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

© 2021 Published by Elsevier Inc. on behalf of American Congress of Rehabilitation Medicine..

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.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:3

Enthalten in:

Archives of rehabilitation research and clinical translation - 3(2021), 2 vom: 19. Juni, Seite 100108

Sprache:

Englisch

Beteiligte Personen:

Wiertz, Carolina M H [VerfasserIn]
Vints, Wouter A J [VerfasserIn]
Maas, Geert J C M [VerfasserIn]
Rasquin, Sascha M C [VerfasserIn]
van Horn, Yvette Y [VerfasserIn]
Dremmen, Martijn P M [VerfasserIn]
Hemmen, Bena [VerfasserIn]
Verbunt, Jeanine A [VerfasserIn]

Links:

Volltext

Themen:

Adult
Critical care
Inpatients
Journal Article
Rehabilitation

Anmerkungen:

Date Revised 23.04.2022

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.arrct.2021.100108

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM321192605