Correlation between Intensive Care Unit Acquired Weakness and Hyperglycemia in Critically Ill Geriatric Patients | ||||
| Egyptian Journal of Health Care | ||||
| Article 89, Volume 13, Issue 3, September 2022, Page 1169-1177 PDF (248.17 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2022.257917 | ||||
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| Authors | ||||
| Suad Elsayed Abdelmotalb Elsaman1; Abeer Abd El-Rahman Mohamed2; Azza Abd Elrazek Baraka3 | ||||
| 1Assistant Professor of Critical Care and Emergency Nursing Department, Faculty of Nursing, Alexandria University, Egypt | ||||
| 2Assistant Professor of Gerontological Nursing Department, Faculty of Nursing, Alexandria University, Egypt | ||||
| 3Assistant Professor of Critical Care and Emergency Nursing Department, Faculty of Nursing, Alexandria University, Egypt. Assistant Professor of Critical Care and Emergency Nursing, College of Nursing, King Saud bin Abdulaziz University for Health Sciences, Al-Ahsa, Saudi Arabia. King Abdullah International Medical Research Center, Al-Ahsa, Saudi Arabia. | ||||
| Abstract | ||||
| Background: the incidence of ICU-acquired weakness (ICUAW) is rising from 25 to 31% worldwide, with 3.25–6.2 million new patients annually. This may be due to the ageing process and the intensive care units (ICUs) stay. Objective: To determine the correlation between ICU-acquired weakness and hyperglycemia in critically ill geriatric patients. Design: A descriptive research design was used to conduct this study. The study was conducted at six intensive care units from Smouha university hospital and Alexandria main university hospital in Egypt. Tools: Two tools were used, tool one was patients’ clinical and demographic data. Tool two was patients Simplified Medical Research Council (SMRC) Scale. Sample: A purposeful sample of four hundreds and ninety newly admitted geriatric patients, aged > 60 years, Glasgow Coma Scale >9, oxygen saturation ≥88%, no brain stem problems, spinal cord lesions, myasthenia gravis or Guillain-Barre syndrome were included at this study. Results: the study showed that 37.1 % of geriatric patients had ICU-acquired weakness, 57% had hyperglycemia, and 33.7% of them had both ICU-acquired weakness and hyperglycemia. There was a highly statistically significant correlation (p=0.008) between the acquired muscle weakness and hyperglycemia among the geriatric patients. Conclusion: A significant correlation was found between ICUAW and hyperglycemia among critically ill geriatric patients. Recommendations: Health education program should be offered to the critical care nurses who are working with critically ill geriatric patients to foster early detection of ICU- acquired weakness, and control of hyperglycemia. | ||||
| Keywords | ||||
| Intensive care unit acquired weakness; hyperglycemia; critically ill geriatric patients | ||||
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