Patients who are critically ill with COVID-19 requiring life support in an intensive care unit (ICU) have increased risk of morbidity and mortality. Currently the ICU community does not know what effect the disease, the ICU admission, physiotherapy interventions and life support have on their long-term quality of life and whether they can return to their pre-illness level of function following ICU. COVID-Recovery will describe the physiotherapy interventions delivered to critically ill patients with COVID-19. In survivors, COVID-Recovery will utilise telephone follow-up of ICU survivors to assess disability-free survival and quality of life at 6 months after ICU admission. Additionally, COVID-Recovery will identify if there are predictors of disability-free survival. COVID-Recovery will aim to select up to 300 patients diagnosed with COVID-19 from ICUs in Australia. If they survive to hospital discharge, patients will be invited to receive a telephone questionnaire at 6 months after the ICU admission that aims to assess their long-term outcomes, including physical, cognitive and emotional function, quality of life, and whether they have been able to return to work following ICU discharge. To describe the experience of critical illness in survivors of COVID-19 and their family members. To explore and describe functional recovery, respiratory system function and respiratory health morbidity up to 6 months after ICU admission in persistently critically ill adults with COVID-19
Study Type
OBSERVATIONAL
Enrollment
536
Canberra Hospital
Garran, Australian Capital Territory, Australia
Royal Prince Alfred Hospital
Camperdown, New South Wales, Australia
Concord Hospital
Concord, New South Wales, Australia
St Vincent's Hospital Sydney
Darlinghurst, New South Wales, Australia
Nepean Hospital
Kingswood, New South Wales, Australia
St George Hospital
Kogarah, New South Wales, Australia
John Hunter Hospital
New Lambton Heights, New South Wales, Australia
Royal North Shore Hospital
Saint Leonards, New South Wales, Australia
Westmead Hospital
Westmead, New South Wales, Australia
The Prince Charles Hospital
Chermside, Queensland, Australia
...and 19 more locations
Disability-free survival
a composite measure of WHODAS 2.0 - 12 level and hospital survival
Time frame: 6 months
Physiotherapy intervention
The physiotherapy interventions provided to patients with COVID-19 admitted to the ICU and health outcomes
Time frame: During the ICU stay until 3 months
Health status
Health related quality of life measured with EQ5D-5L score from 0 to 100
Time frame: 6 months
Global function
World Health Organization Disability Assessment Schedule 2.0 12L
Time frame: 6 months
Cognitive function
Montreal Cognitive Assessment Blind
Time frame: 6 months
Anxiety and depression
Hospital Anxiety and Depression Scale
Time frame: 6 months
Screening for post-traumatic distress
Impact of Events Scale Revised
Time frame: 6 months
Work Status
WHODAS 2.0
Time frame: 6 months
Proportion of patients with COVID-19 who received physiotherapy in ICU
Time frame: During the ICU stay until 28 days
The reported barriers to delivering physiotherapy interventions
Physiotherapist reported barriers to delivering the intervention
Time frame: During the ICU stay until 28 days
Adverse events during physiotherapy interventions
Adverse events that require the intervention to be ceased for medical intervention
Time frame: During the ICU stay until 28 days
Phenomenological data of the patient and family experience
Qualitative interviews
Time frame: 6 months
Global function
Global Rating of Change
Time frame: 6 months
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