Assessment of Acquired Weakness among Critically Ill Patients: Its Prevalence, Severity and Risk Factors

Abd Elaleem, Shimaa Gamal; Mohammed, Mona Aly; Mohammed, Naglaa Ahmed Ahmed

doi:10.21608/asnj.2025.404828.2130

Assessment of Acquired Weakness among Critically Ill Patients: Its Prevalence, Severity and Risk Factors

Document Type : Original Article

Authors

¹ Clinical Preceptor in Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Egypt.

² Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Egypt.

³ Assistant Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Egypt.

10.21608/asnj.2025.404828.2130

Abstract

Background: Intensive Care Unit-Acquired Weakness is a serious complication affecting critically ill patients. It manifests as symmetrical muscle weakness developing rapidly after Intensive Care Unit admission or mechanical ventilation, leading to prolonged recovery and reduced quality of life. Aim of the study: To assess the prevalence, severity, and risk factors of acquired weakness among critically ill patients. Research design: Descriptive research design. Setting: General, trauma, and anesthesia Intensive Care Units at Assiut University Hospital, Egypt. Sample: Convenience sample of adults aged 18–65 years admitted to Intensive Care Units for over 48 hours and meeting inclusion criteria. Tools: Five tools were used: Tool one: Patient Assessment Tool (two parts). Tool two: Biomedical Data Tool (three parts). Tool three: Muscle Assessment Tool (two parts). Tool four: Patient Risk Factors Assessment Tool. Tool five: Severity of Disease Assessment Tool. Results: Intensive Care Unit-acquired weakness was identified in 45% of patients, with 35% had severe weakness. it was significantly associated with mechanical ventilation duration, Intensive Care Unit stay length, and sepsis. Patients with Acquired Weakness had longer hospital stays and poorer functional outcomes. Conclusion: Intensive Care Unit-Acquired Weakness is a significant issue among critically ill patients at Assiut University Hospital, with notable prevalence and varying severity. It shows strong association with major risk factors influencing patient condition. Recommendations: Enhance nurse training on Intensive Care Unit-Acquired Weakness assessment and prevention, implement early mobilization protocols, and conduct further research for effective management strategies.

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