Kotani Toru, Sugiyama Mizuki, Matsuzaki Fumika, Kubodera Kota, Saito Jin, Kaneki Mika, Shono Atsuko, Maruo Hiroko, Mori Maiko, Ohta Shin, Kasai Fumihito
Department of Intensive Care Medicine, Showa University School of Medicine, Tokyo 142-8666, Japan.
Department of Rehabilitation Medicine, Showa University School of Medicine, Tokyo 142-8666, Japan.
J Clin Med. 2021 Jun 30;10(13):2941. doi: 10.3390/jcm10132941.
Although many coronavirus 2019 patients have experienced persistent symptoms and a long-term decline in quality of life after discharge, the details of these persistent symptoms and the effect of early rehabilitation are still unclear. We conducted a single-center, retrospective observational study to investigate the prevalence of persistent symptoms three months after discharge from the intensive care unit by checking the medical records. All patients received an early mobilization program. Four out of 13 patients (31%) had postintensive care syndrome. No patients had muscle weakness, and 11 patients (85%) returned to their previous work. However, psychiatric disorder, such as anxiety (23%) and posttraumatic stress disorder (15%), were observed. Eleven patients claimed persistent symptoms, including fatigue and numbness in the extremities. Our results suggest that the implementation of an early rehabilitation program plays some role in preventing muscle weakness and that decreasing psychiatric disorders should be a next target of patient care in the intensive care unit.
尽管许多新型冠状病毒肺炎患者出院后出现了持续症状,生活质量长期下降,但这些持续症状的具体情况以及早期康复的效果仍不明确。我们进行了一项单中心回顾性观察研究,通过查阅病历调查重症监护病房出院三个月后持续症状的患病率。所有患者均接受了早期活动计划。13名患者中有4名(31%)患有重症监护后综合征。没有患者出现肌肉无力,11名患者(85%)恢复了之前的工作。然而,观察到有精神障碍,如焦虑(23%)和创伤后应激障碍(15%)。11名患者声称有持续症状,包括疲劳和四肢麻木。我们的结果表明,实施早期康复计划在预防肌肉无力方面发挥了一定作用,减少精神障碍应成为重症监护病房患者护理的下一个目标。