Patients recovering from COVID‐19 pneumonia in sub‐acute care exhibit severe frailty: Role of the nurse assessment
| Autor: | Michele Vitacca, Giacomo Corica, Laura Comini, Adrian Suruniuc, Mara Paneroni, Simonetta Scalvini, Michela Fracassi, Adriana Olivares, Alberto Luisa, Elena Mandora, Lucia Marchina, Maria Grazia Cadei |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Cross-sectional study medicine.medical_treatment coronavirus Nursing assessment Nurse's Role Risk Assessment Severity of Illness Index rehabilitation 03 medical and health sciences physical function 0302 clinical medicine nursing Nursing Interquartile range Acute care Severity of illness Humans Medicine 030212 general & internal medicine Nursing Assessment General Nursing Aged Aged 80 and over Mechanical ventilation Rehabilitation Frailty 030504 nursing business.industry COVID-19 Original Articles General Medicine Cross-Sectional Studies disability outcome Female Original Article 0305 other medical science business Risk assessment Subacute Care |
| Zdroj: | Journal of Clinical Nursing |
| ISSN: | 1365-2702 0962-1067 |
| Popis: | Aims and Objectives To document the level of frailty in sub‐acute COVID‐19 patients recovering from acute respiratory failure and investigate the associations between frailty, assessed by the nurse using the Blaylock Risk Assessment Screening Score (BRASS), and clinical and functional patient characteristics during hospitalisation. Background Frailty is a major problem in patients discharged from acute care, but no data are available on the frailty risk in survivors of COVID‐19 infection. Design A descriptive cross‐sectional study (STROBE checklist). Methods At admission to sub‐acute care in 2020, 236 COVID‐19 patients (median age 77 years – interquartile range 68–83) were administered BRASS and classified into 3 levels of frailty risk. The Short Physical Performance Battery (SPPB) was also administered to measure physical function and disability. Differences between BRASS levels and associations between BRASS index and clinical parameters were analysed. Results The median BRASS index was 14.0 (interquartile range 9.0–20.0) denoting intermediate frailty (32.2%, 41.1%, 26.7% of patients exhibited low, intermediate and high frailty, respectively). Significant differences emerged between the BRASS frailty classes regards to sex, comorbidities, history of cognitive deficits, previous mechanical ventilation support and SPPB score. Patients with no comorbidities (14%) exhibited low frailty (BRASS: median 5.5, interquartile range 3.0–12.0). Age ≥65 years, presence of comorbidities, cognitive deficit and SPPB % predicted |
| Databáze: | OpenAIRE |
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