CMAJ • March 11, 2008; 178 (6). doi:10.1503/cmaj.071056.
© 2008 Canadian Medical Association or its licensors
All editorial matter in CMAJ represents the opinions of the authors and not necessarily those of the Canadian Medical Association.
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Joint contracture following prolonged stay in the intensive care unit

Heidi Clavet, BScPT, Paul C. Hébert, MD MHSc, Dean Fergusson, PhD, Steve Doucette, MSc and Guy Trudel, MD

From the Bone and Joint Laboratory (Clavet, Trudel) and the Department of Medicine (Hébert, Fergusson, Trudel), University of Ottawa, Ottawa, Ont.; the Clinical Epidemiology Program of the Ottawa Hospital (Clavet, Fergusson, Doucette), Ottawa Health Research Institute, Ottawa, Ont.; and the Department of Critical Care, The Ottawa Hospital (Hébert), Ottawa, Ont.


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  		Table 1.

 

Figure 117
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  		Figure 1: Flow diagram for patient recruitment. Discharge home means discharge to the patient's home, a nursing home or a regional hospital.

 

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  		Table 2.

 

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  		Table 3.

 

Figure 217
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  		Figure 2: Adjusted odds of experiencing any joint contracture. The results are based on a single multivariable model simultaneously including the demographic variables age and sex, presence of diabetes mellitus as a comorbidity, admission diagnosis, Acute Physiology and Chronic Health Evaluation (APACHE II) severity score, length of stay in the intensive care unit, duration of invasive mechanical ventilation, co-interventions (specifically neuromuscular blockade and steroids) and length of stay in the hospital. For definitions of variables see Table 2. Note: ref = reference group.

 

Figure 317
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  		Figure 3: Adjusted odds of experiencing a functionally significant joint contracture. The results are based on a single multivariable model simultaneously including the demographic variables age and sex, presence of diabetes mellitus as a comorbidity, admission diagnosis, Acute Physiology and Chronic Health Evaluation (APACHE II) severity score, length of stay in the intensive care unit, duration of invasive mechanical ventilation, co-interventions (specifically neuromuscular blockade and steroids) and length of stay in hospital. For definitions of variables see Table 2. Note: ref = reference group.