Pinedo Otaola S, Sanmartín Cuevas V, Fernández Fernández de Leceta Z, Pérez Iglesias N, López De Munain Berganzo A, Azkuenaga Fernández M, Pérez Iriondo A, Aramburu Ojenbarrena A
Hospital Universitario Galdakao, Servicio Vasco de Salud (Osakidetza), Galdakao, Bizkaia, España.
BioCruces Health research Institute, Barakaldo, Bizkaia, España.
Rehabilitacion (Madr). 2023 Jan-Mar;57(1):100731. doi: 10.1016/j.rh.2022.02.005. Epub 2022 Mar 7.
Many patients perceive persistent symptoms and impairment in their quality of life after COVID-19. The critical patient is vulnerable to presenting physical and emotional alterations. The objective of this study is to assess the functional evolution and quality of life of the critical patient due to COVID-19.
A prospective longitudinal multicenter study was carried out in critically ill hospitalized patients due to COVID-19 with a 6 month follow-up. Sociodemographic variables, comorbidity, the persistence of symptoms, SPPB scale, pulmonary and respiratory impact, CT scan, Barthel index, neuropsychological variables, physical activity (IPAQ scale), quality of life (Euroqol), and satisfaction were collected.
115 patients were included. 75% are male and 86% are obese or overweight. The average time of hospitalization was 38.1±18.4 days, with 80.9% requiring mechanical ventilation. 25% need help from another person for self-care at discharge. 29.2% had a normal CT lung screening at 134.1+70.9 days. At 6 months, functional recovery is favorable, although 36.5% perceive muscle weakness and 22% present fragility. 36.5% of patients report a lack of concentration. The most affected dimension in quality of life is that referred to pain (53%), followed by anxiety or depression. Most perform low physical activity. Satisfaction with clinical follow-up is high.
In post-critical patients due to COVID-19, physical, functional, and quality of life alterations prevail at 6 months after hospital discharge.
许多新冠患者康复后仍有持续症状且生活质量受损。危重症患者容易出现身体和情绪变化。本研究的目的是评估新冠危重症患者的功能演变和生活质量。
对因新冠住院的危重症患者进行了一项前瞻性纵向多中心研究，随访6个月。收集了社会人口统计学变量、合并症、症状持续情况、简易体能状况量表（SPPB）、肺部和呼吸影响、CT扫描、巴氏指数、神经心理学变量、身体活动（国际体力活动问卷量表）、生活质量（欧洲五维度健康量表）和满意度。
纳入115例患者。75%为男性，86%肥胖或超重。平均住院时间为38.1±18.4天，80.9%的患者需要机械通气。25%的患者出院时需要他人协助进行自我护理。29.2%的患者在134.1+70.9天时CT肺部筛查结果正常。6个月时，功能恢复情况良好，尽管36.5%的患者感觉肌肉无力，22%的患者表现出身体虚弱。36.5%的患者报告注意力不集中。生活质量受影响最大的维度是疼痛（53%），其次是焦虑或抑郁。大多数患者身体活动水平较低。对临床随访的满意度较高。
在新冠危重症康复患者中，出院6个月后身体、功能和生活质量改变仍然普遍存在。
