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Critical Illness Myopathy in COVID-19 Patients: A Case Series
Indian Journal of Critical Care Medicine ; 26:S13, 2022.
Article in English | EMBASE | ID: covidwho-2006325
ABSTRACT
Aim and

background:

Management in COVID-19 includes the use of steroids, prolonged hospital stay, and long-term ventilatory care using muscle relaxants for lung-protective ventilation. These patients are subjected to fluctuating hemodynamics, blood sugar levels, secondary sepsis, systemic inflammatory response syndrome, and multi-organ dysfunction. This causes an increased risk for developing critical illness polyneuropathy and myopathy.

Objectives:

The literature assessing the effect of these risk factors on mortality in patients with COVID-19 is scarce. Hence, we assessed the effect of various risk factors and interventions on the long-term outcome in these patients. Materials and

methods:

We collected retrospective data of critically ill COVID-19 patients who developed from critical illness myopathy. The demographic details, clinical parameters, laboratory values, effect of protocol-based physiotherapy intervention, and long-term outcome of patients in term of residual weakness, dependency, and mortality was collected.

Results:

Out of the total 324 critically ill COVID-19 patients, 11 patients were diagnosed with critical illness myopathy and were included for data collection. Among the patients who developed critical illness myopathy, in-hospital mortality was around 36.4%. The use of protocol-based physiotherapy interventions like long sitting (P = 0.007) and, chair mobilization (p = 0.001) led to a significant reduction in mortality in COVID-19 patients.

Conclusion:

In patients with COVID-19 related critical illness myopathy, the use of protocol-based physiotherapy interventions leads to improved survival. Key messages In patients with COVID-19 related critical illness myopathy, the use of protocol-based physiotherapy interventions has survival benefits.
Keywords

Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Indian Journal of Critical Care Medicine Year: 2022 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Indian Journal of Critical Care Medicine Year: 2022 Document Type: Article