COVID-19: Patient Characteristics in the First Phase of Postintensive Care Rehabilitation

Autor: Carolina M.H. Wiertz, MD, Wouter A.J. Vints, MD, Geert J.C.M. Maas, MSc, Sascha M.C. Rasquin, PhD, Yvette Y. van Horn, MD, Martijn P.M. Dremmen, MD, Bena Hemmen, MD, PhD, Jeanine A. Verbunt, MD, PhD
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Archives of Rehabilitation Research and Clinical Translation, Vol 3, Iss 2, Pp 100108- (2021)
Druh dokumentu: article
ISSN: 2590-1095
DOI: 10.1016/j.arrct.2021.100108
Popis: Objective: To describe clinical characteristics of patients after intensive care unit (ICU) treatment for coronavirus disease 2019 (COVID-19) who were admitted for inpatient rehabilitation. Design: A cross-sectional design. Setting: Inpatient rehabilitation care in the Netherlands. Participants: All post-ICU patients with COVID-19 admitted to the rehabilitation center between April 2 and May 13, 2020, were invited to participate in the study. Included were patients older than 18 years needing inpatient rehabilitation after ICU treatment for COVID-19 (N=60; mean age, 59.9y; 75% male). Interventions: Not applicable. Main Outcome Measures: The following information was collected in the first week of inpatient rehabilitation care: (1) demographics; (2) ICU stay parameters; (3) medical, physical, and functional characteristics; and (4) self-reported symptoms. Results: The most important findings for rehabilitation were the following: in the first week after discharge to the rehabilitation center, 38.3% of all patients experienced exercise-induced oxygen desaturation, in 72.7% muscle weakness was present in all major muscle groups, and 21.7% had a reduced mobility in 1 or both shoulders. Furthermore 40% had dysphagia, and 39.2% reported symptoms of anxiety. Conclusion: Post-ICU patients with COVID-19 display physical and anxiety symptoms as reported in other post-ICU patient groups. However, this study showed some remarkable clinical characteristics of post-ICU patients with COVID-19. Rehabilitation programs need to anticipate on this. Long-term follow-up studies are necessary.
Databáze: Directory of Open Access Journals
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