What's going on following acute covid-19? Clinical characteristics of patients in an out-patient rehabilitation program
Por:
Albu, S, Zozaya, NR, Murillo, N, Garcia-Molina, A, Chacon, CAF and Kumru, H
Publicada:
1 ene 2021
Resumen:
BACKGROUND: Coronavirus disease 2019 (COVID-19) patients present long-lasting physical and neuropsychological impairment, which may require rehabilitation.
OBJECTIVES: The current cross-sectional study characterizes postCOVID-19 sequelae and persistent symptoms in patients in an outpatient rehabilitation program.
METHODS: Thirty patients [16 post-ICU and 14 non-ICU; median age = 54(43.8-62) years; 19 men] presenting sequelae and/or persistent symptoms (>3 months after acute COVID-19) were selected of 41 patients referred for neurorehabilitation. Patients underwent physical, neuropsychological and respiratory evaluation and assessment of impact of fatigue and quality of life.
RESULTS: The main reasons for referral to rehabilitation were: fatigue (86.6%), dyspnea (66.7%), subjective cognitive impairment (46.7%) and neurological sequelae (33.3%). Post-ICU patient presented sequelae of critical illness myopathy and polyneuropathy, stroke and encephalopathy and lower forced vital capacity compared to non-ICU patients. Cognitive impairment was found in 63.3% of patients, with a similar profile in both sub-groups. Increased physical fatigue, anxiety and depression and low quality of life were prevalent irrespective of acute COVID-19 severity.
CONCLUSIONS: The variability of post COVID-19 physical and neuropsychological impairment requires a complex screening process both in ICU and non-ICU patients. The high impact of persistent symptoms on daily life activities and quality of life, regardless of acute infection severity, indicate need for rehabilitation.
Filiaciones:
Albu, S:
UAB, Fundacio Inst Guttmann, Inst Univ Neurorehabil Adscrit, Badalona, Spain
Univ Autonoma Barcelona, Bellaterra, Cerdanyola Del, Spain
Fundacio Inst Invest Ciencies Salut Germans Trias, Badalona, Spain
Zozaya, NR:
UAB, Fundacio Inst Guttmann, Inst Univ Neurorehabil Adscrit, Badalona, Spain
Univ Autonoma Barcelona, Bellaterra, Cerdanyola Del, Spain
Fundacio Inst Invest Ciencies Salut Germans Trias, Badalona, Spain
:
UAB, Fundacio Inst Guttmann, Inst Univ Neurorehabil Adscrit, Badalona, Spain
Univ Autonoma Barcelona, Bellaterra, Cerdanyola Del, Spain
Fundacio Inst Invest Ciencies Salut Germans Trias, Badalona, Spain
:
UAB, Fundacio Inst Guttmann, Inst Univ Neurorehabil Adscrit, Badalona, Spain
Univ Autonoma Barcelona, Bellaterra, Cerdanyola Del, Spain
Fundacio Inst Invest Ciencies Salut Germans Trias, Badalona, Spain
Chacon, CAF:
UAB, Fundacio Inst Guttmann, Inst Univ Neurorehabil Adscrit, Badalona, Spain
Univ Autonoma Barcelona, Bellaterra, Cerdanyola Del, Spain
Fundacio Inst Invest Ciencies Salut Germans Trias, Badalona, Spain
:
UAB, Fundacio Inst Guttmann, Inst Univ Neurorehabil Adscrit, Badalona, Spain
Univ Autonoma Barcelona, Bellaterra, Cerdanyola Del, Spain
Fundacio Inst Invest Ciencies Salut Germans Trias, Badalona, Spain
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