Evidence-based Physiotherapy and Functionality in Adult and Pediatric patients with COVID-19

Silva, Cássio Magalhães da Silva e; Andrade, Aline do Nascimento de; Nepomuceno, Balbino Rivail Ventura; Xavier, Daniel Salgado; Lima, E. R.; Gonzalez, Iura; Esquivel, Mateus Souza; Magalhães, Paulo; Almeida, Robson da Silva; Gomes, Vinícius Afonso; Carvalho, Vitor Oliveira; Filho, Wiron Correia Lima; Filho, Oséas Florêncio de Moura; Neto, Mansueto Gomes

doi:10.7322/jhgd.v30.10086

Cited by 45 publications

(30 citation statements)

References 97 publications

(165 reference statements)

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“…According to the studies the intubation rate reported 5 to 88 %. In the review study by da Silva CM et al, intubation need vary from 2, 3, 4, to 42% and 47% [55]. Besides, Cardona et al reported that the intubation rate was 28% among hypoxic COVID-19 patients [56].…”

Section: Discussionmentioning

confidence: 99%

Invasive airway “Intubation” in COVID-19 patients :statistics, causes and recommendations

Mohammadi

Khamseh

Varpaei

2021

Preprint

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Background: Severe COVID-19 disease could induce acute respiratory distress which is characterized by tachypnea, hypoxia, and dyspnea. Intubation and mechanical ventilation are a strategic treatment of COVID-19 distress or hypoxia. Methods: We searched PubMed, Embase, and Scopus databases through April 1, 2021, to identify relevant randomized control trials, observational studies, and case series. Results: 24 studies were included in this review. Studies were conducted in the USA, China, Spain, South Korea, Italy, Iran, and Brazil. Most patients were intubated in the intensive care unit. Rapid sequence induction was mostly used for intubation. ROX index might be utilized for the predictor of the necessity of intubation in COVID-19 patients. According to the previous studies the rate of intubation reported 5 to 88%. It was revealed that 1.4 - 44.5% of patients might be extubated. Yet obesity and age (elderly) are the only risk factors of delayed or difficult extubation. Discussion and conclusion: Acute respiratory distress in COVID-19 patients could require endotracheal intubation and mechanical ventilation. Severe respiratory distress, loss of consciousness, and hypoxia were the most important reasons for intubation. Also, increased levels of ferritin, d-dimer, and lipase in common with hypoxia are correlated with intubation and ICU admission Mortality following intubation is reported to be 15 to 36%. Awake-prone positioning in comparison to high-flow nasal oxygen therapy did not reduce the risk of intubation and mechanical ventilation. There was no association between intubation timing and mortality of infected patients. noninvasive ventilation may have survival benefits. Keywords: Intubation, COVID-19, critical care, respiratory disease, infectious disease, hypoxia, airway management.

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Section: Discussionmentioning

confidence: 99%

Invasive airway “Intubation” in COVID-19 patients :statistics, causes and recommendations

Mohammadi

Khamseh

Varpaei

2021

Preprint

View full text Add to dashboard Cite

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“…Their research project were successfully conducted and translated into clinical knowledge. Later, their findings were studied and referenced by many other researchers in the field (22)(23)(24), and had potential to impact real clinical practice during the pandemic by guiding the respiratory support for critically ill patients with COVID-19 (22,24). Healthcare datathon can benefit AI-based clinical research in several ways.…”

Section: Discussionmentioning

confidence: 99%

Healthcare Transformation in Singapore With Artificial Intelligence

Liu

Heng

et al. 2020

Front. Digit. Health

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“…Moreover, physiotherapists are ethically obliged to consider their personal and collective role in addressing such inequities (Physiotherapy Board of New Zealand, 2020). This is particularly relevant now as physiotherapists have and will continue to have an integral role in the acute hospital management of people with COVID-19, the rehabilitation and recovery of people following COVID-19 infection, and the primary management (including telehealth) and acute care management of people with other health and disability issues (Silva et al, 2020;Haines & Berney, 2020;Quigley et al, 2020;Sheehy, 2020;Thomas et al, 2020;Turolla et al, 2020).…”

Section: Why Disability Rights Are Relevant To All Physiotherapistsmentioning

confidence: 99%

“At risk” and “vulnerable”! Reflections on inequities and the impact of COVID-19 on disabled people

Perry

Ingham

Jones

et al. 2023

NZJP

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This professional perspective provides background knowledge and evidence to support reflection on disability outcomes internationally and in Aotearoa New Zealand. Over one billion people live with disability worldwide. Approximately 4.5% of the world's population live with significant difficulties in function, activity, and participation. In Aotearoa New Zealand, approximately 1.1 million (24%) people have a disability, making disability the largest minority group. Yet disabled people face extreme health inequities. These are exacerbated when response planning and service delivery during times of humanitarian emergency, such as COVID-19, fail to include and consider the impact decisions will have for disabled people. Disabled people are more "at risk" of contracting COVID-19, and some disabled people are "at risk" of poorer health outcomes from COVID-19. However, "vulnerability" arises from the continuation and exacerbation of discriminatory policies, including health professionals' conscious and unconscious biases, in times of crisis but also within conventional health service delivery. As part of the health system, it is perhaps timely for physiotherapists to reflect upon their knowledge of the health inequities disabled people experience, and to consider personal and collective bias. There are strategies physiotherapists might adopt to challenge interpersonal, internalised, and institutional bias. These steps will help affirm disability inclusiveness at all levels of the health system and support a human rights expectation that all New Zealanders should have equitable health outcomes.

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Evidence-based Physiotherapy and Functionality in Adult and Pediatric patients with COVID-19

Cited by 45 publications

References 97 publications

Invasive airway “Intubation” in COVID-19 patients :statistics, causes and recommendations

Invasive airway “Intubation” in COVID-19 patients :statistics, causes and recommendations

Healthcare Transformation in Singapore With Artificial Intelligence

“At risk” and “vulnerable”! Reflections on inequities and the impact of COVID-19 on disabled people

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