In:
Kompass Neumología, S. Karger AG, Vol. 4, No. 3 ( 2022), p. 152-153
Abstract:
〈 b 〉 Background: 〈 /b 〉 Intensive care unit (ICU) survivors from severe COVID-19 acute respiratory distress syndrome (CARDS) with chronic critical illness (CCI) may be considered vast resource consumers with a poor prognosis. We hypothesized that a holistic approach combining an early intensive rehabilitation with a protocol of difficult weaning would improve patient outcomes. 〈 b 〉 Methods: 〈 /b 〉 A single-center retrospective study in a five-bed post-ICU weaning and intensive rehabilitation center with a dedicated fitness room specifically equipped to safely deliver physical activity sessions in frail patients with CCI. 〈 b 〉 Results: 〈 /b 〉 Among 502 CARDS patients admitted to the ICU from March 2020 to March 2022, 50 consecutive tracheostomized patients were included in the program. After a median of 39 ICU days, 25 days of rehabilitation were needed to restore patients’ autonomy (ADL, from 0 to 6; 〈 i 〉 p 〈 /i 〉 & #x3c; 0.001), to significantly improve their aerobic capacity (6-min walking test distance, from 0 to 253 m; 〈 i 〉 p 〈 /i 〉 & #x3c; 0.001) and to reduce patients’ vulnerability (frailty score, from 7 to 3; 〈 i 〉 p 〈 /i 〉 & #x3c; 0.001) and hospital anxiety and depression scale (HADS, from 18 to 10; 〈 i 〉 p 〈 /i 〉 & #x3c; 0.001). Forty-eight decannulated patients (96%) were discharged home. 〈 b 〉 Conclusion: 〈 /b 〉 A protocolized weaning strategy combined with early intensive rehabilitation in a dedicated specialized center boosted the physical and mental recovery.
Type of Medium:
Online Resource
ISSN:
2624-9065
,
2624-9073
Language:
English
Publisher:
S. Karger AG
Publication Date:
2022
detail.hit.zdb_id:
2986459-8
