Rehabilitation of intubated COVID-19 patients in a Singapore regional hospital with early intensive care unit and sustained post-intensive care unit rehabilitation
Proceedings of Singapore Healthcare
; 31(no pagination), 2022.
Article
in English
| EMBASE | ID: covidwho-2228778
ABSTRACT
Background:
A proportion of patients with COVID-19 become critically ill, but few studies describe the functional outcomes and rehabilitation process of these patients. Objective(s) To describe the complications encountered and functional outcomes of critically ill COVID-19 patients requiring intubation and subsequent intensive care unit (ICU) management and rehabilitation. Method(s) Retrospective case note review was conducted on all patients requiring intubation and ICU admission and subsequently discharged from our hospital from February 15, 2020 to May 1, 2020. Demographics, preexisting medical conditions, complications encountered in ICU, ICU and General Ward Length of Stay, number of therapy sessions delivered, nutritional data, and functional outcomes on discharge were collected from electronic medical records and entered in a deidentified database. Result(s) Most patients developed significant breathlessness affecting post-ICU rehabilitation, a few patients developed ICU associated delirium while no patient developed ICU-associated weakness. All patients survived and could walk 20 m within 12 days post-extubation. Conclusion(s) Early ICU and sustained post-ICU rehabilitation of critically ill, intubated COVID-19 patients is feasible. Further studies could look into the outcomes of this group of patients, in particular the effect of nutrition and pulmonary training on functional outcomes. We strongly recommend an interdisciplinary rehabilitation team approach in managing critically ill COVID-19 patients. Copyright © The Author(s) 2022.
covid-19; Intensive care unit rehabilitation; multidisciplinary rehabilitation; adult; apache; article; artificial ventilation; clinical article; coronavirus disease 2019; daily life activity; delirium; dysphonia; dyspnea; electronic medical record; enteric feeding; extubation; female; human; intensive care unit; intubation; length of stay; male; middle aged; rehabilitation care; retrospective study; scoring system; speech therapy; nasogastric tube; Consensual Auditory Perceptual Evaluation of Voice scale; functional oral intake scale; GRBAS score
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Observational study
/
Prognostic study
Language:
English
Journal:
Proceedings of Singapore Healthcare
Year:
2022
Document Type:
Article
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