Functional measures in post-Covid patients in a fourth- level university hospital: analysis by ICU admission

Authors

  • María Paz Grisales Gafaro Médico Residente. Departamento de Medicina Física y Rehabilitación, Universidad del Valle. Departamento de Medicina Física y Rehabilitación, Hospital Universitario del Valle Evaristo García E.S.E. Cali, Colombia https://orcid.org/0000-0003-1226-5076
  • Catalina Espinosa Soto Médico Residente. Departamento de Medicina Física y Rehabilitación, Universidad del Valle. Departamento de Medicina Física y Rehabilitación, Hospital Universitario del Valle Evaristo García E.S.E. Cali, Colombia https://orcid.org/0000-0002-4889-2445
  • Leonardo Arce Gálvez Médico Residente. Departamento de Medicina Física y Rehabilitación, Universidad del Valle. Departamento de Medicina Física y Rehabilitación, Hospital Universitario del Valle Evaristo García E.S.E. Cali, Colombia. https://orcid.org/0000-0002-4889-2445
  • María Ana Tovar Sánchez Médico Especialista. Departamento de Medicina Física y Rehabilitación, Universidad del Valle. Departamento de Medicina Física y Rehabilitación, Hospital Universitario del Valle Evaristo García E.S.E. Cali, Colombia https://orcid.org/0000-0003-2733-7482

DOI:

https://doi.org/10.28957/rcmfr.v31n2a3

Keywords:

Coronavirus, rehabilitation, intensive care

Abstract

Introduction. SARS-CoV2 infection generates significant morbidity and mortality, for this reason, it is necessary to know the post-infection functional status of the patients in order to develop appropriate rehabilitation interventions.

Objective. To define the musculoskeletal, functional, and balance compromise in a group of patients recovered from COVID-19 and treated in a fourth-level university hospital in Cali, Colombia.

Materials and methods. Descriptive cross-sectional study in which functional measurements were conducted in patients recovered from COVID-19 who were classified into two groups: those who were admitted to the intensive care unit (ICU) and those who were not.

Results. In the patients admitted to the ICU, a greater number of comorbidities were found, as well as a greater functional impact on scales such as the FIM, especially on the motor component.

Conclusion. Given the results, it is of great importance to follow-up closely the surviving COVID-19 patients in order to design specific plans for their rehabilitation in the future.

References

Pérez-Campos Mayoral L, Hernández-Huerta MT, Mayoral-Andrade G, Pérez-Campos Mayoral E, Pérez-Campos E. A letter to the editor on “World Health Organization declares global emergency: A review of the 2019 novel Coronavirus (COVID-19).” Int J Surg. 2020;79:163-4. Disponible en: https://doi.org/10.1016/j.ijsu.2020.05.066

Colombia. Ministerio de Salud y Protección Social (Minsalud). Coronavirus (COVID-19). Bogotá D.C.: Minsalud; 2021 [citado diciembre 31 de 2021]. Disponible en: https://www.minsalud.gov.co/salud/publica/PET/Paginas/Covid-19_copia.aspx.

Jin Y, Yang H, Ji W, Wu W, Chen S, Zhang W, et al. Virology, Epidemiology, Pathogenesis, and Control of COVID-19. Viruses. 2020;12(4):-372. Disponible en: https://doi.org/10.3390/v12040372.

Meyer NJ, Gattinoni L, Calfee CS. Acute respiratory distress syndrome. Lancet. 2021;398(10300): 622-37. Disponible en: https://doi.org/10.1016/S0140-6736(21)00439-6.

Fontela PC, Abdala FANB, Forgiarini SGI, Forgiarini LA. Quality of life in survivors after a period of hospitalization in the intensive care unit: A systematic review. Rev Bras Ter Intensiva. 2018;30(4):496-507. Disponible en: https://doi.org/10.5935/0103-507X.20180071.

Stam HJ, Stucki G, Bickenbach J. Covid-19 and post intensive care syndrome: A call for action. J Rehabil Med. 2020;52(4):19-22. Disponible en: https://doi.org/10.2340/16501977-2677

Choon-Huat Koh G, Hoenig H. How Should the Rehabilitation Community Prepare for 2019- nCoV? Arch Phys Med Rehabil. 2020;101(6):1068-71. Disponible en: https://doi.org/10.1016/j.apmr.2020.03.003

Liu K, Zhang W, Yang Y, Zhang J, Li Y, Chen Y. Respiratory rehabilitation in elderly patients with COVID-19: A randomized controlled study. Complement Ther Clin Pract. 2020;39:101166. Disponible en: https://doi.org/10.1016/j.ctcp.2020.101166

Vallejo-Serna R, Cantor-González JF, Arce-Gálvez L. Síndrome de Guillain-Barré asociado a COVID-19: diagnóstico, tratamiento y rehabilitación. Neurol Perspect 2021;1(1):104-6. Disponible en: https://doi.org/10.1016/j.neurop.2021.03.003.

Graham JE, Granger CV, Karmarkar AM, Deutsch A, Niewczyk P, Divita MA, et al. The uniform data system for medical rehabilitation: Report of follow-up information on patients discharged from inpatient rehabilitation programs in 2002-2010. Am J Phys Med Rehabil. 2014;93(3):231-44. Disponible en: https://doi.org/10.1097/PHM.0b013e3182a92c58.

Fan E, Ciesla ND, Truong AD, Bhoopathi V, Zeger SL, Needham DM. Inter-rater reliability of manual muscle strength testing in ICU survivors and simulated patients. Intensive Care Med. 2010;36(6):1038-43. Disponible en: https://doi.org/10.1007/s00134-010-1796-6

Mathias S, Nayak US, Isaacs B. Balance in elderly patients: the “get-up and go” test. Arch Phys Med Rehabil. 1986;67(6):387-9.

Siegerink B, Boon D, Barco S, Klok E, Le J. The Post-COVID-19 Functional Status (PCFS) Scale: a tool to measure functional status over time after COVID-19. OSF; 2022. Disponible en: https://doi.org/10.17605/OSF.IO/QGPDV

Kramer A, Gollhofer A, Armbrecht G, Felsenberg D, Gruber M. How to prevent the detrimental effects of two months of bed-rest on muscle, bone and cardiovascular system: An RCT. Sci Rep. 2017;7(1):1-10. Disponible en: https://doi.org/10.1038/s41598-017-13659-8

Nydahl P, Sricharoenchai T, Chandra S, Kundt FS, Huang M, Fischill M, et al. Safety of patient mobilization and rehabilitation in the intensive care unit: Systematic review with meta-analysis. Ann Am Thorac Soc. 2017;14(5):766-77. Disponible en: https://doi.org/10.1513/AnnalsATS.201611-843SR

Ahmad I, Rathore FA. Neurological manifestations and complications of COVID-19: A literature review. J Clin Neurosci. 2020;77:8-12. Disponible en: https://doi.org/10.1016/j.jocn.2020.05.017

Candan SA, Elibol N, Abdullahi A. Consideration of prevention and management of long-term consequences of post-acute respiratory distress syndrome in patients with COVID-19. Physiother Theory Pract. 2020;36(6):663-8. Disponible en: https://doi.org/10.1080/09593985.2020.1766181

Smith JM, Lee AC, Zeleznik H, Coffey-Scott JP, Fatima A, Needham DM, et al. Home and Community-Based Physical Therapist Management of Adults With Post-Intensive Care Syndrome. Phys Ther. 2020;100(7):1062-73. Disponible en: https://doi.org/10.1093/ptj/pzaa059

Fuke R, Hifumi T, Kondo Y, Hatakeyama J, Takei T, Yamakawa K, et al. Early rehabilitation to prevent postintensive care syndrome in patients with critical illness: A systematic review and metaanalysis. BMJ Open. 2018;8(5):1-10. Disponible en: https://doi.org/10.1136/bmjopen-2017-019998.

Needham DM, Davidson J, Cohen H, Hopkins RO, Weinert C, Wunsch H, et al. Improving long-term outcomes after discharge from intensive care unit: Report from a stakeholders’ conference. Crit Care Med. 2012;40(2):502-9. Disponible en: https://doi.org/10.1097/CCM.0b013e318232da75

How to Cite

1.
Grisales Gafaro MP, Espinosa Soto C, Arce Gálvez L, Tovar Sánchez MA. Functional measures in post-Covid patients in a fourth- level university hospital: analysis by ICU admission. Rev. Colomb. Med. Fis. Rehabil. [Internet]. 2022 Feb. 18 [cited 2024 May 16];31(2). Available from: https://revistacmfr.org/index.php/rcmfr/article/view/313

Downloads

Download data is not yet available.

Published

2022-02-18

Issue

Section

Original articles
Crossref Cited-by logo
QR Code

Some similar items: