在ICU中的长期残疾COVID-19的幸存者
Karina Ramiceli Soares da Silva1, Dimas Cavalheiro Prazeres1, Silvia Gaspar2
1Departamento de Ciências do Movimento Humano, Universidade Federal de São Paulo, Santos, São Paulo, Brazil.
Respiratory care
|October 22, 2024
概括
COVID-19幸存者在出院六个月后经历了长期残疾,而不管侵入性通风. 需要侵入性通风的人参与度更差,突出了针对COVID-19长期残疾人进行有针对性的康复的需要.
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:
- COVID-19幸存者,特别是那些病情危急的人,面临长期残疾.
- 了解ICU出院后的残疾对于患者的康复至关重要.
- 需要比较侵入性通风和非通风COVID-19患者之间的残疾.
研究的目的:
- 评估和比较COVID-19 ICU幸存者在医院出院后的残疾情况.
- 为了评估侵入性通风患者与非通风患者的残疾.
- 确定与长期COVID-19残疾相关的因素.
主要方法:
- 对COVID-19ICU患者的前性队列研究.
- 世界卫生组织残疾评估计划 (WHODAS) 2.0 在出院后的3个月和6个月使用.
- 通过侵入性机械通风状态对数据进行集体分析和分层分析;采用ANOVA和回归分析.
主要成果:
- 所有WHODAS域从3个月改进到6个月,表明恢复.
- 侵袭性通风患者在参与领域表现出持续的严重残疾.
- 在6个月后,86%的受试者有一些残疾;皮质类固醇使用与更高的残疾相关.
结论:
- COVID-19幸存者在出院6个月后表现出持续的残疾,无论呼吸系统如何.
- 侵入性通风与更严重的参与障碍有关.
- 在COVID-19幸存者的长期残疾需要持续监测和支持.
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