Factors associated with disability in patients after discharge from Intensive Care Units COVID-19

Authors

DOI:

https://doi.org/10.15253/2175-6783.20222381314

Keywords:

COVID-19; International Classification of Functioning, Disability and Health; Intensive Care Units.

Abstract

Objective: to evaluate factors associated with disability of patients after hospital discharge in COVID-19intensive care units. Methods: cross-sectional analytical research with sociodemographic, clinical, self-perception of health and WHODAS 2.0 scale data of patients discharged from a teaching hospital. Patients admitted to an intensive care unit for COVID-19 for more than eight days, discharged from the hospital at least 365 days before data collection and older than 18 years were included. Information analysis was performed using data mining. Results: 32 individuals were eligible, 25% were disabled. These individuals presented low cognition, mobility, self-care, limitation in daily activities, justified by biological and clinical parameters. Still, 37% by obesity and polymedication, 75%, impaired concentration and 50%, neurological developments. The length of hospitalization and the therapeutic resources demanded in this period were also associated with the disability observed. Conclusion: the COVID-19 virus added to the length of hospitalization and clinical factors ware related to disability 12 months after hospital discharge with strong presence of neurological symptoms. Contributions to practice: it is expected to contribute to the understanding of the long-term impacts of COVID-19, enabling to offer better assistance and quality of life to patients affected by the disease.

References

Macedo BR, Garcia MVF, Garcia ML, Volpe M, Sousa MLA, Amaral TF, et al. Implementation of Tele-ICU during the COVID-19 pandemic. J Bras Pneumol. 2021;47(2):e20200545. doi: https://doi.org/10.36416/1806-3756/e20200545

Cotrim Junior DF, Cabral LMS. Crescimento dos leitos de UTI no país durante a pandemia de COVID-19: desigualdades entre o público x privado e iniquidades regionais. Physis. 2020;30(3):e300317. doi: https://dx.doi.org/10.1590/S0103-73312020300317

Fontes LCSF, Costa PJR, Fernandes JCJ, Vieira TS, Reis NC, Coimbra IMM, et al. The impact of severe COVID-19 on health-related quality of life and disability: an early follow-up perspective. Rev Bras Ter Intensiva. 2022;34(1):141-6. doi: https://doi.org/10.5935/0103-507X.20220008-pt

Orsini M, Nascimento JSF, Nunes NSM, Nascimento JKF, Castro RRT, Azizi MAA, et al. Reabilitação de pacientes sobreviventes ao COVID-19: o próximo desafio. Fisioter Bras. 2020;21(4):334-5. doi: https://doi.org/10.33233/fb.v21i4.4318

Huang C, Huang L, Wang Y, Li X, Ren L, Gu X, et al. 6-month consequences of COVID-19 in patients discharged from hospital: a cohort study. Lancet. 2021;397(10270):220-32. doi: https://dx.doi.org/10.1016/S0140-6736(20)32656-8

Mancuzo EV, Marinho CC, Machado-Coelho GLL, Batista AP, Oliveira JF, Andrade BH, et al. Lung function of patients hospitalized with COVID-19 at 45 days after hospital discharge: first report of a prospective multicenter study in Brazil. J Bras Pneumol. 2021;47(6):e20210162. doi: https://doi.org/10.36416/1806-3756/e20210162

Almeida JFM, Chehter EZ. COVID-19 and the gastrointestinal tract: what do we already know?. Einstein (São Paulo). 2020;18:1-14. doi: https://doi.org/10.31744/einstein_journal/2020RW5909

Cascella M, Rajnik M, Aleem A, Dulebohn SC, Di Napoli R. Features, evaluation, and treatment of coronavirus (COVID-19). StatPearls [Internet]. 2022 [cited June 18, 2022]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK554776/

Silva GFS, Rabelo SR, Cardoso TCS, Alkimim ER, Arruda CC, Fleming RB, et al. COVID-19 e suas manifestações no sistema nervoso. Rev Eletr Acervo Saúde. 2021;13(5):1-7. doi: https://doi.org/10.25248/reas.e7151.2021

Paris MC, Silva MM, Sangalet CT, Pelazza BB, Santana LF, Lentsck MH. Epidemiologia, complicações e fatores associados à doença crítica crônica em pacientes hospitalizados por trauma em unidade de terapia intensiva. Arq Ciênc Saúde UNIPAR. 2021;25(2):125-31. doi: https://dx.doi.org/10.25110/arqsaude.v25i2.2021.8138

Silva HP, Lima LD. Politics, economy, and health: lessons from COVID-19. Cad Saúde Pública. 2021;37(9):e00200221. doi: https://dx.doi.org/10.1590/0102-311X00200221

Ornell F, Schuch JB, Sordi AO, Kessler FHP. Pandemia de medo e Covid-19: impacto na saúde mental e possíveis estratégias. Debates Psiquiatr. 2020;10(2):12-6. doi: https://doi.org/10.25118/2236-918X-10-2-2

Castaño ÁMH, Buitrago AVV, Ramírez SM, Hernández CAC. Características del síndrome post cuidado intensivo: revisión de alcance. Invest Educ Enferm. 2021;23. doi: https://doi.org/10.11144/Javeriana.ie23.csci

Cárdenas CR, Ramos VEN, Jurado CF, Prieto JLP, Ganem MS, Acevedo RO, et al. Chronic care for patients with post-COVID-19 syndrome after discharge from an intensive care unit. Rev Panam Salud Pública. 2022;46:e43. doi: https://dx.doi.org/10.26633/RPSP.2022.43

Ferreira ADS, Perovano LS, Barboza LI, Nascimento WM, Silva FM, Reis EC. Perfil sociodemográfico dos pacientes confirmados para Covid-19 residentes no Espírito Santo, Brasil. AtoZ-Novas Pratic Inform Conhecimento. 2020;9(2):216-23. doi: https://doi.org/10.5380/atoz.v9i2.76179

Silva GA, Jardim BC, Lotufo PA. Age-adjusted COVID-19 mortality in state capitals in different regions of Brazil Mortalidad por COVID-19 estandarizada por edad en las capitales de las diferentes regiones de Brasil. Cad Saúde Pública. 2021;37(6):e00039221. doi: https://doi.org/10.1590/0102-311X00039221

Moraes Filho IM, Sousa TV, Carvalho Filha FSS, Pereira MC, Vilanova JM, Silva RM. Sociodemographic and emotional factors associated with tolerance in friendship relationships in the covid-19 pandemic. Rev Enferm UFSM. 2021;11(2):1-17. doi: https://doi.org/10.5902/2179769253180

Lopes JCV, Santos LF, Tormin CV. The risks of polypharmacy in the health of the elderly: a literature review. Rev Bras Interdiscip Saúde [Internet]. 2022 [cited June 28, 2022];4(2):1-7. Available from: https://revistarebis.rebis.com.br/index.php/rebis/article/view/361

Anghebem MI, Rego FGM, Picheth G. COVID-19 and Diabetes: two distinct pandemics and their relationship. Rev Bras Anal Clin. 2020;52(2):143-8 doi: http://doi.org/10.21877/2448-3877.20200001

Barros GM, Mazullo Filho JBR, Mendes Júnior AC. Considerações sobre a relação entre a hipertensão e o prognóstico da COVID-19. J Health Biol Sci. 2020;8(1):1-3. doi: https://doi.org/10.12662/2317-3076jhbs.v8i1.3250.p1-3.2020

Bastos GAN, Azambuja AZ, Polanczyk CA, Graf DD, Zorzo IW, Maccari JG, et al. Clinical characteristics and predictors of mechanical ventilation in patients with COVID-19 hospitalized in Southern Brazil. Rev Bras Ter Intensiva. 2020;32(4):487-92. doi: https://doi.org/10.5935/0103-507X.20200082

Machado MLG, Assis VB, Barreto NMPV, Matos SB, Novais MCM. Post-intensive care syndrome in contemporaneity: physical therapeutic contributions. Cad Edu Saúde Fis. 2022;9(19):e091910. doi: https://doi.org/10.18310/2358-8306.v9n19.a10

Peres AC. Dias que nunca terminam: sintomas persistentes relacionados à síndrome pós-COVID surpreendem pacientes e pesquisadores. RADIS Dados [Internet]. 2020 [cited June 29, 2022]. Available from: https://www.arca.fiocruz.br/bitstream/icict/45018/2/DiasNuncaTerminam.pdf

Pereira-Ávila FMV, Lam SC, Goulart MCL, Goés FGB, Pereira-Caldeira NMV, Gir L. Factors associated with symptoms of depression among older adults during the covid-19 pandemic. Texto Contexto Enferm. 2021;30:e20200380. doi: https://doi.org/10.1590/1980-265X-TCE-2020-0380

Garrigues E, Janvier P, Kherabi Y, Bot AL, Hamon A, Gouze H, et al. Post-discharge persistent symptoms and health-related quality of life after hospitalization for COVID-19. J Infect. 2020;81(6):4-6. doi: https://doi.org/10.1016/j.jinf.2020.08.029

Lima IN, Yamamoto CY, Luz JSL, Souza TC, Pereira KF. Memory loss associated with viral infection by SARS-CoV-2: Literature review. Res Soc Dev. 2022;11(4):e49011427609. doi: https://doi.org/10.33448/rsd-v11i4.27609

Ostergaard L. SARS CoV‐2 related microvascular damage and symptoms during and after COVID‐19: consequences of capillary transit‐time changes, tissue hypoxia and inflammation. Physiol Rep. 2021;9(3):e14726. doi: https://doi.org/10.14814/phy2.14726

Jaywant A, Varderlind M, Alexopoulos GS, Fridman CB, Perlis RH. Gunning FM. Frequency and profile of objective cognitive deficits in hospitalized patients recovering from COVID-19. Neuropsychopharmacol. 2021;46(13):2235-40. doi: https://doi.org/10.1038/s41386-021-00978-8

Marshall M. How COVID-19 can damage the brain. Nature. 2020;585(7825):342-34. doi: https://doi.org/10.1038/d41586-020-02599-5

Silva Junior SV, Machado AG, Alves AMRS, Cordeiro KJS, Barbosa MB, Teodozio GC, et al. Humanizing intensive nursing care for people with COVID-19. Rev Rene. 2021;22:e62584. doi: https://doi.org/10.15253/2175-6783.20212262584

Published

2022-11-09

How to Cite

Amaral, I. do, Marafigo, L. R. Z., Alves, F. B. T., Santos, C. B. dos, & Fadel, C. B. (2022). Factors associated with disability in patients after discharge from Intensive Care Units COVID-19. Rev Rene, 23, e81314. https://doi.org/10.15253/2175-6783.20222381314

Issue

Section

Research Article

Most read articles by the same author(s)