Related Experiment Video

Updated: Jun 16, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
06:52

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

9.7K

Characteristics Associated with Long-Term Outcomes in Severe COVID-19 Patients after a Post-Acute Care

Joao Gabriel Rosa Ramos1, Larrie Rabelo Laporte2, Flaviane Ribeiro de Souza2

  • 1Clínica Florence, Salvador, Brazil; Faculdade de Medicina, Universidade Federal da Bahia, Brazil.

Journal of the American Medical Directors Association
|August 18, 2024
PubMed

Insights

Severe COVID-19 patients showed significant functional recovery in post-acute care facilities (PACF) and over 180 days. Baseline factors predict long-term outcomes for these critical illness survivors.

Area of Science:

  • Medical Rehabilitation
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Severe COVID-19 survivors often require intensive post-acute care for functional recovery.
  • Understanding long-term outcomes is crucial for managing patients after severe illness.

Purpose of the Study:

  • To identify characteristics associated with long-term outcomes in severe COVID-19 patients admitted to a post-acute care facility (PACF).

Main Methods:

  • Prospective cohort study of 186 severe COVID-19 patients admitted to a PACF.
  • Functional outcomes assessed using the modified Barthel index over 180 days post-discharge.
  • Multivariate binary logistic regression analyzed patient characteristics and outcomes.

Main Results:

  • Patients experienced significant functional improvements (Barthel index) from admission to 180-day follow-up (P < .001).
  • 180-day mortality was 17.2%.
  • Baseline functional status, comorbidities, and admission functional status predicted poor 180-day outcomes.

Conclusions:

  • Severe COVID-19 patients demonstrate substantial functional gains in PACF and long-term.
  • Findings aid in prognostication and management strategies for post-acute COVID-19 care.
  • Identifying predictors of poor outcomes can guide targeted interventions.
Abstract

Keywords:
COVID-19ICU survivorshippalliative carepost-acute carepost-intensive care syndromerehabilitation

More Related Videos

Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia08:05

Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia

Published on: December 19, 2020

14.1K
An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient07:16

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

Published on: November 30, 2022

3.2K

Related Concept Videos

Pneumonia III: Complications and Assessment01:30

Pneumonia III: Complications and Assessment

Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
193
Classification of Illness01:17

Classification of Illness

The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
7.4K
Pneumonia I: Introduction01:30

Pneumonia I: Introduction

Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
215
Pneumonia IV: Management01:28

Pneumonia IV: Management

The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
313
Acute Respiratory Failure-V01:29

Acute Respiratory Failure-V

The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
126
Pneumonia II: Pathophysiology01:29

Pneumonia II: Pathophysiology

The pathophysiology of pneumonia involves the following steps:
237