Programa de seguimiento al alta de la unidad de cuidados intensivos

Busico, Marina; Neves, A. das; Carini, Federico; Pedace, Mariana; Villalba, Darío; Foster, C.; Urrutia, J. García; Garbarini, M.; Jereb, Silvia; Sacha, Virgilio; Bakker, Jan

doi:10.1016/j.medin.2018.12.005

Cited by 28 publications

(14 citation statements)

References 58 publications

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“…Adult patients will be enrolled if they fulfil at least one of the following Inclusion criteria: (1) had SARS-CoV-2 infection, confirmed with a respiratory tract sample using PCR-based tests, (2) had an Acute Physiology And Chronic Health Evaluation (APACHE II) score over 14, (3) ICU stay over 10 days, (4) acquired weakness in ICU [ 14 ] ( Supplement, Definition D1 ), (5) delirium during ICU [ 14 ] ( Supplement Definition, D2 ), and 6) acceptance to participate in the study by signing the informed consent form.…”

Section: Methodsmentioning

confidence: 99%

“…Components: Interview and physical examination. Therapeutic education about the PICS, orally and in writing with specific documents delivered at the end of the visit, i.e., a PICS fact-sheet developed by the investigators and a rehabilitation manual recommended by the Follow-up and Rehabilitation Committee of the Argentine Society of Intensive Care, SATI [ 14 ]. Therapeutic education about pain (if the patient reports pain) which includes an explanation of pain neurophysiology, the rational use of drugs prescribed by other specialists, information about how to manage daily life activities, and the importance of pre-emptive pain management for proper rehabilitation.…”

Section: Methodsmentioning

confidence: 99%

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Rationale and study design of an early care, therapeutic education, and psychological intervention program for the management of post-intensive care syndrome and chronic pain after COVID-19 infection (PAIN-COVID): study protocol for a randomized controlled trial

Ojeda

Calvo²,

Cuñat

et al. 2021

Trials

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Background Critically ill patients with COVID-19 are an especially susceptible population to develop post-intensive care syndrome (PICS) due to acute respiratory distress syndrome (ARDS). Patients can suffer acute severe pain and may have long-term mental, cognitive, and functional health deterioration after discharge. However, few controlled trials are evaluating interventions for the prevention and treatment of PICS. The study hypothesis is that a specific care program based on early therapeutic education and psychological intervention improves the quality of life of patients at risk of developing PICS and chronic pain after COVID-19. The primary objective is to determine whether the program is superior to standard-of-care on health-related quality of life at 6 months after hospital discharge. The secondary objectives are to determine whether the intervention is superior to standard-of-care on health-related quality of life, incidence of chronic pain and degree of functional limitation, incidence of anxiety, depression, and post-traumatic stress syndrome at 3 and 6 months after hospital discharge. Methods The PAINCOVID trial is a unicentric randomized, controlled, patient-blinded superiority trial with two parallel groups. The primary endpoint is the health-related quality of life at 6 months after hospital discharge, and randomization will be performed with a 1:1 allocation ratio. This paper details the methodology and statistical analysis plan of the trial and was submitted before outcome data were available. The estimated sample size is 84 patients, 42 for each arm. Assuming a lost to follow-up rate of 20%, a sample size of 102 patients is necessary (51 for each arm). Discussion This is the first randomized clinical trial assessing the effectiveness of an early care therapeutic education, and psychological intervention program for the management of PICS and chronic pain after COVID-19. The intervention will serve as proof of the need to implement early care programs at an early stage, having an incalculable impact given the current scenario of the pandemic. Trial registration This study is being conducted in accordance with the tenets of the Helsinki Declaration and has been approved by the authors’ institutional review board Comité Ético de Investigación Clínica del Hospital Clínic de Barcelona (approval number: HCB/2020/0549) and was registered on May 9, 2020, at clinicaltrials.gov (NCT04394169).

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Rationale and study design of an early care, therapeutic education, and psychological intervention program for the management of post-intensive care syndrome and chronic pain after COVID-19 infection (PAIN-COVID): study protocol for a randomized controlled trial

Ojeda

Calvo²,

Cuñat

et al. 2021

Trials

View full text Add to dashboard Cite

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“…Study population and data collection Critical ill survivors' patients with a con rmed COVID-19 infection from a respiratory tract sample using polymerase chain reaction (PCR) based tests with at least one of the following inclusion criteria were eligible for participation: 1) an Acute Physiology and Chronic Health Evaluation (APACHE) II score at ICU admission over 14 points; 2) ICU length of stay over 10 days; 3) ICU-AW (Supplement, De nition D1); 4) delirium during ICU admission (Supplement, De nition D2). We use these criteria according to the criteria recommended by the critical illness monitoring and rehabilitation program by Busico M et al [14] The exclusion criteria were the following: 1) [15]; central nervous system degenerative disease (Supplement, De nition D3); 2) terminal illness (Supplement, De nition D4); 3) insu cient understanding of the Spanish language; 4) di culty in completing follow-up due to a living distance over 50 km from the Hospital Clínic of Barcelona); 5) not providing informed consent for the study.…”

Section: Methodsmentioning

confidence: 99%

Incidence of New-Onset Pain, Characteristics and Influence on Health-Related Quality of life in COVID-19 Survivors After Critical Illness. Analysis of the PAIN COVID Clinical Trial cohort.

Ojeda

Calvo

Cuñat

et al. 2020

Preprint

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Background: To explore the incidence and characteristics of new-onset pain, its impact on quality of life (HRQoL), and to quantify the presence of mood disorders in critically ill COVID-19 survivors. Methods: This is a preliminary report of PAIN-COVID clinical trial (NCT04394169) presenting a descriptive analysis in critical ill COVID 19 survivors one month after hospital discharge. Pain was assed using the Brief Pain Inventory short form, Douleur Neuropathique 4 Questions test and Pain Catastrophizing Scale. Health related quality of life (HRQoL) was evaluated with EQoL-5D/5L and mood disorders with Hospital Anxiety and Depression test (HAD).Results: From May 27th to July 19th 2020, 203 patients were consecutively screened for eligibility and 65 were finally included in this analysis. In 33 (50.8%) patients a new-onset pain was reported: 18 (54.5%) reported clinically significant intense pain, 11 (33.3%) a positive screening for neuropathic pain, 3 (9.1%) clinically relevant pain catastrophizing thoughts, 29 (87.9%) pain in ≥2 body sites and 5 (15.2%) widespread pain. Median EQoL-5D/5L index value and visual analogue scale was 0.8 (IQR 0.57-0.87) and 70 (IQR 60-80) respectively. Pain intensity was negatively correlated both to the former (Spearman Rho: -0.546, p<0.001) and to the latter (Spearman Rho: -0.387, p=0.001). A HAD anxiety and depression value over 8 were obtained in 7 (10,8 %) and 5 (7,7%) of patients, respectively.Conclusion: The incidence of new-onset pain in critically ill COVID-19 survivors is high and it was associated with a lower HRQoL. Trial registration: NCT04394169. Registered 19 May 2020. https://clinicaltrials.gov/ct2/show/NCT04394169

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“…La aplicación del test de MoCA indicó una correlación moderada a alta frente al componente morfológico, como se reporta en estudios de tipo hospitalario frente a la aparición de dcl y el componente morfológico (López, 2018). Otros estudios evidencian una asociación entre el dcl y el componente de masa muscular en unidades de cuidado hospitalario (Busico, et al, 2019), lo cual se asemeja con los resultados de correlación de este estudio.…”

Section: Rangos Del Componente Cognitivounclassified

Función cognitiva y composición corporal en mujeres adultas mayores

Perdomo

Cuervo²

2019

Cuerpo, Cultura y Movimiento

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El test Montreal Cognitive Assessment (MoCA) instrumento para medir el deterioro cognitivo leve y estados de demencia en adultos mayores, presenta una correlación frente al componente morfológico. Materiales y Métodos: Se estudiaron 54 sujetos de sexo femenino, entre los 60-70 años de edad, registrando variables morfológicas con el equipo de impedancia SECA mBCA514®, masa magra, masa grasa, masa muscular y masa muscular segmentado en cinco compartimientos; las funciones cognitivas se evaluaron con el test MoCA. Resultados. Los resultados se reportan en medias y desviación estándar en el componente morfológico, para edad años (63.9±3.3), talla m (1.53±0.07), peso Kg (67.04±12.2), perímetro cintura cm (94.4±11,6), IMC (27.6±3.7), masa grasa Kg (26.4±7.4), masa magra Kg (40.6±7.3), masa muscular segmentada en 5 componentes. Para la variable cognitiva con el Moca, para visuo-espacial (2.4±1.1), denominación animal (2.6±0.5), memoria (1.6±1.8), atención (3.3±2.0), lenguaje (1.5±1.0), abstracción (1.3±0.56), orientación (5.7±0.52), total (18.3±5.5). Se muestran niveles de correlación entre los resultados de Moca y composición corporal. Se encontraron diferentes niveles de correlación entre algunos parámetros de MoCA y parámetros específicos en la composición corporal.

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Programa de seguimiento al alta de la unidad de cuidados intensivos

Cited by 28 publications

References 58 publications

Rationale and study design of an early care, therapeutic education, and psychological intervention program for the management of post-intensive care syndrome and chronic pain after COVID-19 infection (PAIN-COVID): study protocol for a randomized controlled trial

Rationale and study design of an early care, therapeutic education, and psychological intervention program for the management of post-intensive care syndrome and chronic pain after COVID-19 infection (PAIN-COVID): study protocol for a randomized controlled trial

Incidence of New-Onset Pain, Characteristics and Influence on Health-Related Quality of life in COVID-19 Survivors After Critical Illness. Analysis of the PAIN COVID Clinical Trial cohort.

Función cognitiva y composición corporal en mujeres adultas mayores

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