Muscle strength and functional outcome after prone positioning in COVID-19 ICU survivors

Posted: 2021-11-18 20:00:00
Objective: To evaluate the muscle strength and functional level of patients discharged from intensive care unit (ICU) in relation to the swimmer position as a nurse intervention during pronation. Methods: Prospective study conducted in the hub COVID-19 center in Milan (Italy), between March and June 2020. All patients with COVID-19 discharged alive from ICU who received invasive mechanical ventilation were included. Forward continuation ratio model was fitted to explore the statistical association between muscle strength grades and body positioning during ICU stay. Results: Over the 128 patients admitted to ICU, 87 patients were discharged alive from ICU, with available follow-up measures at hospital discharge. Thirty-four patients (39.1%) were treated with prone positioning as rescue therapy, for a total of 106 pronation cycles with a median duration of 72 (IQR 60-83) hours. Prone positioning did not influence the odds of showing particular level of muscle strength, in any of the evaluated districts, namely shoulder (OR 1.34, 95%CI:0.61-2.97), elbow (OR 1.10, 95%CI:0.45-2.68) and wrist (OR 0.97, 95%CI:0.58-1.63). Only in the shoulder district, age showed evidence of association with strength (OR 1.06, 95%CI:1.02-1.10), affecting people as they get older. No significant sequalae related to swimmer position were reported by physiotherapists or nurses. Conclusion: Swimmer position adopted during prone ventilation is not associated with worse upper limb strength or poor mobility level in COVID-19 survivors after hospital discharge. Keywords: COVID-19; Intensive Care Units; Nursing; Physiotherapy; Prone position.

参考サイト PubMed: covid-19


12月 21, 2020 バイオアソシエイツ


脂肪組織が COVID-19 の悪化に重要な役割を果たすという証拠が増えている。 調査中の理論の1つは、脂肪細胞(adipocytes)がSARS-CoV-2の貯蔵庫として機能し、肥満または太りすぎの人のウイルス量を増加させるというものだ。科学者らはまた、感染中に脂肪細胞が血流中に放出され、生体内のウイルスによって引き起こされる炎症反応を促進すると考えている。これらの仮説は、ブラジルのサンパウロ大学医学部(FM-USP)臨床外科の教授 Marilia Cerqueira Leite…

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