Cognitive and Functional Capacity Assessment of Individuals Who Were Admitted to the Intensive Care Unit Due to COVID-19: A Prospective Cohort Study.

IF 3 3区医学 Q2 CRITICAL CARE MEDICINE

Journal of Intensive Care Medicine Pub Date : 2024-10-29 DOI:10.1177/08850666241291513

Juliana Cristina Fogaça Carneiro, Mayco Biasibetti, Folly Rodrigues, Gustavo de Castro Barroso, Fernanda Cechetti

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引用次数: 0

Abstract

Aim: The goal of this study was to identify changes in cognitive and functional capacity after hospital discharge in those infected with COVID-19 who were admitted to the ICU.

Methods: This is a prospective cohort study carried out with individuals who were admitted to a hospital, from July 2021 to May 2022. The evaluations happened in three moments: at hospital discharge, 30 days after discharge and 90 days after discharge. The instruments applied are the following: handgrip dynamometer, Montreal Cognitive Assessment Basic questionnaire (MoCA-B), Barthel Index (BI), timed up and go test (TUG), hospital anxiety and depressive scale (HADS) and 36-Item Short Form Health Survey questionary (SF-36).

Results: 74 individuals were eligible to participate in the study, 25 of which were followed for 90 days. Based on the results of the MoCA-b, there were no relevant cognitive changes after 3 months. According to the Barthel Index applied to each of the evaluations, the percentage of subjects that were classified as independent or minimally dependent was 48%, 92% then 96%, respectively, demonstrating that individuals can achieve a good degree of functional independence after 3 months. Despite that, the SF-36 demonstrated a score below the South Brazilian normal in some domains.

Conclusion: The individuals studied did not present persistent cognitive changes after 3 months and functional capacity showed significant improvement during this period. However, when the assessment is about the self-perceived quality of life, the majority of domain values are still below expectations, deserving attention by the health professionals involved.

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对因 COVID-19 而入住重症监护室的患者进行认知和功能能力评估：一项前瞻性队列研究

目的：本研究旨在确定入住重症监护室的 COVID-19 感染者出院后认知和功能能力的变化：这是一项前瞻性队列研究，研究对象为 2021 年 7 月至 2022 年 5 月期间入住医院的患者。评估分为三个阶段：出院时、出院后 30 天和出院后 90 天。采用的工具包括：手握力计、蒙特利尔认知评估基本问卷（MoCA-B）、巴特尔指数（BI）、定时起立行走测试（TUG）、医院焦虑抑郁量表（HADS）和 36 项简表健康调查问卷（SF-36）：74人符合研究条件，其中25人接受了90天的随访。根据 MoCA-b 的结果，3 个月后患者的认知能力没有发生相关变化。根据巴特尔指数（Barthel Index）进行的各项评估，被归类为独立或轻度依赖的受试者比例分别为 48%、92% 和 96%，这表明受试者在 3 个月后可以实现较好程度的功能独立。尽管如此，SF-36 在某些领域的得分仍低于南巴西正常值：结论：所研究的患者在 3 个月后并未出现持续的认知变化，其功能能力在此期间也有显著改善。然而，在对自我感觉的生活质量进行评估时，大多数领域的数值仍低于预期，值得相关医疗专业人员注意。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Intensive Care Medicine CRITICAL CARE MEDICINE-

CiteScore

7.60

自引率

3.20%

发文量

107

期刊介绍： Journal of Intensive Care Medicine (JIC) is a peer-reviewed bi-monthly journal offering medical and surgical clinicians in adult and pediatric intensive care state-of-the-art, broad-based analytic reviews and updates, original articles, reports of large clinical series, techniques and procedures, topic-specific electronic resources, book reviews, and editorials on all aspects of intensive/critical/coronary care.