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 andmethods:
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.
adult; case study; conference abstract; coronavirus disease 2019; critical illness myopathy; critically ill patient; demography; female; human; in-hospital mortality; major clinical study; male; mortality; muscle weakness; outcome assessment; physiotherapy; retrospective study; risk assessment; risk factor; sitting; survival
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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