• Marike van der Schaaf, Anita Beelen, and Rien de Vos.
• Department of Rehabilitation, Academic Medical Center, University of Amsterdam, The Netherlands.
• Disabil Rehabil. 2004 Oct 21;26(20):1189-97.

PurposeTo evaluate the functional outcome of intensive care patients with critical illness polyneuropathy (CIP), 6 and 12 months after the onset.MethodsDesignA prospective observational cohort study and a cross-sectional study.SettingUniversity hospital in the Netherlands.PatientsEight consecutive intensive care patients with CIP for the prospective study and eight patients diagnosed with CIP in the past 6 months for the cross-sectional study.Main Outcome MeasuresFunctional outcome regarding body functions and structure, activities, participation and perceived quality of life.ResultsNine patients (56%) died within one year. Functional outcome, participation and subjective health status in survivors varied widely at 6 and 12 months. After 12 months, physical functioning was improved in all patients. However activities related to mobility outdoors, autonomy, participation and quality of life were restricted in most patients.ConclusionsThe majority of survivors have persistent functional disabilities in activities, reduced quality of life and restrictions in autonomy and participation one year after the onset of CIP. Prolonged rehabilitation treatment is necessary for an increasing number of intensive care patients who develop CIP, in order to reduce handicaps and achieve optimal autonomy and social participation.

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