Yoğun Bakımda Egzersiz Kapasitesini Etkileyen Faktörlerin Belirlenmesi

Abstract

There are many factors that affect exercise capacity in patients admitted to the intensive care unit (ICU). The aim of the study was to determine the factors affecting exercise capacity in intensive care patients. Thirty patients hospitalized in the ICU were included in the study. Charlson Comorbidity Index was used for comorbidity assessment. APACHE II and SOFA scores were used to evaluate the risk of mortality. The Glaskow Coma Scale was used for the level of consciousness. Peripheral muscle strength was evaluated by the Medical Research Council scale. Physical Function ICU Test (scored) was used for exercise capacity assessment. Barthel Index was used for functional level. Nottingham Health Profile was used to evaluate the quality of life. Cognitive status was evaluated with Montreal Cognitive Assessment Test. Hospital Anxiety and Depression score was used to evaluate anxiety and depression. Fried Fragility Index was used in the fragility assessment. Exercise capacity was found to be highly correlated with muscle strength (r = 0.817) and functional level (r = 0.861), low level with quality of life (r = -0.422) and moderately with cognitive status (r = 0.539) (p<0.05). It was found that muscle strength, functional level, quality of life and cognitive status had a significant effect on exercise capacity (p<0.05). As a result, it has been shown that muscle strength, functional level, quality of life and cognitive status affect the exercise capacity in patients admitted to ICU. Considering that it affects exercise capacity in ICU patients, muscle strength, functional level, quality of life, and cognitive status should be among the evaluation parameters when planning physiotherapy programs.