Critical Illness Myopathy, Critical Illness Polyneuropathy
Conditions
Brief summary
Evaluate the accuracy, in the diagnosis of critical illness myopathy and / or neuropathy, of the simplified peroneal nerve test performed by a neurophysiopathology technician or by a neurophysiopathology doctor (as the gold standard) compared to the exam performed by an intensivist.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
\- adult patients admitted to Intensive care unit
Exclusion criteria
* patients in terminal conditions * patients with peroneal nerve exam not feasible ( for example with presence of prostheses, wounds, plaster casts, edema of the limbs)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| sensitivity and specificity of peroneal nerve test performed by a neurophysiopathologist compared to peroneal nerve test performed by an intensivist when peroneal nerve test is dichotomised in normal or abnormal | up to the comlpete execution of the two peroneal nerve exams,at most an hour | DTComPair-package in R |
| specificity of peroneal nerve test performed by a neurophysiopathologist compared to peroneal nerve test performed by an intensivist when peroneal nerve test is dichotomised in normal or abnormal | up to the comlpete execution of the two peroneal nerve exams, at most an hour | DTComPair-package in R |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| evaluation of concordance between peroneal nerve test performed by an intensivist compared to peroneal nerve test performed by a neurophysiopathologist considering the test as a continuous variable | up to the comlpete execution of the two peroneal nerve exams, at most an hour | It will be performed either using Bland-Altman plot and mix model effect |
| correlation between hospital mortality and abnormal peroneal nerve test | up to hospital discharge, an average of 6 months | Anova |
| correlation between hospital discharge destination and abnormal peroneal nerve test | up to hospital discharge, an average of 6 months | Anova |
Countries
Italy