Predicting Nonrecovery of Muscle Strength in Critically Ill Patients With Intensive Care Unit–Acquired Weakness

Author(s): Hiroki Nagura, MSc, PT, Masato Oikawa, PhD, PT, Masatoshi Hanada, PhD, PT, Yudai Yano, PhD, PT, Tsubasa Watanabe, MSc, PT, Yasutomo Tanaka, MSc, PT, Rina Takeuchi, BSc, PT, Shuntaro Sato, PhD, Motohiro Sekino, MD, PhD, Tetsuya Hara, MD, PhD, and Ryo Kozu, PhD, PT

Contact Hours 1.00

CERP A 1.00

Expires Jul 01, 2029

Topics: MultiSystem

Fees
Member: Free
NonMember: $10.00

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Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

Intensive care unit–acquired weakness (ICU‑AW) is a common complication of critical illness, with a median reported prevalence of about 43%. Prevalence varies based on how weakness is measured and the severity of the patient’s condition. ICU‑AW is increasingly recognized as a significant contributor to both short‑term and long‑term functional impairment. Most patients experience some degree of recovery within the first few months, typically reaching a plateau around one year. However, recovery is highly individualized, and many patients continue to experience limitations that affect daily functioning and quality of life. In this prospective cohort study, critically ill adults diagnosed with ICU‑AW were followed to assess their recovery patterns. Outcomes were categorized as: Recovery: Achieving a Medical Research Council Sum Score (MRC‑SS) ≥48 before hospital discharge or prior to stroke, death, or ICU readmission and Nonrecovery: MRC‑SS <48

Objectives

  • Identify clinical factors associated with nonrecovery of muscle strength in critically ill patients with ICU-acquired weakness.
  • Describe predictors of persistent muscle weakness in patients with ICU-acquired weakness.
  • Analyze how sedation, corticosteroid exposure, and delayed mobilization may affect muscle strength recovery in ICU-acquired weakness.

Continuing Education Disclosure Statement

Criteria for Awarding Contact Hours

Learners must complete the entire activity and the associated evaluation AND read Implicit Bias impacts patient outcomes. No partial credit will be awarded.

Accreditation

American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for {contactHours} contact hours.

Disclosures

The Nurse Planner has determined that no individuals with the ability to control content of this activity have relevant relationships with ineligible companies.

Activities with pharmacotherapeutic credit are to assist the APRN in fulfilling their education requirements for licensure and certification renewals.

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Continuing Education Activities are nonrefundable.