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Acute Functional Outcomes in Critically Ill COVID-19 Patients.
Tay, Matthew Rong Jie; Ong, Poo Lee; Puah, Ser Hon; Tham, Shuen Loong.
  • Tay MRJ; Department of Rehabilitation Medicine, Tan Tock Seng Hospital, Singapore, Singapore.
  • Ong PL; Department of Rehabilitation Medicine, Tan Tock Seng Hospital, Singapore, Singapore.
  • Puah SH; Department of Respiratory and Critical Care Medicine, Tan Tock Seng Hospital, Singapore, Singapore.
  • Tham SL; Department of Rehabilitation Medicine, Tan Tock Seng Hospital, Singapore, Singapore.
Front Med (Lausanne) ; 7: 615997, 2020.
Article in English | MEDLINE | ID: covidwho-1063333
Semantic information from SemMedBD (by NLM)
1. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
2. COVID-19 PROCESS_OF Survivors
Subject
COVID-19
Predicate
PROCESS_OF
Object
Survivors
3. High Level PROCESS_OF Survivors
Subject
High Level
Predicate
PROCESS_OF
Object
Survivors
4. professional occupation status TREATS Patients
Subject
professional occupation status
Predicate
TREATS
Object
Patients
5. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
6. COVID-19 PROCESS_OF Survivors
Subject
COVID-19
Predicate
PROCESS_OF
Object
Survivors
7. High Level PROCESS_OF Survivors
Subject
High Level
Predicate
PROCESS_OF
Object
Survivors
8. professional occupation status TREATS Patients
Subject
professional occupation status
Predicate
TREATS
Object
Patients
ABSTRACT

Background:

COVID-19 (Coronavirus Disease 2019) is a global cause of morbidity and mortality currently. We aim to describe the acute functional outcomes of critically ill coronavirus disease 2019 (COVID-19) patients after transferring out of the intensive care unit (ICU).

Methods:

51 consecutive critically ill COVID-19 patients at a national designated center for COVID-19 were included in this exploratory, retrospective observational cohort study from January 1 to May 31, 2020. Demographic and clinical data were collected and analyzed. Functional outcomes were measured primarily with the Functional Ambulation Category (FAC), and divided into 2 categories dependent ambulators (FAC 0-3) and independent ambulators (FAC 4-5). Multivariate analysis was performed to determine associations.

Results:

Many patients were dependent ambulators (47.1%) upon transferring out of ICU, although 92.2% regained independent ambulation at discharge. On multivariate analysis, we found that a Charlson Comorbidity Index of 1 or more (odds ratio 14.02, 95% CI 1.15-171.28, P = 0.039) and a longer length of ICU stay (odds ratio 1.50, 95% CI 1.04-2.16, P = 0.029) were associated with dependent ambulation upon discharge from ICU.

Conclusions:

Critically ill COVID-19 survivors have a high level of impairment following discharge from ICU. Such patients should be screened for impairment and managed appropriately by rehabilitation professionals, so as to achieve good functional outcomes on discharge.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Risk factors Language: English Journal: Front Med (Lausanne) Year: 2020 Document Type: Article Affiliation country: Fmed.2020.615997

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Risk factors Language: English Journal: Front Med (Lausanne) Year: 2020 Document Type: Article Affiliation country: Fmed.2020.615997