{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:16:59Z","timestamp":1777853819811,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2022,6,12]],"date-time":"2022-06-12T00:00:00Z","timestamp":1654992000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Jeffrey and Judy Buzen","award":["222302"],"award-info":[{"award-number":["222302"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Intensive Care Med"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>In many institutions, intensive care unit (ICU) nurses assess their patients\u2019 muscle function as part of their routine bedside examination. We tested the research hypothesis that this subjective examination of muscle function prior to extubation predicts tracheostomy requirement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Adult, mechanically ventilated patients admitted to 7 ICUs at Beth Israel Deaconess Medical Center (BIDMC) between 2008 and 2019 were included in this observational study. Assessment of motor function was performed every four hours by ICU nurses. Multivariable logistic regression analysis controlled for acute disease severity, delirium risk assessment through the confusion assessment method for the ICU (CAM-ICU), and pre-defined predictors of extubation failure was applied to examine the association of motor function and tracheostomy within 30 days after extubation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Within 30 days after extubation, 891 of 9609 (9.3%) included patients required a tracheostomy. The inability to spontaneously move and hold extremities against gravity within 24 h prior to extubation was associated with significantly higher odds of 30-day tracheostomy (adjusted OR 1.56, 95% CI 1.27\u22121.91, p\u2009&lt;\u20090.001, adjusted absolute risk difference (aARD) 2.8% (p\u2009&lt;\u20090.001)). The effect was magnified among patients who were mechanically ventilated for &gt;7 days (aARD 21.8%, 95% CI 12.4\u221231.2%, p-for-interaction\u2009=\u20090.015).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ICU nurses\u2019 subjective assessment of motor function is associated with 30-day tracheostomy risk, independent of known risk factors. Muscle function measurements by nursing staff in the ICU should be discussed during interprofessional rounds.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08850666221107839","type":"journal-article","created":{"date-parts":[[2022,6,13]],"date-time":"2022-06-13T02:30:55Z","timestamp":1655087455000},"page":"151-159","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Subjective Assessment of Motor Function by the Bedside Nurses in Mechanically Ventilated Surgical Intensive Care Unit Patients Predicts Tracheostomy"],"prefix":"10.1177","volume":"38","author":[{"given":"Sabine","family":"Friedrich","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA"},{"name":"Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA"},{"name":"Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, University Hospital Wuerzburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4978-6353","authenticated-orcid":false,"given":"Bijan","family":"Teja","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA"},{"name":"Department of Anesthesiology and Pain Medicine, University of Toronto, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola","family":"Latronico","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Critical Care and Emergency, Spedali Civili University Hospital, University of Brescia, Brescia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jay","family":"Berger","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Muse","sequence":"additional","affiliation":[{"name":"Department of Nursing & Patient Care, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Waak","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Massachusetts General Hospital, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Fassbender","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA"},{"name":"Klinik f\u00fcr An\u00e4sthesiologie, operative Intensivmedizin, Schmerz- und Palliativmedizin, Marien Hospital Herne, Universit\u00e4tsklinikum der Ruhr-Universit\u00e4t Bochum, Herne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omid","family":"Azimaraghi","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7893-0596","authenticated-orcid":false,"given":"Matthias","family":"Eikermann","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA"},{"name":"Klinik f\u00fcr An\u00e4sthesiologie und Intensivmedizin, Universit\u00e4t Duisburg-Essen, Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karuna","family":"Wongtangman","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA"},{"name":"Department of Anesthesiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"for the SICU Optimal Mobilization Team (SOMT) Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,6,12]]},"reference":[{"key":"bibr1-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-020-05944-4"},{"key":"bibr2-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-004-2174-z"},{"key":"bibr3-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-013-3014-9"},{"key":"bibr4-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-020-2807-9"},{"key":"bibr5-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201312-2257OC"},{"key":"bibr6-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000002763"},{"key":"bibr7-08850666221107839","unstructured":"Suzanne C, Smeltzer O, Bare B, Hinkle J, Cheever K. Brunner & Suddarth\u2019s Textbook of Medical-Surgical Nursing, Vol. 1. (Brunner Sholtis L ed). Lippincott Williams & Wilkins; 2010:1844."},{"key":"bibr8-08850666221107839","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.04269"},{"key":"bibr9-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1378\/chest.120.6_suppl.375S"},{"key":"bibr10-08850666221107839","doi-asserted-by":"publisher","DOI":"10.12659\/AOT.920630"},{"key":"bibr11-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1007\/s12028-015-0235-5"},{"issue":"5","key":"bibr12-08850666221107839","volume":"50","author":"Azi O","year":"2022","journal-title":"Crit Care Med"},{"key":"bibr13-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000000748"},{"key":"bibr14-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1097\/MCC.0b013e32835c5095"},{"key":"bibr15-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.159.2.9803106"},{"key":"bibr16-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-198510000-00009"},{"key":"bibr17-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-200107000-00012"},{"key":"bibr18-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000004951"},{"key":"bibr19-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201811-2119OC"},{"key":"bibr20-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2019.03.004"},{"key":"bibr21-08850666221107839","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1007\/s00134-015-4125-2","volume":"42","author":"Pierre BJ","year":"2016","journal-title":"Intensive Care Med"},{"key":"bibr22-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201602-0367OC"},{"key":"bibr23-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1007\/s001340051062"},{"key":"bibr24-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1002\/ehf2.12237"},{"key":"bibr25-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000000874"},{"key":"bibr26-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000004808"},{"key":"bibr27-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-017-4730-3"},{"key":"bibr28-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-017-4757-5"},{"key":"bibr29-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2010.12.022"},{"key":"bibr30-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e3181b6f727"},{"key":"bibr31-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-014-3214-y"},{"key":"bibr32-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.4078"},{"key":"bibr33-08850666221107839","doi-asserted-by":"publisher","DOI":"10.1186\/cc5683"}],"container-title":["Journal of Intensive Care Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08850666221107839","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08850666221107839","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08850666221107839","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:57:17Z","timestamp":1777503437000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08850666221107839"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,12]]},"references-count":33,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,2]]}},"alternative-id":["10.1177\/08850666221107839"],"URL":"https:\/\/doi.org\/10.1177\/08850666221107839","relation":{},"ISSN":["0885-0666","1525-1489"],"issn-type":[{"value":"0885-0666","type":"print"},{"value":"1525-1489","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,12]]}}}