Neuropsychiatric outcome in subgroups of Intensive Care Unit survivors: Implications for after-care

Dijkstra-Kersten, Sandra M.A.; Kok, Linda; Kerckhoffs, Monika C.; Cremer, Olaf L.; Lange, Dylan W. de; Dijk, Diederik van; Slooter, Arjen J. C.

doi:10.1016/j.jcrc.2019.11.006

Cited by 38 publications

(38 citation statements)

References 26 publications

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“…Common symptoms reported one year later by ICU survivors, including patient with ARDS, include anxiety (34%), depression (33%) and post-traumatic stress disorder (19%) [ 39 ].This is compounded for the post COVID-19 survivor by the emotional stress associated with social isolation from family and friends for a protected period of time as a consequence of government lockdown policies. There are questionnaires recommended in the core outcome data set that cover these aspects of anxiety and depression, alongside PTSD [ 27 ].…”

Section: Resultsmentioning

confidence: 99%

COVID-19: interim guidance on rehabilitation in the hospital and post-hospital phase from a European Respiratory Society- and American Thoracic Society-coordinated international task force

et al. 2020

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BackgroundPatients with COVID-19 or post-COVID-19 will most probably have a need for rehabilitation during and directly after the hospitalisation. Data on safety and efficacy are lacking. Healthcare professionals cannot wait for published randomised controlled trials before they can start these rehabilitative interventions in daily clinical practice, as the number of post-COVID-19 patients increases rapidly. The Convergence of Opinion on Recommendations and Evidence process was used to make interim recommendation for the rehabilitation in the hospital and post-hospital phase in COVID-19 and post-COVID-19 patients, respectively.Methods93 experts were asked to fill out 13 multiple choice questions. Agreement of directionality was tabulated for each question. At least 70% agreement on directionality was necessary to make consensus suggestions.Results76 experts (82%) reached consensus on all questions based upon indirect evidence and clinical experience on the need for early rehabilitation during the hospital admission, the screening for treatable traits with rehabilitation in all patients at discharge and 6–8 weeks after discharge, and around the content of rehabilitation for these patients. It advocates for assessment of oxygen needs at discharge and more comprehensive assessment of rehabilitation needs including physical as well as mental aspects 6–8 weeks after discharge. Based on the deficits identified multidisciplinary rehabilitation should be offered with attention for skeletal muscle and functional as well as mental restoration.ConclusionsThis multinational task force recommends early, bedside rehabilitation for patients affected by severe COVID-19. The model of pulmonary rehabilitation may suit as a framework, particularly in a subset of patients with long term respiratory consequences.

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Section: Resultsmentioning

confidence: 99%

COVID-19: interim guidance on rehabilitation in the hospital and post-hospital phase from a European Respiratory Society- and American Thoracic Society-coordinated international task force

et al. 2020

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“…1/3 der Patienten ein halbes Jahr nach überstandener Erkrankung unter PTBS-Symptomen, Depressivität und Angststörungen leidet 15 . Vergleichbare psychische Folgeerscheinungen sind auch für Patienten mit ARDS und Langzeitbeatmung, die aus anderen Gründen erfolgte, dokumentiert 16 . Weitere häufige Folgeerscheinungen nach Langzeitbeatmung bei ARDS sind Critical Illness Polyneuropathie und -Myopathie (CIP und CIM), die zu Problemen bei der Beatmungsentwöhnung und Mobilisation und auch zu längerfristigen Beeinträchtigungen der Lebensqualität durch Schmerzen, andere Missempfindungen, körperliche Schwäche, autonome Dysfunktionen (Schluckstörungen, Inkontinenz) sowie psychische und kognitive Folgeerscheinungen führen können.…”

Section: Verlauf Schweregrad Sowie Gesundheitliche Folgen Von Coviunclassified

DGP-Empfehlungen zur pneumologischen Rehabilitation bei COVID-19

et al. 2020

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ZusammenfassungVor dem Hintergrund der Pandemie durch Infektionen mit dem SARS-CoV-2 hat die Deutsche Gesellschaft für Pneumologie und Beatmungsmedizin (DGP e. V.) die Sektion 12 „Rehabilitation, Prävention und Tabakkontrolle“ beauftragt, Empfehlungen zur Umsetzung pneumologischer Rehabilitation bei Patienten nach COVID-19 zu erstellen. Dieses Positionspapier basiert auf dem momentanen aktuellen Wissen, das sich täglich weiterentwickelt. Neben einer Beschreibung der gesundheitlichen Folgen von COVID-19 wird die Indikationsstellung aufgezeigt. Rehabilitative Therapien bei COVID-19 sind bereits auf der Normalstation bzw. Intensivstation indiziert, setzen sich fort als pneumologische Frührehabilitation im Akutkrankenhaus und als Anschlussheilbehandlung oder Reha-Heilverfahren in pneumologischen Rehabilitationskliniken. Im Fokus dieses Positionspapiers stehen Empfehlungen zur inhaltlichen Durchführung einer multimodalen, interdisziplinären pneumologischen Rehabilitation bei COVID-19.

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“…The prolonged ICU stay is known to have significant impact on both physical and emotional well-being and patients may have accompanying symptoms of posttraumatic stress disorder. 28 Social distancing and concerns about residual viral transmission may limit possibilities for centre-based PR and physiotherapy. Home-based, unsupervised PR might be a solution in these times of social distancing.…”

Section: Which Other Supportive Treatments Should Be Offered To Patiementioning

confidence: 99%

“…The prolonged ICU stay is known to have significant impact on both physical and emotional well-being and patients may have accompanying symptoms of post-traumatic stress disorder. 28 …”

Section: Introductionmentioning

confidence: 99%