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Patients recovering from COVID-19 pneumonia in sub-acute care exhibit severe frailty: Role of the nurse assessment.
Mandora, Elena; Comini, Laura; Olivares, Adriana; Fracassi, Michela; Cadei, Maria Grazia; Paneroni, Mara; Marchina, Lucia; Suruniuc, Adrian; Luisa, Alberto; Scalvini, Simonetta; Corica, Giacomo; Vitacca, Michele.
  • Mandora E; Istituti Clinici Scientifici Maugeri IRCCS, Cardiac Rehabilitation of the Institute of Lumezzane, Brescia, Italy.
  • Comini L; Istituti Clinici Scientifici Maugeri IRCCS, Scientific Direction of the Institute of Lumezzane, Brescia, Italy.
  • Olivares A; Istituti Clinici Scientifici Maugeri IRCCS, Scientific Direction of the Institute of Lumezzane, Brescia, Italy.
  • Fracassi M; Istituti Clinici Scientifici Maugeri IRCCS, Cardiac Rehabilitation of the Institute of Lumezzane, Brescia, Italy.
  • Cadei MG; Istituti Clinici Scientifici Maugeri IRCCS, Health Direction of the Institute of Lumezzane, Brescia, Italy.
  • Paneroni M; Istituti Clinici Scientifici Maugeri IRCCS, Respiratory Rehabilitation of the Institute of Lumezzane, Brescia, Italy.
  • Marchina L; Istituti Clinici Scientifici Maugeri IRCCS, Neurological Rehabilitation of the Institute of Lumezzane, Brescia, Italy.
  • Suruniuc A; Istituti Clinici Scientifici Maugeri IRCCS, Neurological Rehabilitation of the Institute of Lumezzane, Brescia, Italy.
  • Luisa A; Istituti Clinici Scientifici Maugeri IRCCS, Neurological Rehabilitation of the Institute of Lumezzane, Brescia, Italy.
  • Scalvini S; Istituti Clinici Scientifici Maugeri IRCCS, Cardiac Rehabilitation of the Institute of Lumezzane, Brescia, Italy.
  • Corica G; Istituti Clinici Scientifici Maugeri IRCCS, Health Direction of the Institute of Lumezzane, Brescia, Italy.
  • Vitacca M; Istituti Clinici Scientifici Maugeri IRCCS, Respiratory Rehabilitation of the Institute of Lumezzane, Brescia, Italy.
J Clin Nurs ; 30(7-8): 952-960, 2021 Apr.
Article in English | MEDLINE | ID: covidwho-1066726
ABSTRACT
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 <50% were significant predictors of high frailty.

CONCLUSIONS:

Most COVID-19 survivors exhibit substantial frailty and require continuing care after discharge from acute care. RELEVANCE TO CLINICAL PRACTICE The BRASS index is a valuable tool for nurses to identify those patients most at risk of frailty, who require a programme of rehabilitation and community reintegration.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Subacute Care / Nurse&apos;s Role / Frailty / COVID-19 / Nursing Assessment Type of study: Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Aged / Female / Humans / Male Language: English Journal: J Clin Nurs Journal subject: Nursing Year: 2021 Document Type: Article Affiliation country: Jocn.15637

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Subacute Care / Nurse&apos;s Role / Frailty / COVID-19 / Nursing Assessment Type of study: Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Aged / Female / Humans / Male Language: English Journal: J Clin Nurs Journal subject: Nursing Year: 2021 Document Type: Article Affiliation country: Jocn.15637