France and especially the region "Grand Est" have been severely impacted by the COVID-19 pandemic. The first affected patients gradually began leaving the hospitalization sector and some of them required rehabilitation before returning home. Because it has only been studied for few months, COVID 19 possible impairment remain unknown, especially in patients who required admission in ICU and needed rehabilitation. In order to better understand the impact of the disease, the investigators wish to carry out a descriptive analysis of hospitalized patient in rehabilitation center for Post-Covid-19 rehabilitation after ICU. The purpose of this study was to describe the impairments and functional independency in patients addressed to a rehabilitation center after an ICU stay for COVID 19 and to explore the factors associated with their evolution.
Study Type
OBSERVATIONAL
Enrollment
39
Etablissement de santé Filieris
Freyming-Merlebach, Moselle, France
Hopital Legouest
Metz, Moselle, France
CHR Metz Thionville
Metz, Moselle, France
Functional Independence measure (FIM) at the admission
The FIM is an 18-item clinician-reported scale that assesses function in six areas including self-care, continence, mobility, transfers, communication and cognition. Each of the 18 items is graded on a scale of 1-7 based on level of independence in that item (1=total assistance required, 7=complete independence).
Time frame: Day 1
Functional Independence measure (FIM) 1-month hospitalization
The FIM is an 18-item clinician-reported scale that assesses function in six areas including self-care, continence, mobility, transfers, communication and cognition. Each of the 18 items is graded on a scale of 1-7 based on level of independence in that item (1=total assistance required, 7=complete independence).
Time frame: Day 30
Functional Independence measure (FIM) at the discharge
The FIM is an 18-item clinician-reported scale that assesses function in six areas including self-care, continence, mobility, transfers, communication and cognition. Each of the 18 items is graded on a scale of 1-7 based on level of independence in that item (1=total assistance required, 7=complete independence).
Time frame: Day 180
weight at admission
weight of the patient
Time frame: Day 1
weight at the discharge
weight of the patient after hospitalization
Time frame: Day 180
age
age of the patient at the admission in rehabilitation center
Time frame: Day 1
Estimated functional independence measure score before Covid-19
The FIM is an 18-item clinician-reported scale that assesses function in six areas including self-care, continence, mobility, transfers, communication and cognition. Each of the 18 items is graded on a scale of 1-7 based on level of independence in that item (1=total assistance required, 7=complete independence). Estimating the functional independence score before the disease.
Time frame: Day 1
Estimated dyspnea symptoms before Covid-19
The modified Medical Research Council (mMRC) scale is a self-rating tool to measure the degree of disability that breathlessness poses on day-to-day on a scale from 0 to 4 (0= no breathlessness except on strenuous exercise and 4= too breathless to leave the house, or breathless when dressing or undressing).
Time frame: Day 1
Length of stay in ICU unit
Length of stay in ICU unit for Covid-19
Time frame: Day 1
Length of stay in acute care
Length of stay in acute care for Covid-19
Time frame: Day 1
Length of stay in rehabilitation centers
Length of stay in rehabilitation centers
Time frame: Day 180
Length of Invasive mechanical ventilation
Length of Invasive mechanical ventilation during the stay
Time frame: Day 1
Presence of pressure ulcers
Presence of pressure ulcers, stage and localization during the management of patient
Time frame: Day 180
Risk of bedsore
Risk of bedsore with the Braden scale. The Braden score consists of six subscales (sensory perception, moisture, activity, mobility, nutrition and friction/shear) representing the most commonly occuring risk factors for pressure ulcers and is scored from 6 to 23, with lower scores representing higher risk of developing pressure ulcers.
Time frame: Day 1
Joint limitation
Presence of joint limitation during the management
Time frame: Day 1
Dominant side
Dominant side of the patient
Time frame: Day 1
Presence of psychic disorders
Presence of psychic disorders like delirium, sleep disorders, anxiety, sadness of mood, loss of appetite, suicidal thoughts, asking for psychologist care during the stay
Time frame: Day 180
Muscle strength at the admission
Muscle strength examination according to Medical Research Council muscle strength scale. This scale involves testing key muscles from the upper and lower extremities against the examiner's resistance and grading the patient's strength on a 0 to 5 scale with 0= no muscle activation and 5= muscle activation against examiner's full resistance, full range of motion.
Time frame: Day 1
Muscle strength at the discharge
Muscle strength examination according to Medical Research Council muscle strength scale. This scale involves testing key muscles from the upper and lower extremities against the examiner's resistance and grading the patient's strength on a 0 to 5 scale with 0= no muscle activation and 5= muscle activation against examiner's full resistance, full range of motion.
Time frame: Day 180
Dyspnea symptoms at the admission
Dyspnea symptoms according to the modified Medical Research Council (mMRC) scale. The mMRC is a self-rating tool to measure the degree of disability that breathlessness poses on day-to-day on a scale from 0 to 4 (0= no breathlessness except on strenuous exercise and 4= too breathless to leave the house, or breathless when dressing or undressing
Time frame: Day 1
Dyspnea symptoms at the discharge
Dyspnea symptoms according to the modified Medical Research Council (mMRC) scale. The mMRC is a self-rating tool to measure the degree of disability that breathlessness poses on day-to-day on a scale from 0 to 4 (0= no breathlessness except on strenuous exercise and 4= too breathless to leave the house, or breathless when dressing or undressing
Time frame: Day 180
Functional exercise capacity
Functional exercise capacity measured by a 6 minutes Walking test
Time frame: Day 1
Destination of patients at discharge
Destination of patients at discharge from rehabilitation center. For the destination there is 4 possibility: the return home, institutionalization, re-hospitalization or other (specify where).
Time frame: Day 180
Oxygen saturation of the blood at the admission
The measuring of oxygen saturation of the blood by means of an oximeter at the admission
Time frame: Day 1
Oxygen saturation of the blood at the discharge
The measuring of oxygen saturation of the blood by means of an oximeter at the discharge
Time frame: Day 180
Presence of Hoffman signs
Hoffman's sign is a test to examine the reflexes of the upper extremities.
Time frame: Day 180
Presence of Babinski signs
The Babinski reflex is obtained by stimulating the external portion of the sole.
Time frame: Day 180
Sex
gender of participants
Time frame: Day 1
Neurological examination at the admission
presence of anosmia, dysgeusia, swallowing disorders, phonation disorders, phasic disorders, confusion, headache, urinary or fecal incontinence at the admission
Time frame: Day 1
Neurological examination at the discharge
presence of anosmia, dysgeusia, swallowing disorders, phonation disorders, phasic disorders, confusion, headache, urinary or fecal incontinence at the discharge
Time frame: Day 180
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