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Acute Functional Outcomes in Critically Ill COVID-19 Patients
Matthew Rong Jie Tay1, Poo Lee Ong1, Ser Hon Puah2
1Department of Rehabilitation Medicine, Tan Tock Seng Hospital, Singapore, Singapore.
Frontiers in Medicine
|February 4, 2021
Summary
Critically ill COVID-19 survivors often experience mobility issues after intensive care unit (ICU) discharge. Rehabilitation is crucial for improving functional ambulation outcomes in these patients.
Area of Science:
- Critical Care Medicine
- Rehabilitation Medicine
- Infectious Diseases
Background:
- Coronavirus Disease 2019 (COVID-19) poses a significant global health challenge.
- Critically ill COVID-19 patients require intensive care unit (ICU) management.
- Understanding post-ICU functional outcomes is vital for patient recovery.
Purpose of the Study:
- To describe the acute functional outcomes of critically ill COVID-19 patients post-ICU transfer.
- To identify factors associated with functional ambulation impairment after ICU discharge.
Main Methods:
- Retrospective observational cohort study of 51 critically ill COVID-19 patients.
- Data collected included demographics, clinical information, and Functional Ambulation Category (FAC).
- Multivariate analysis used to determine associations with functional outcomes.
Main Results:
- 47.1% of patients were dependent ambulators upon ICU transfer.
- 92.2% achieved independent ambulation by hospital discharge.
- Higher Charlson Comorbidity Index and longer ICU stay were linked to dependent ambulation.
Conclusions:
- Critically ill COVID-19 survivors exhibit significant functional impairment post-ICU.
- Screening and appropriate management by rehabilitation professionals are recommended.
- Early rehabilitation interventions can improve functional outcomes upon discharge.
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