后COVID-19重症监护室获得的弱点影响了长期的功能状态
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
概括
由于2019年新冠病毒病 (COVID-19) 住院的患者在重症监护室 (ICU) 退院后经常经历长期功能衰退. 在重症监护室获得的弱点 (ICUAW) 在六个月内显著恶化了这些结果.
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 康复医学 康复医学
背景情况:
- 冠状病毒疾病2019 (COVID-19) 幸存者经常经历长时间的康复.
- 重症监护室 (ICU) 获得的虚弱 (ICUAW) 是一种已知的并发症,影响患者的康复.
- COVID-19住院的长期功能后果,特别是关于ICUAW的长期功能后果,需要进一步调查.
研究的目的:
- 评估ICUAW对COVID-19患者功能独立性的影响.
- 在ICU退院后的6个月内评估功能状态.
- 通过ICUAW识别COVID-19幸存者面临的具体挑战.
主要方法:
- 在ICU接受治疗的COVID-19患者的前性队列研究.
- 在ICU出院后的30天,3个月和6个月,通过电话进行随访.
- 使用经过验证的尺度 (巴塞尔尺度,卡茨指数,PCFS,ICU流动性尺度) 评估功能独立.
- 基于医学研究委员会得分的ICUAW诊断<48在ICU出院时.
主要成果:
- 35%的患者发生了ICUAW.
- 在ICU退院六个月后,38.2%的患者仍然存在功能限制.
- 与没有ICUAW患者 (22.8%) 相比,ICUAW患者的持续功能限制率显著更高 (66.7%).
- 在ICUAW组中,中度至严重的功能限制也更普遍.
结论:
- 在COVID-19幸存者从ICU出院后,功能独立性在很长一段时间内仍然受到损害.
- ICUAW与较差的功能结果和长时间的依赖性有关.
- 早期发现和管理ICUAW对于改善COVID-19患者的长期康复至关重要.
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