Author/Editor		Novak, Primož; Cunder, Katarina; Petrovič, Olga; Oblak, Tina; Dular, Katja; Zupanc, Aleksander; Prosič, Zdenka; Majdič, Neža
Title		Rehabilitation of COVID-19 patients with respiratory failure and critical illness disease in Slovenia
Type		članek
Vol. and No.		Letnik 45, št. 1
Publication year		2021
Volume		str. 65-71
ISSN		0342-5282 - International journal of rehabilitation research. Internationale Zeitschrift für Rehabilitationsforschung. Revue internationale de recherches de readaptation
Language		eng
Abstract		Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) infection often causes pneumonia and respiratory failure that may lead to postintensive care syndrome, including critical illness neuropathy (CIN) and critical illness myopathy (CIM). The data on the rehabilitation outcomes of post-novel coronavirus disease (COVID) patients with CIN and CIM following respiratory failure and mechanical ventilation are still limited. To address this, we enrolled in our prospective observational study a sample of 50 consecutive COVID-19 patients admitted to our facility between 2 November 2020 and 3 May 2021 with electrophysiologically confirmed or clinically suspected diagnosis of CIN/CIM. The functional abilities were assessed at admission and discharge with the Functional Independence Measure (FIM), The Canadian Occupational Performance Measure, 10-metre walk test, 6-min walk test and the de Morton Mobility Index. The gain in motor FIM and the length of stay were used as an index of rehabilitation efficiency. Nutritional status was also assessed using anthropometric measurements and bioelectrical Impedance analysis. Psychologic evaluation was performed at admission only. At admission, functional limitations and severe malnutrition were present in all patients with psychologic problems in about one third. At discharge (42±16 days later), clinically important and statistically significant improvements were found in all outcome measures, which was also noted by the patients. The gain in motor FIM was larger with the longer length of stay up to 2months and plateaued thereafter. We conclude that post-COVID-19 patients who develop CIN/ CIM following respiratory failure can improve functional and nutritional status during inpatient rehabilitation.
Keywords		critical illness neuropathy myopathy functional independence measure outcome rehabilitation respiratory failure walk tests kritično bolni nevropatija miopatija lestvica funkcijske neodvisnosti rehabilitacija odpoved dihanja test hoje