Assessments bei einem auf der ITS erworbenen Schwächesyndrom

Einleitung

Evidenzbasierte Praxis bedeutet, die therapeutischen Erfahrungen, Patientenpräferenzen und externe wissenschaftliche Ergebnisse für eine bestmögliche Therapie unserer Patienten zu bündeln. Dabei gibt die Fragestellung die verschiedenen Messmethoden vor. So sind z. B. beim auf der Intensivstation (ITS) erworbenen Schwächesyndrom in der Akutphase in aller Regel andere Assessments anzuwenden als in der späteren Rehabilitationsphase.

Der kurze Übersichtsartikel beleuchtet das Thema Assessment-Verfahren beim auf der ITS erworbenen Schwächesyndrom näher und geht dabei genauer auf Messinstrumente für Delir und Verbesserungen von Alltagsleistungen ein.

• Literatur

• 1 Ali NA, O‘Brien Jr JM , Hoffmann SP et al. Acquired weakness, handgrip strength, and mortality in critically ill patients. Am J Respir Crit Care Med 2008; 3: 261-268
• 2 Berg KO, Wood-Dauphinee SL, Williams JI et al. Measuring balance in the elderly: validation of an instrument. Can J Public Health 1992; 83 (Suppl. 02) S7-S11
• 3 Costa AS, Fimm B, Friesen P et al. Alternate-form reliability of the Montreal Cognitive Assessment Screening Test in a clinical setting. Dement Geriatr Cogn Disord 2012; 6: 379-384
• 4 Daniels L, Worthingham C. Muscle testing: techniques of manual examination. Philadelphia: WB Saunders; 1995
• 5 De Jonghe B, Bastuji-Garin S, Sharshar T et al. Does ICU-acquired paresis lengthen weaning from mechanical ventilation?. Intensive Care Med 2004; 6: 1117-1121
• 6 Denehy L, Berney S, Skinner E et al. Evaluation of Exercise Rehabilitation for Survivors of Intensive Care: Protocol for Single Blind Randomised Controlled Trial. The Open Critical Care Medicine Journal 2008; 1: 39-47
• 7 Van Dillen LR, Roach KE. Reliability and validity of the Acute Care Index of Function for patients with neurologic impairment. Phys Ther 1988; 7: 1098-1101
• 8 Dodds TA, Martin DP, Stolov WC et al. A validation of the functional independence measurement and its performance among rehabilitation inpatients. Arch Phys Med Rehabil 1993; 5: 531-536
• 9 Ely EW, Inouye SK, Bernard GR et al. Delirium in mechanically ventilated patients: validity and reliability of the confusion assessment method for the intensive care unit (CAM-ICU). JAMA 2001; 21: 2703-2710
• 10 Ely EW, Margolin R, Francis J et al. Evaluation of delirium in critically ill patients: validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). Crit Care Med 2001; 7: 1370-1379
• 11 Ely EW, Truman B, Shintani A et al. Monitoring sedation status over time in ICU patients: reliability and validity of the Richmond Agitation Sedation Scale (RASS). JAMA 2003; 22: 2983-2991
• 12 Fan E, Ciesla ND, Truong AD et al. Inter-rater reliability of manual muscle strength testing in ICU survivors and simulated patients. Intensive Care Med 2010; 6: 1038-1043
• 13 Fan E. Critical illness neuromyopathy and the role of physical therapy and rehabilitation in critically ill patients. Respir Care 2012; 6: 933-944 ; discussion: 944 – 946
• 14 Herridge MS, Cheung AM, Tansey CM et al. One-year outcomes in survivors of the acute respiratory distress syndrome. N Engl J Med 2003; 8: 683-693
• 15 Herridge MS, Tansey CM, Matte A et al. Functional disability 5 years after acute respiratory distress syndrome. N Engl J Med 2011; 14: 1293-304
• 16 Heyland DK, Groll D, Caeser M. Survivors of acute respiratory distress syndrome: relationship between pulmonary dysfunction and long-term health-related quality of life. Crit Care Med 2005; 7: 1549-1556
• 17 Hough CL, Lieu BK, Caldwell ES. Manual muscle strength testing of critically ill patients: feasibility and interobserver agreement. Crit Care 2011; 1: R43
• 18 Kaarlola A, Tallgren M, Pettila V. Long-term survival, quality of life, and quality-adjusted life-years among critically ill elderly patients. Crit Care Med 2006; 8: 2120-2126
• 19 Kleyweg RP, van der Meche FG, Schmitz PI. Interobserver agreement in the assessment of muscle strength and functional abilities in Guillain-Barre Syndrome. Muscle Nerve 1991; 11: 1103-1109
• 20 Mahoney FI, Barthel DW. Functional Evaluation: The Barthel Index. Md State Med J 1965; 14: 61-65
• 21 Müller M, Strobl R, Grill E. Goals of patients with rehabilitation needs in acute hospitals: Goal achievement is an indicator for improved functioning. J Rehabil Med 2011; 2: 145-150
• 22 Neto AS, Nassar Jr AP, Cardoso SO et al. Delirium screening in critically ill patients: a systematic review and meta-analysis. Crit Care Med 2012; 6: 1946-1951
• 23 Nordon-Craft A, Schenkman M, Ridgeway K et al. Physical therapy management and patient outcomes following ICU-acquired weakness: a case series. J Neurol Phys Ther 2011; 3: 133-140
• 24 Nordon-Craft A, Moss M, Quan D et al. Intensive Care Unit-Acquired Weakness: Implications for Physicl Therapist Mangemant. Phys Ther 2012; 92: 1494-1506
• 25 Radtke FM, Franck M, Oppermann S et al. The Intensive Care Delirium Screening Checklist (ICDSC) -- translation and validation of intensive care delirium checklist in accordance with guidelines. Anasthesiol Intensivmed Notfallmed Schmerzther 2009; 44: 80-86
• 26 Roach KE, Van Dillen LR. Development of an Acute Care Index of Functional status for patients with neurologic impairment. Phys Ther 1988; 7: 1102-1108
• 27 Sessler CN, Gosnell MS, Grap MJ et al. The Richmond Agitation-Sedation Scale: validity and reliability in adult intensive care unit patients. Am J Respir Crit Care Med 2002; 10: 1338-1344
• 28 Skinner EH, Berney S, Warrillow S et al. Development of a physical function outcome measure (PFIT) and a pilot exercise training protocol for use in intensive care. Crit Care Resusc 2009; 2: 110-115
• 29 Skinner EH, Warrillow S, Denehy L. Health-related quality of life in Australian survivors of critical illness. Crit Care Med 2011; 8: 1896-1905
• 30 Stevens RD, Marshall SA, Cornblath DR et al. A framework for diagnosing and classifying intensive care unit-acquired weakness. Crit Care Med 2009; 10: S299-S308
• 31 Whitney SL, Wrisley DM, Marchetti GF et al. Clinical measurement of sit-to-stand performance in people with balance disorders: validity of data for the Five-Times-Sit-to-Stand Test. Phys Ther 2005; 10: 1034-1045
• 32 World Health Organization (WHO). International Classification of Functioning, Disability and Health (ICF). 2001 www.who.int/classifications/icf/en (10.01.2013)
• 33 Zanni JM, Korupolu R, Fan E et al. Rehabilitation therapy and outcomes in acute respiratory failure: an observational pilot project. J Crit Care 2010; 2: 254-262