MANAGEMENT OF COVID-19 PATIENTS
Main Article Content
Keywords
COVID-19, PICS, Intensive care unit, telerehabilitation
Abstract
Background: The Coronavirus disease (COVID-19), initially documented in December 2019 in Wuhan, China, has emerged as a formidable adversary to humanity, yielding substantial repercussions on the global healthcare infrastructure. The World Health Organization officially designated it as a pandemic on March 11, 2020. Amid the ongoing battle against the prevailing COVID-19 pandemic by healthcare professionals, a new complication has arisen in the form of the post-discharge consequences faced by patients recovering from COVID-19.
Aim: This review aims at highlighting various problems faced by covid-19 patients who have been discharged from the ICU and their subsequent management.
Methodology: The analysis constitutes an exhaustive examination of PUBMED, Google Scholar, and the official WHO webpage spanning from 2009 to 2021.
Conclusion: The COVID-19 pandemic has impacted nearly every nation worldwide, emerging as one of the most severe pandemics in history. Individuals with critical pulmonary conditions or other comorbidities are in a grave state and are often moved to the Intensive Care Unit. These patients experience an extended period in critical care, leading to the development of diverse mental and physical issues following their release. Post-pandemic, a range of rehabilitation initiatives have been implemented, with a focus on the holistic well-being of the patient, encompassing physical, psychosocial, mental, and cognitive aspects. It is imperative to promote such rehabilitation schemes and ensure that patients receive ongoing monitoring following their discharge.
References
2. Docherty AB, Harrison EM, Green CA, et al.: Features of 20 133 UK patients in hospital with covid-19 using the ISARIC WHO Clinical Characterisation Protocol: prospective observational cohort study. bmj. 2020, 369.
3. Flaatten H, Waldmann C: The post-ICU syndrome, history and definition. Post-Intensive Care Syndrome. 2020:3-12.
4. Stewart IJ, Sosnov JA, Howard JT, et al.: Retrospective analysis of long-term outcomes after combat injury: a hidden cost of war. Circulation. 2015, 132:2126-2133.
5. Yende S, Kellum JA, Talisa VB, et al.: Long-term host immune response trajectories among hospitalized patients with sepsis. JAMA network open. 2019, 2:e198686-e198686.
6. Griffith DM, Lewis S, Rossi AG, et al.: Systemic inflammation after critical illness: relationship with physical recovery and exploration of potential mechanisms. Thorax. 2016, 71:820-829.
7. Baylis RA, Gomez D, Mallat Z, Pasterkamp G, Owens GK: The CANTOS trial: one important step for clinical cardiology but a giant leap for vascular biology. Arteriosclerosis, thrombosis, and vascular biology. 2017, 37:e174-e177.
8. Medicine BSoR: Rehabilitation for patients in the acute care pathway following severe disabling illness or injury: BSRM core standards for specialist rehabilitation. British Society of Rehabilitation Medicine London; 2014.
9. Gupta R, Gupta A, Ghosh AK, et al.: A paradigm for the pandemic: a Covid-19 recovery unit. NEJM Catalyst Innovations in Care Delivery. 2020, 1.
10. Brodsky MB, Levy MJ, Jedlanek E, et al.: Laryngeal injury and upper airway symptoms after oral endotracheal intubation with mechanical ventilation during critical care: a systematic review. Critical care medicine. 2018, 46:2010-2017.
11. Pandharipande PP, Girard TD, Jackson JC, et al.: Long-term cognitive impairment after critical illness. New England Journal of Medicine. 2013, 369:1306-1316.
12. Zhang J-j, Dong X, Cao Y-y, et al.: Clinical characteristics of 140 patients infected with SARS‐CoV‐2 in Wuhan, China. Allergy. 2020, 75:1730-1741.
13. Cheng Y, Luo R, Wang K, et al.: Kidney impairment is associated with in-hospital death of COVID-19 patients. MedRxiv. 2020:2020.2002. 2018.20023242.
14. Ramalingam MB, Huang Y, Lim PA: Rehabilitation of a post–intensive care unit patient after severe COVID-19 pneumonia. American Journal of Physical Medicine & Rehabilitation. 2020, 99:1092-1095.
15. MIN COW: Position Statement from the National Centre for Infectious Diseases and the Chapter of Infectious Disease Physicians, Academy of Medicine, Singapore: Period of Infectivity to Inform Strategies for De-isolation for COVID-19 Patients. 2020.
16. MEDICA EM: Telemedicine from research to practice during the pandemic.“Instant paper from the field” on rehabilitation answers to the COVID-19 emergency. 2020.
17. Hosey MM, Needham DM: Survivorship after COVID-19 ICU stay. Nature reviews Disease primers. 2020, 6:60.
18. Korupolu R, Francisco GE, Levin H, Needham DM: Rehabilitation of critically ill COVID-19 survivors. Journal of the International Society of Physical and Rehabilitation Medicine. 2020, 3:45-52.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Mousa Hamod Mohammed Hagawi
Abo Arish General Hospital -Jazan – Saudi Arabia
Bushra Abdulhameed Alsaif
Primary Health Care Center - E1 Cluster – Khobar – Saudi Arabia
Layla Yousef Alkawher
Primary Health Care Alnayria – Alnayria – Saudi Arabia
Massuma Hussain Alrubeh
Primary Health Care Center – Majidya – Saudi Arabia
Gofran Mohammed Ahmed Aldawani
Dammam Medical Complex – Dammam – Saudi Arabia
Abdullah Eissa Alabbad
Erada Complex And Mental Health – Dammam – Saudi Arabia
Radiyah Hassn Almarhoon
Primary Health Care – Safwa – Saudi Arabia
Fatima Hussain Alawadh
Primary Health Care Alnayria – Alnayria – Saudi Arabia
Amani Ali Aldawani
Aljafer General hospital - Al Ahsa – Saudi Arabia
Zahra Salman Alhamdan
Aljafer General hospital - Al Ahsa – Saudi Arabia
Ali Majed Mohammed Malhan
rince Mohammed Bin Naser Hospital – Jazan – Saudi Arabia
Amani Ali Hakami
Jazan General Hospital – Jazan – Saudi Arabia
Fatimah Ali Alhubail
Primary Health Care – Safwa – Saudi Arabia
Aishah Salem Alwabrah
Primary Health Care – Safwa – Saudi Arabia