幸存危急的COVID-19:功能,身体,精神和认知结果如何演变?
Ana Teixeira-Vaz1, José Afonso Rocha1, Mafalda Oliveira1
1Physical Medicine and Rehabilitation Department, Centro Hospitalar Universitário de São João, Porto, Portugal.
PloS one
|June 23, 2023
概括
在重症监护室 (ICU) 退院后很长时间,COVID-19的危急幸存者会经历持续的身体,精神和认知障碍. 虽然观察到一些复苏,但力量,平衡和日常活动的缺陷仍然很大,直到12个月后ICU.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 康复医学是康复的医学.
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
背景情况:
- 危急的COVID-19可能导致长期的健康问题,集体称为重症监护后综合征 (PICS).
- 了解身体,精神和认知障碍的发展轨迹对于有效的患者管理和康复策略至关重要.
研究的目的:
- 分析危急的COVID-19的长期身体,精神,认知和功能后果.
- 描述这些损伤在幸存者中随着时间的推移而演变.
主要方法:
- 对因SARS-CoV-2感染而入院ICU的患者进行前性队列研究.
- 在ICU住院期间,患者接受了物理和康复医学 (PRM) 服务.
- 身体,精神和认知领域的评估是在ICU出院6个月和12个月后使用标准化评估进行的.
主要成果:
- 在ICU出院6个月和12个月后,观察到生活质量,肌肉力量,步态和平衡的显著损害.
- 焦虑和抑郁的水平仍然很高,在两个随访点都发现了显著的认知缺陷.
- 日常生活中的功能自主性从6个月的54.8%提高到12个月的74.0%.
结论:
- 危急的COVID-19幸存者在重症监护室出院后12个月内表现出严重的身体,精神和认知障碍.
- 尽管经济复苏呈积极趋势,但仍然存在严重的赤字,这凸显了持续康复和支持的需要.
- 这项研究强调了严重的COVID-19对多个健康领域的深刻和持久影响.
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