Title
Effects of a multimodal rehabilitation program in COVID-19 patients admitted to the IntensiveCareUnit:Aquasi-experimentalstudy
Other title
Efectos de un programa de rehabilitación multimodal en pacientes con COVID-19 ingresados en la Unidad de Cuidados Intensivos: Un estudio cuasi-experimental
Date Issued
01 November 2021
Access level
open access
Resource Type
journal article
Author(s)
Publisher(s)
Medical Body of the Almanzor Aguinaga Asenjo National Hospital
Abstract
Background: Patients with severe COVID-19 evolve to acute respiratory distress syndrome (ARDS) and require management in Intensive Care Units (ICU) where they are exposed to immobilization, immunosuppression, malnutrition, nosocomial infections; may develop ICU Acquired Weakness (ICUAW), which increases with the stay and use of mechanical ventilation (MV).There is evidence of the use of different modalities in rehabilitation to mitigate these effects. Goal: To determine the efficacy of a Multimodal Rehabilitation Program (MRP) in reducing the number of days of mechanical ventilation and stay in patients hospitalized for COVID-19 in ICU, as well as to describe its clinical and hospital characteristics. Material and Methods: An quasi-experimental study was designed, with sequential sampling and without blinding. A control and intervention group was formed, with 32 participants each. A Multimodal Rehabilitation Program (MRP) based on four therapeutic modalities was applied and the intervention was quantified through the use of proposed indicators. Results: The variation in days of ICU stay and days of MV were similar in both groups. The Multimodal Rehabilitation Index (iMR) ranged from 0.1 to 2.7 (mean = 1.2, SD = 0.7) and had significance for cut-off points ≤ 0.81 and ≤ 0.94 in mortality (p = 0.02) and Ventilator-free days at 28 days (VFDs-28) (p = 0.01). Conclusions: No statistically significant difference was found in favor of the intervention in terms of days of stay in the ICU and days of MV. Explanatorily, it was reported that iMR was related to (VFDs-28) and mortality in patients with severe COVID-19.
Start page
272
End page
279
Volume
14
Issue
3
Language
English
OCDE Knowledge area
Epidemiología
Cuidado crítico y de emergencia
Subjects
Scopus EID
2-s2.0-85122988851
Source
Revista del Cuerpo Medico Hospital Nacional Almanzor Aguinaga Asenjo
ISSN of the container
22255109
Sources of information:
Directorio de Producción Científica
Scopus