从重症监护室出院一年后,长期COVID-19患者的结果
Talarisree Chandrasekhar1, Calerappa Ravishankar1, Anke Geethanjali2
1Department of Critical Care Medicine, Krishna Institute of Medical Sciences Saveera Hospital, Anantapur, IND.
进入ICU的严重COVID-19幸存者面临长期的身体和心理问题,包括生活质量下降和持续的呼吸困难. 后ICU护理需要一个多学科的方法,以康复和症状管理.
科学领域:
- 临界护理医学 临界护理医学
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
背景情况:
- 需要重症监护室 (ICU) 入院的严重COVID-19幸存者容易受到长期的身体和心理后果.
- 了解这些患者的出院后的发展轨迹对于有效的长期护理计划至关重要.
研究的目的:
- 在ICU出院一年后,评估长期严重COVID-19患者的长期临床后果.
- 评估生活质量,肺功能和其他临床参数的变化.
主要方法:
- 一组454名重症COVID-19幸存者入住了ICU,被跟踪了一年.
- 收集的数据包括慢性阻塞性肺病评估测试 (CAT) 评分,肺功能测试,实验室数据和与健康相关的生活质量 (HRQOL) 评分.
- 统计分析使用了奇平方测试来确定显著性.
主要成果:
- 退院一年后,与健康相关的生活质量 (HRQOL) 评分显著下降 (52.5至44.3).
- 与基线相比,临床虚弱度和认知症状的显著差异被观察到.
- 39.8%的患者报告了严重的呼吸困难 (mMRC 3-4级),14.9%的患者需要重新入住ICU.
结论:
- 严重的COVID-19ICU幸存者经历了显著的长期临床后果,包括生活质量下降和持续的呼吸道症状.
- 一种涉及预防措施,康复和有针对性的症状管理的多学科方法对于最佳康复至关重要.
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