后急性康复后COVID-19对残疾的长期影响:试点研究
Claudia-Gabriela Potcovaru1,2, Teodor Salmen1, Ana Mădălina Potcovaru3
1Doctoral School of Carol Davila, University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Journal of clinical medicine
|August 29, 2024
概括
在COVID-19发生三年后,中枢神经系统缺陷和糖尿病严重影响了长期残疾. 量身定制的康复和综合护理对于改善严重的冠状病毒疾病后的患者结果至关重要.
科学领域:
- 医疗康复 医疗康复
- 公共卫生 公共卫生
- 神经学 神经学
背景情况:
- COVID-19大流行对残疾的长期影响在很大程度上是未知的.
- 严重的COVID-19病例可能导致严重的,可评估的残疾.
- 世界卫生组织残疾评估表2.0 (WHODAS 2.0) 为残疾评估提供了一个生物心理社会框架.
研究的目的:
- 为了评估严重的COVID-19患者的长期残疾,急性康复后三年.
- 通过WHODAS 2.0问卷查询,确定影响长期残疾的因素.
主要方法:
- 一个单一中心的队列研究涉及严重的COVID-19患者,他们接受了后急性康复.
- 在康复三年后,使用WHODAS 2.0问卷进行电话评估.
- 对人口统计,临床和并发症数据的分析,包括ICU入院和特定健康状况.
主要成果:
- 在69名确定的患者中,27人对WHODAS 2.0评估做出了反应;16人因情绪困扰而下降.
- 受访者的平均年龄为63.4岁;81.5%是社区独立的.
- 整体残疾分数为35.09%,受到2型糖尿病和中枢神经系统缺陷的影响. 集中治疗室入院与更高的康复需求和更长的住院时间相关.
结论:
- 中枢神经系统缺陷和2型糖尿病是严重COVID-19后长期残疾增加的关键因素.
- 有效的长期管理需要量身定制的康复计划,持续的医疗评估,综合护理和患者教育.
相关概念视频
01:17Classification of Illness
7.4K
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...
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
01:19Restorative Care
1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K
01:29Pulmonary Tuberculosis I
227
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
227
01:30Specialized Care Centers and Settings-II
719
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
719