在SARS-CoV-2大流行期间的动员实践:回顾性分析 (MobiCOVID)
Clara M Schellenberg1, Maximilian Lindholz1, Julius J Grunow1
1Charité - Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt-Universität zu Berlin, Department of Anesthesiology and Intensive Care Medicine | CCM | CVK, Berlin, Germany.
Anaesthesia, critical care & pain medicine
|May 31, 2023
概括
COVID-19并没有显著影响重症监护病房的患者动员. 然而,急救重症监护室 (ICU) 的患者得到了更早的动员,并实现了更高的流动性水平.
科学领域:
- 密集护理医学 密集护理医学
- 传染性疾病 传染性疾病
- 康复医学 康复医学 康复医学
背景情况:
- COVID-19患者面临重症监护室获得的弱点 (ICUAW) 的风险.
- 由于COVID-19大流行,在ICU患者动员方面出现了挑战.
- 疫情加剧了动员现有的障碍.
研究的目的:
- 为了比较COVID-19和非COVID-19患者之间的动员实践.
- 分析COVID-19对动员水平,频率,早期动员 (EM) 和积极坐姿 (ASP) 的时间的影响.
- 调查ICU类型对COVID-19患者动员实践的影响.
主要方法:
- 德国柏林Charité-Universitätsmedizin进行的回顾性队列研究 (2018年3月至2021年11月).
- 包括16个重症监护室的成人患者.
- 倾向性得分匹配 (1:1) 用于比较611名COVID-19和非COVID-19患者.
- 使用监督机器学习将动员条目转换为ICU移动量表 (IMS).
主要成果:
- 在匹配后,COVID-19和非COVID-19患者之间的动员频率,最大IMS,EM或ASP时间没有显著差异.
- 在急剧ICU (专用COVID-19单位) 的患者更频繁地接受了EM (53.9%对39.8%,p=0.03).
- 与非急剧ICU的患者相比,急剧ICU的患者获得了更高的最大IMS (4对3,p=0.03).
结论:
- COVID-19感染本身并没有阻碍患者动员.
- 在急剧ICU的治疗与增加的早期动员和更高的流动性水平有关.
- 在流行病期间,动员实践可能会受到ICU环境和资源的影响.
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