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Post-intensive care syndrome in patients recovered from COVID-19 discharged from intensive care at a third level of care


Journal of Anesthesia & Critical Care: Open Access
Esquivel Chávez Alejandro,1 Canedo Castillo Nancy Allin,1 Arteaga Méndez Cynthia Angélica,1 Padilla Olea Noricel,1 Hernández Altuna Jessica Teresa,1 Alvarado Echavarría Alberto,1 Sánchez Suárez Juan Carlos,1 Moron Medina Jesús Omar,1 Sánchez Montoya Felipe,1 Galicia Castañeda Noe Jacobo,1 Moreno Noguez Moises,2 Herrera Morales Blanca Estela3

Abstract

Introduction: The post-Intensive Care Syndrome (PICS) was coined in 2020, survivors experience cognitive, psychological, and physical impairment; unknown effects due to not following up with patients discharged from an Intensive Care Unit (ICU).
Objective: To calculate the prevalence of PICS in patients recovered from COVID-19 discharged from the ICU from a third level of care.
Material and methods: Ambispective, cross-sectional, observational, and analytical study. The prevalence of PICS was calculated in patients discharged from the ICU who recovered from COVID-19 and who met inclusion criteria, the descriptive analysis of the population was performed, and the sample was divided into two groups to compare them.
Results: A total of 126 patients were included, 53.2% male, with a mean age of 52 years. BMI >25 was the most frequent comorbidity in 76.2%, followed by DM in 39.7%, SAH in 26.2%, the degree of dependence measured by the Barthel scale was mild in 27%, with 24 patients p 0.041 occasionally being dependent for urination, 38 patients p 0.034 to move with help and 36 patients with p .009 to climb stairs with help with a prevalence of PICS of 14.3%. 

Conclusion: The prevalence of PICS in patients recovered from COVID-19 was 14.3% and its main comorbidities were BMI >25, followed by DM2 and SAH.

Keywords

Physical deterioration, Post intensive care unit syndrome, COVID-19

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