tailieunhanh - Báo cáo khoa học: "Heterotopic ossification – a long-term consequence of prolonged immobility"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Heterotopic ossification – a long-term consequence of prolonged immobility. | Available online http content 10 6 174 Commentary Heterotopic ossification - a long-term consequence of prolonged immobility Sonia J Hudson and Stephen J Brett Imperial College London Hammersmith Hospital Du Cane Road London W12 0HS UK Corresponding author Stephen J Brett Published 21 November 2006 This article is online at http content 10 6 174 2006 BioMed Central Ltd Critical Care 2006 10 174 doi cc5091 See related research by Argyropoulou et al. http content 10 5 R152 Abstract Heterotopic ossification is a condition affecting an appreciable minority of critical care patients it can have long-lasting effects on recovery and return to functional status. Ectopic bone forms in soft tissues near the large joints causing pain swelling limitation of movement and ultimate disability. X-ray changes may be delayed for several weeks after the diagnosis is clinically suspected. Magnetic resonance imaging may be more sensitive for detecting early changes yielding positive results several weeks before X-rays. However it is not clear that diagnosing the process early will influence long-term patient outcome because no effective treatments are available. Currently only a small minority of long-stay intensive care patients are followed up by the critical care service and thus there is no bridge between the critical and rehabilitation phases of illness. Recent studies have demonstrated that survivors suffer long-term consequences that can have a marked impact on their recovery and quality of life for years after discharge and a current paper highlights a specific physical issue heterotopic ossification HO 1 . Return to normal functional status is often slow with different rates of physical and psychological improvement 2-4 . Lack of understanding and experience of possible long-term sequelae of critical illness may hinder patient recovery further because access to the full range of services required in the .