Publication date: Jul 18, 2024
To examine the relationship between physical rehabilitation parameters including an approach to quantifying dosage with hospital outcomes for patients with critical COVID-19. Retrospective practice analysis from March 5, 2020, to April 15, 2021. Intensive care units (ICU) at four medical institutions. n = 3780 adults with ICU admission and diagnosis of COVID-19. We measured the physical rehabilitation treatment delivered in ICU and patient outcomes: (1) mortality; (2) discharge disposition; and (3) physical function at hospital discharge measured by the Activity Measure-Post Acute Care (AM-PAC) “6-Clicks” (6-24, 24 = greater functional independence). Physical rehabilitation dosage was defined as the average mobility level scores in the first three sessions (a surrogate measure of intensity) multiplied by the rehabilitation frequency (PT + OT frequency in hospital). The cohort was a mean 64 +/- 16 years old, 41% female, mean BMI of 32 +/- 9 kg/m and 46% (n = 1739) required mechanical ventilation. For 2191 patients who received rehabilitation, the dosage and AM-PAC at discharge were moderately, positively associated (Spearman’s rho [r] = 0. 484, p
| Concepts | Keywords |
|---|---|
| Mortality | COVID |
| Spearman | Critical illness |
| Therapy | Early mobilization |
| Occupational therapy | |
| Physical rehabilitation | |
| Physical therapy |
Semantics
| Type | Source | Name |
|---|---|---|
| disease | MESH | COVID-19 |
| disease | IDO | disposition |
| disease | MESH | functional independence |
| disease | VO | frequency |
| disease | VO | Rho |
| disease | MESH | Critical illness |