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Table 2 Long-term functional outcome in subjects with critical illness polyneuropathy and myopathy

From: Recovery and long term functional outcome in people with critical illness polyneuropathy and myopathy: a scoping review

Authors

N/followed/CIPNM type

Follow-up

Functional measures

Other measures

Outcome

Zochodne DW et al24 (1987) [24]

N = 19;

(9 M, 10 F, mean age 64);

CIP = 19

10 mos-2 yrs

none

EMG, histological examination

8 (41.1%) pts showed good functional recovery; of these 6 pts had EMG improvement within 3 months. One pt had mild distal limb weakness at 12 wks and one had mildly weak dorsiflexion of right foot, at 2yrs; 11 (58%) pts died

Coronel B et al25 (1990) [25]

N = 15/4

(12 M, 3 F, mean age 47);

CIP = 15

4–8 yrs

none

EMG, muscle biopsies

3 pts: 2 pts had persisting dysesthesia; one needing assistance to sit and walk

death: 5 pts (33%)

Hund EF et al33 (1996) [33]

N = 7

(3 M, 4 F)

3 mos to 3.5 yrs

none

EMG; muscle and nerve biopsy (3 pts)

2 (28.5%) pt gained complete recovery;

3 (42.8%) pts showed disability due to CNS lesions; 2 pts died

Lacomis D. et al35 (1997) [35]

N = 92;

N = 49

CIM = 37a; CIP = 12

12 – 60 mos

none

EMG; muscle biopsies (22 pts)

25 (51%) pts had complete functional recovery: 17 pts were ambulatory within 4 months and 8 pts within 4–12 months;

7 pts showed incomplete functional recovery: 4 pts remained non ambulatory and 3 remained dependent on the ventilator; 16 pts died

de Sèze M. et al36 (2000) [36]

N = 19, only CIP (14 M 5 F; mean age 55,9 yrs)

2 yrs

None

MRC;

sensory findings

11 (57.8%) patients recovered completely;

4 (21%) patients remained quadriplegic; 2 patients remained quadriparetic; 2 pts died

Fletcher S.N. et al39 (2003) [39]

N = 22;

CIP = 22;

62 yrs (45–78);

3.5 yrs (range, 12–57 mos)

Barthel Index

neurologic examination; EMG

19 (86.3%) pts had recovery quantified to BI 95–100; 2 pts incomplete recovery (BI score 85); 1 pts severe disabled; 95% patients had EMG evidence of chronic partial denervation

Intiso D et al41 (2011) [41]

N = 42 (23 M, 19F, mean age 58.4 ± 13.9);

CIP = 30 pts;  CIM = 6 pts CIP/CIM = 6 pts

5 yrs; mean 31.7 ± 15.8 months

Barthel scale and mRS

SF-36 questionnaire

31 (73.8%) pts (24 pts with just CIPNM and 7 pts with CIPNM and CNS involvement) gained recovery with a mean Barthel of 86.7 ± 15.9 (P < 0.001), and the median mRS of 1 (IQR: 0–3), respectively, at follow-up (mean 31.7 ± 15.8 months)

  1. ES electrophysiological studies, MRC Medical Research Council scale, mRS modified Rankin Scale, ODSS neCMAP nerve stimulation; Overall Disability Sum score, ONLS Overall Neuropathy Limitations Scale, LOS length of stay, SF 36 Short Form 36 questionnaire, TBI traumatic brain injury
  2. aother forms of myopathy or motor axonopathy could not be excluded