tetano
Editor, Senior Moderator
Med Clin (Barc)
. 2022 Jan 4;S0025-7753(21)00721-1.
doi: 10.1016/j.medcli.2021.11.014. Online ahead of print.
Postintensive care syndrome in COVID-19. Unicentric pilot study. Calm does not come after the storm
[Article in English, Spanish]
Eva Mateo Rodríguez[SUP] 1 [/SUP], Francesc Puchades Gimeno[SUP] 2 [/SUP], Aida Ezzeddine Angulo[SUP] 3 [/SUP], Juan Asensio Samper[SUP] 4 [/SUP], Cristina Saiz Ruiz[SUP] 4 [/SUP], María Dolores López Alarcón[SUP] 4 [/SUP]
Affiliations
Abstract
Introduction: Postintensive care syndrome (PICS) is the physical, cognitive or psychiatric deterioration that appears after a critical illness and persists beyond hospital admission. The objective of this study was to describe the prevalence of PICS in the patients with coronavirus disease 2019 (COVID-19) admitted to the intensive care unit of the Consorcio Hospital General Universitario de Valencia.
Patients: They benefited from a standardized assessment, addressing health-related quality of life (EuroQol-5D-3L), a physical status (6 MWT, «test up and go» and hand dynamometer), a nutritional assessment (MUST and the Global Subjective Assessment), cognitive impairment (MoCA), mental health disorders (HADS and Davidson Trauma Scale) and pain (visual analogue scale and DN4).
Results: From March to June 2020, 59 patients with SARS-CoV-2 were admitted to our ICU. 29 of these were recruited for the study. The stay in the ICU and the mechanical ventilation time were long (24 days [IQR 12-36], and 18 days [IQR 7-31] respectively). The SOFA upon admission to the ICU was high (3 [IQR 3-5]). Tracheostomy was performed in 52% and pronation in 93%. 90% had some abnormal test. 20% had post-traumatic stress syndrome.
Conclusions: We found that 9 out of 10 survivors of SARS-CoV-2 admitted had at least one PICS alteration at 4-6 weeks from discharge from the Hospital. Six out of 19 patients presented with two or more affected evaluated areas.
Keywords: COVID-19; Chronic pain; Critical care; Cuidados intensivos; Dolor crónico; Post-intensive care síndrome; Rehabilitación; Rehabilitation; Secuelas; Sequelae; Síndrome post cuidados intensivos.
. 2022 Jan 4;S0025-7753(21)00721-1.
doi: 10.1016/j.medcli.2021.11.014. Online ahead of print.
Postintensive care syndrome in COVID-19. Unicentric pilot study. Calm does not come after the storm
[Article in English, Spanish]
Eva Mateo Rodríguez[SUP] 1 [/SUP], Francesc Puchades Gimeno[SUP] 2 [/SUP], Aida Ezzeddine Angulo[SUP] 3 [/SUP], Juan Asensio Samper[SUP] 4 [/SUP], Cristina Saiz Ruiz[SUP] 4 [/SUP], María Dolores López Alarcón[SUP] 4 [/SUP]
Affiliations
- PMID: 35123806
- DOI: 10.1016/j.medcli.2021.11.014
Abstract
Introduction: Postintensive care syndrome (PICS) is the physical, cognitive or psychiatric deterioration that appears after a critical illness and persists beyond hospital admission. The objective of this study was to describe the prevalence of PICS in the patients with coronavirus disease 2019 (COVID-19) admitted to the intensive care unit of the Consorcio Hospital General Universitario de Valencia.
Patients: They benefited from a standardized assessment, addressing health-related quality of life (EuroQol-5D-3L), a physical status (6 MWT, «test up and go» and hand dynamometer), a nutritional assessment (MUST and the Global Subjective Assessment), cognitive impairment (MoCA), mental health disorders (HADS and Davidson Trauma Scale) and pain (visual analogue scale and DN4).
Results: From March to June 2020, 59 patients with SARS-CoV-2 were admitted to our ICU. 29 of these were recruited for the study. The stay in the ICU and the mechanical ventilation time were long (24 days [IQR 12-36], and 18 days [IQR 7-31] respectively). The SOFA upon admission to the ICU was high (3 [IQR 3-5]). Tracheostomy was performed in 52% and pronation in 93%. 90% had some abnormal test. 20% had post-traumatic stress syndrome.
Conclusions: We found that 9 out of 10 survivors of SARS-CoV-2 admitted had at least one PICS alteration at 4-6 weeks from discharge from the Hospital. Six out of 19 patients presented with two or more affected evaluated areas.
Keywords: COVID-19; Chronic pain; Critical care; Cuidados intensivos; Dolor crónico; Post-intensive care síndrome; Rehabilitación; Rehabilitation; Secuelas; Sequelae; Síndrome post cuidados intensivos.