COVID-19 disease: assessment of a critically ill patient

Carter, Chris; Aedy, Helen; Notter, Joy

doi:10.1016/j.intcar.2020.100001

Cited by 5 publications

(3 citation statements)

References 28 publications

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“…A variety of objective assessments are available for evaluating respiratory function. Primarily, pulmonary function tests (PFTs), encompassing spirometry, diffusion capacity, and lung volumes, are regularly utilized [14]. Among the critical impairment evaluations highlighted in the survey was the 6 minute walk test (6MWT).…”

Section: Assessment In Wardsmentioning

confidence: 99%

A national survey of physiotherapists' assessment and management practices for patients with COVID-19 in acute and rehabilitation care in the United Arab Emirates

Ali,

Alaparthi,

de Sá Ferreira

et al. 2024

Fiz Pol

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Background. Physiotherapists have a significant role in the treatment and care of individuals with COVID 19, who suffer from a range of symptoms and complications. Treatment for these patients requires a multidisciplinary approach. The study aims to explore the practice patterns of assessment and management adopted by physiotherapists for patients with COVID 19 in critical care and rehabilitation settings in the United Arab Emirates (UAE). Methods. A survey questionnaire was shared with physiotherapists working in the UAE’s private and public hospitals. The questionnaire consisted of 60 questions that were divided into 5 sections: assessment in ICU and wards, treatment in ICU and wards, and patient education. Results. The physiotherapy evaluation of patients was primarily focused on specific impairment measures. Respiratory rate was the highest reported assessment tool in the ICU, with 68% of physiotherapists always using it. More than 78% of ward assessments use physical examination and respiratory rate. Treatment in the ICU was primarily done with chest percussion and suction therapy; over 85% reported using them always or frequently. A total of 89% of respondents used positioning and postural drainage as part of their treatment in wards, and 100% chose walking as their method of mobilization. Conclusion. Both ICU and acute care physiotherapists used similar assessment techniques focused on impairments and dyspnea-quantifying measures, with less emphasis on functional exercise capacity. They, however, used similar approaches to treatment in the ICU and wards, with slight variations in airway clearance and equipment use.

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Section: Assessment In Wardsmentioning

confidence: 99%

A national survey of physiotherapists' assessment and management practices for patients with COVID-19 in acute and rehabilitation care in the United Arab Emirates

Ali,

Alaparthi,

de Sá Ferreira

et al. 2024

Fiz Pol

View full text Add to dashboard Cite

show abstract

“…The essential physiological observations to decide whether a person is infected by COVID-19, include temperature, respiratory rate, oxygen saturation, pulse rate, blood pressure, and chest imaging as reported by Carter, Aedy, and Notter (2020) . Temperature measurement may be a part of the evaluation to decide whether a person has a high temperature potentially caused by an infection with COVID-19.…”

Section: Measurement and Testing Protocols Of Covid-19mentioning

confidence: 99%

Non-contact measurement system for COVID-19 vital signs to aid mass screening—An alternate approach

Jeyakumar

Nirmala

Sarate

2022

Cyber-Physical Systems

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“…Most moderately ill patients can recover after symptomatic and supportive treatment, while COVID-19 in severely ill/critically ill patients can be life-threatening due to a series of rapid pathophysiological changes such as body in ammatory response and "cytokine storm" [7][8][9]. Current diagnostic and therapeutic regimens emphasize early evaluation, and early treatment of severely ill/critically ill patients to help improve patient prognosis and reduce the risk of death [10][11][12][13]. We previously reported serum SARS-CoV-2 speci c Immunoglobulin A (IgA) is positively correlated with disease severity [14], and Krebs von den Lungen-6 (KL-6) is a good indicator for lung injury and in ammation in COVID-19 patients [15].…”

Section: Introductionmentioning

confidence: 99%

Detection of serum KL-6 and SARS-CoV-2 antibody in patients with coronavirus disease 2019 and the diagnostic value in severe disease

Wang¹,

Chen

Zhang³

et al. 2021

Preprint

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Background Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a significant threat to human health, but its clinical manifestations vary greatly among individuals. Early detection and treatment are important for severely ill patients to improve their prognosis and reduce the risk of death. Methods In the present study, serum markers were detected and analyzed in moderately ill and severely ill patients. Results The results found that there were statistically significant differences in age, serum Krebs von den Lungen-6 (KL-6) and Immunoglobulin A (IgA) levels between severely ill patients and moderately ill patients (P < 0.05). The cut-off of using KL-6 alone for the diagnosis of severely ill patients was 298.91 U/mL, with an AUC of 0.737, a sensitivity of 100%, and a specificity of 43%. When the diagnosis was performed using KL-6 in combination with Interleukin-6 (IL-6), an indicator of infection, the AUC was 0.776, with a sensitivity and specificity of 82% and 69%, respectively. When the three above were used in combination for diagnosis, the AUC was 0.785, and the sensitivity and specificity were 100% and 59%, respectively. After rehabilitation, the serum levels of KL-6, C-reactive protein (CRP), as well as antibodies, IgA, IgM and IgG, were significantly lower than those in the early stage of hospitalization. Conclusion In the present study, KL-6 and IgA were found to have some diagnostic efficacy for severely ill patients with COVID-19, but larger cohort studies are still needed for further confirmation, which in turn improves the diagnostic and therapeutic efficiency of severely ill patients.

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COVID-19 disease: assessment of a critically ill patient

Cited by 5 publications

References 28 publications

A national survey of physiotherapists' assessment and management practices for patients with COVID-19 in acute and rehabilitation care in the United Arab Emirates

A national survey of physiotherapists' assessment and management practices for patients with COVID-19 in acute and rehabilitation care in the United Arab Emirates

Non-contact measurement system for COVID-19 vital signs to aid mass screening—An alternate approach

Detection of serum KL-6 and SARS-CoV-2 antibody in patients with coronavirus disease 2019 and the diagnostic value in severe disease

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