complications, up to 30 days after drain placement, were registered. Complications were divided into (1) complications with a direct relation to the external CSF drain and (2) complications that could not be directly related to the use of an external CSF drain referred to as medical complications Results One hundred and forty drains were implanted in 100 aSAH patients. In total, 112 complications occurred in 59 patients. Thirty-six complications were drain related and 76 were medical complications. The most common complication was infection (n = 34). Drain dislodgement occurred 16 times, followed by meningitis (n = 11) and occlusion (n = 9). A Poisson model showed that the mean number of complications raised by 2.9% for each additional day of drainage (95% CI: 0.6–5.3% p = 0.01). Conclusion Complications are common in patients with aneurysmal subarachnoid haemorrhage of which 32% are drain-related. A correlation is present between drainage period and the number of complications. Therefore, reducing drainage period could be a target for further improvement of care.

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Section: Discussionmentioning

confidence: 66%

“…Therefore, decline in complications in mobile patients is expected from a subgroup of complications instead of the entire spectrum. Moreover, complications of immobility are significantly associated with reduced health-related quality of life [ 60 ].…”

Section: Discussionmentioning

confidence: 99%

Complications of external cerebrospinal fluid drainage in aneurysmal subarachnoid haemorrhage

et al. 2021

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“…Although the prevalence of bedridden condition, when compared to other diseases that affect the old people population, is low, it is a complication that leads to an important social, economic and family impact 10 . The immobility associated with the prolonged period of bed rest can trigger several health complications, in addition to causing problems with people's usual activities, mobility and self-care 11 . In old people, these complications added to changes of the aging process itself can lead to even greater complications 3 .…”

Section: Continuation Ofmentioning

confidence: 99%

Fatores associados à condição de acamado em idosos brasileiros: resultado da Pesquisa Nacional de Saúde, 2013

Bordin

Loiola²,

Cabral

et al. 2020

Rev. bras. geriatr. gerontol.

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Resumo Objetivo Identificar os fatores associados à condição de acamado entre idosos brasileiros, analisando-se condições socioeconômicas e de saúde e utilização de serviços de saúde. Método Estudo transversal com dados secundários provenientes da Pesquisa Nacional de Saúde (2013). Contou com a população de indivíduos com ≥60 anos (n=11.177). A condição de acamado foi considerada variável dependente e as características sociodemográficas, condições de saúde e utilização de serviços médicos como independentes. Foram realizadas análises de regressão logística, e reportada a razão de chance bruta (RCbruta) e ajustada (RCajustada) com o intervalo de confiança de 95% (IC95%). Resultados Verificou-se que 4,9% dos idosos eram acamados. Essa condição mostrou-se associada ao sexo masculino (RCajustada=1,45; IC95%=1,13-1,84), analfabetismo (RCajustada=1,37; IC95%=1,11-1,70) e quantidade de doenças crônicas, sendo idoso com cinco ou mais doenças crônicas apresentava 4,96 (IC95%=2,78-8,85) mais chances do que os sem doença. As doenças associadas à condição acamado foram: episódio de acidente vascular cerebral (RCajustada=3,03; IC95%=1,29-8,43), diagnóstico de hipertensão arterial sistêmica (RCajustada=1,71; IC95%=1,31-2,24), alterações nos níveis de colesterol (RCajustada=2,08; IC95%=1,37-3,17) e depressão (RCajustada=5,64; IC95%=2,42-13,14). Ainda, idosos que precisaram de atendimento relacionado à própria saúde (RCajustada=16,94; IC95%=7,15-40,16), internamento (RCajustada=8,10; IC95%=4,20-15,54) e atendimento emergencial no domicílio nos últimos 12 meses (RCajustada=1,78; IC95%=4,20-15,54) e que consideraram a condição de saúde geral ruim (RCajustada=2,68; IC95%=2,05-3,51) apresentaram mais chances de ser acamado. Conclusão o estudo permitiu identificar importantes fatores associados à condição acamado de idosos brasileiros com destaque para sexo e escolaridade, as variáveis clínicas de doenças crônicas, e utilização mais frequente de serviços de saúde.

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“…What we know is that neurological diseases may have an impact on static pulmonary volume and expiratory capacity [16]. Reduced lung ventilation leads to a reduced level of physical activity and increases the risk of broncho-pulmonary complications in neurological patients [17] and immobilised patients [18,19]. The maximum energy consumption of neurological patients averages 3.77 metabolic equivalents (MET) [20], while healthy people have between 8 to 10 MET [4].…”

Section: Introductionmentioning

confidence: 99%

Implementation of a gait center training to improve walking ability and vital parameters in inpatient neurological rehabilitation- a cohort study

Reichl

Weilbach

Mehrholz

2020

J NeuroEngineering Rehabil

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Background: Many studies showed that robot-assisted gait training might improve walking of patients after stroke. The question remains whether patients with other neurological diagnoses can improve their ability to walk by training in a gait center. Aim of the present study was therefore to investigate the effects of a gait center training in inpatient neurological rehabilitation on walking ability. Methods: We implemented a gait center training in addition to individual inpatient rehabilitation. Our primary outcome was walking ability based on the Functional Ambulation Categories (FAC). Our secondary outcomes were vital capacity and blood pressure. We predefined subgroups of patients with ischemic and hemorrhagic stroke and critical illness myopathy (CIM) and polyneuropathy (CIP). Results: We included 780 patients from our inpatient rehabilitation center in our cohort study. We analyzed 329 patients with ischemic, 131 patients with hemorrhagic stroke and 74 patients with CIP/ CIM. A large number of patients were able to improve their ability to walk. At the end of rehabilitation, patients with ischemic stroke and FAC 3 = increased theirFAC scores by 5%, FAC 4 = 4% and FAC 5 = 7%. Patients with hemorrhagic stroke and FAC 3 = increased by 5%, FAC 4 = 11% and FAC 5 = 9% and patients with CIP/CIM increased by FAC 3 = 3%, FAC 4 = 22% and FAC 5 = 26%. The largest improvement in walking ability during rehabilitation had patients with a FAC = 1 at baseline who improved by a median of 1.4 FAC points (p < 0.001). After adjusting for the number of gait training sessions, the largest improvement in walking ability during rehabilitation had patients with a FAC = 0 at baseline who improved by 1.8 FAC points (p < 0.001). Conclusions: Implementation of an additional gait center training may significantly improve walking ability in neurological rehabilitation.

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The association between major complications of immobility during hospitalization and quality of life among bedridden patients: A 3 month prospective multi-center study

Cited by 77 publications

References 39 publications

Complications of external cerebrospinal fluid drainage in aneurysmal subarachnoid haemorrhage

Complications of external cerebrospinal fluid drainage in aneurysmal subarachnoid haemorrhage

Fatores associados à condição de acamado em idosos brasileiros: resultado da Pesquisa Nacional de Saúde, 2013

Implementation of a gait center training to improve walking ability and vital parameters in inpatient neurological rehabilitation- a cohort study

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