Related Experiment Video
Updated: Jul 17, 2025
06:52
Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
9.8K
Post-COVID-19 Intensive Care Unit-Acquired Weakness Compromises Long-Term Functional Status
Débora Schmidt1,2, Ane Glauce Margarites1, Letícia Pinto Krás Borges Alvarenga1
1Physical Therapy Service, Hospital de Clínicas de Porto Alegre (HCPA), Santa Cecília, Porto Alegre, Rio Grande do Sul, Brazil.
Physical Therapy
|September 2, 2023
Summary
Patients hospitalized for coronavirus disease 2019 (COVID-19) often experience long-term functional decline after intensive care unit (ICU) discharge. Intensive care unit-acquired weakness (ICUAW) significantly worsens these outcomes over six months.
Area of Science:
- Critical Care Medicine
- Infectious Diseases
- Rehabilitation Medicine
Background:
- Coronavirus disease 2019 (COVID-19) survivors frequently experience prolonged recovery.
- Intensive care unit (ICU)-acquired weakness (ICUAW) is a known complication impacting patient recovery.
- The long-term functional consequences of COVID-19 hospitalization, particularly concerning ICUAW, require further investigation.
Purpose of the Study:
- To assess the impact of ICUAW on functional independence in COVID-19 patients.
- To evaluate functional status up to six months post-ICU discharge.
- To identify specific challenges faced by COVID-19 survivors with ICUAW.
Main Methods:
- Prospective cohort study of COVID-19 patients admitted to the ICU.
- Telephone-based follow-up at 30 days, 3 months, and 6 months post-ICU discharge.
- Assessment of functional independence using validated scales (Barthel Scale, Katz Index, PCFS, ICU Mobility Scale).
- Diagnosis of ICUAW based on Medical Research Council score <48 at ICU discharge.
Main Results:
- 35% of patients developed ICUAW.
- At six months post-ICU discharge, 38.2% of patients still had functional limitations.
- Patients with ICUAW showed a significantly higher rate of persistent functional limitations (66.7%) compared to those without (22.8%).
- Moderate to severe functional limitations were also more prevalent in the ICUAW group.
Conclusions:
- Functional independence remains compromised for a significant period after ICU discharge for COVID-19 survivors.
- ICUAW is associated with poorer functional outcomes and prolonged dependence.
- Early identification and management of ICUAW are crucial for improving long-term recovery in COVID-19 patients.
Related Concept Videos
01:30Pneumonia III: Complications and Assessment
261
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
261
01:23Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12
01:29Acute Kidney Injury III: Clinical Manifestations
29
Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
29
01:25Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
2.8K
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
2.8K
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
01:22Acute Kidney Injury VI: Nursing Management
32
Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
32