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Electrodiagnostic studies in the intensive care unit: A comparison study 2 decades later
Author(s) -
Ojha Ajitesh,
Zivkovic Sasha A.,
Lacomis David
Publication year - 2018
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.25998
Subject(s) - critical illness polyneuropathy , intensive care unit , medicine , weakness , myopathy , intensive care , polyneuropathy , muscle weakness , pediatrics , critical illness , intensive care medicine , critically ill , surgery
ABSTRACT Introduction Since the late 1980s, critical illness myopathy (CIM) and critical illness polyneuropathy (CIP) have been increasingly recognized in the intensive care unit (ICU). We explored whether these causes of ICU weakness were now more likely to lead to electrodiagnostic studies (EDX) at our institution than they were 19–20 years earlier. Methods We reviewed 100 consecutive ICU patients who underwent EDX from 2009 to 2015 and compared them to a previously reported study population from 1990–1995. Results Thirty‐seven (39%) had CIM, CIP, or both versus 55% in the previous study ( P = 0.04). Thirty‐four (36%) were diagnosed with “traditional” pre‐ICU causes of weakness, such as motor neuron disease or Guillain‐Barre syndrome, versus 29% in the earlier study ( P = 0.3). Discussion CIM and CIP continue to be common disorders that lead to ICU EDX, but their proportion declined compared with 19–20 years earlier, possibly due to the perceived role and selective use of EDX in the ICU. Muscle Nerve 57 : 772–776, 2018