在因COVID-19而入住重症监护室1年后的功能和活动能力
Netha Hussain1, Per-Olof Hansson2,3, Carina M Samuelsson4
1Department of Radiology, Sahlgrenska University Hospital, Gothenburg, Region Västra Götaland, Sweden.
Clinical rehabilitation
|June 20, 2024
概括
许多COVID-19幸存者经历了长期的身体障碍,包括手握力和步行速度降低,在进入重症监护室 (ICU) 一年后. 糖尿病和更长的ICU住院预测了这些缺陷,强调了持续康复的需要.
科学领域:
- 密集护理医学 密集护理医学
- 康复医学 康复医学 康复医学
- 传染性疾病 传染性疾病
背景情况:
- 进入重症监护室 (ICU) 的COVID-19幸存者可能会经历持续的身体障碍.
- 了解长期功能结果对于指导康复策略至关重要.
研究的目的:
- 评估手握强度,步行速度,功能移动性和姿势控制,在COVID-19的ICU入院后一年.
- 确定与这些身体功能的损伤相关的预测因素.
主要方法:
- 追溯,横截面和纵向的观察性研究.
- 参与了78名来自"哥德堡COVID-19和重症监护病房后恢复和康复"队列的参与者.
- 利用描述性统计和二进制物流回归来分析物理函数和预测器.
主要成果:
- 在1年的随访中,24.4% (右手) 和23.1% (左手) 的手握力受损.
- 分别在29.5%,21.8%和5.1%的参与者中观察到步行速度,功能移动性和姿势控制受损.
- 较长的ICU停留时间和糖尿病是步行速度受损的危险因素;糖尿病也是功能移动性受损的危险因素.
结论:
- 在接受ICU治疗一年后,近一半 (45%) 的COVID-19幸存者表现出功能或活动能力受损.
- 这些发现强调了长期随访的重要性,以确定需要身体健康援助和康复的个人.
- 早期识别和干预可以改善ICU后COVID-19患者的康复轨迹.
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