This is an observational study exploring the levels of mobility and rehabilitation in patients admitted to critical care with a confirmed diagnosis of COVID-19
An admission to an intensive care unit (ICU) often results in significant muscle weakness and physical deconditioning, which can take many months or even years for recovery. Early and progressive programmes of rehabilitation are recommended to limit any muscle loss and support recovery as early as possible. Patients admitted to intensive care with COVID-19 have been found to require prolonged periods of mechanical ventilation, high sedation and neuromuscular blocking use and as a result require prolonged stays in the ICU. As yet no data exists to examine the specific physical impact this may have, or whether it is safe and feasible to commence this earlier rehabilitation within the ICU for patients with a diagnosis of COVID-19. Our study set out to evaluate the levels of rehabilitation which were delivered in a large acute NHS trust.
Study Type
OBSERVATIONAL
Enrollment
92
Daily physiotherapy to include respiratory care and rehabilitation based on the individual therapists clinical reasoning
UHB NHS Foundation Trust
Birmingham, United Kingdom
Mobility level
Highest level of mobility achieved at the point of ICU discharge
Time frame: At ICU discharge, an average of 3 weeks
Time taken to first mobilise
Time taken to first mobilise, defined as sitting on the edge of the bed or higher
Time frame: during ICU admission, up to 3 weeks
Discharge location
Discharged to home, home with rehab, or a community rehab facility
Time frame: Hospital discharge, up to 2 months
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