B.JAYACHANDRAN1, B.C.S.TAN2, K.S.C.LIM1, J.H.Y.FOO1, M.P.SELVAKUMAR1
Woodlands Health1, Khoo Teck Puat Hospital2
Acute respiratory distress syndrome (ARDS) is one of the most common complication in patients with severe acute respiratory syndrome coronavirus 2(SAR-CoV-2) infection, requiring Intensive Care Unit (ICU) admission. Alas, admission to intensive care adds the risk of developing muscle wasting and functional impairment to these patients.
The aim of this study is to investigate the: 1) time taken to achieve functional milestones (sitting and ambulation) in ICU, 2) mobility status at hospital discharge and 3) discharge destination for patients admitted to ICU with SAR-COV-2 infection.
The single centre retrospective observational study included patients with SARS-CoV-2 infection who were admitted to ICU from March 2020 to June 2020. Only patients who were referred to physiotherapy were included.
Patient demographics, respiratory support during ICU admission, time to sit out of bed, time to ambulate 5 m, functional status at discharge and discharge destination were extracted from the electronic medical records.
13 patients were referred to physiotherapy in the ICU. 69.2% patients were intubated for a duration of 6.3 ± 5.5 days. 92.3% patients developed ARDS. The average length of stay in ICU was 9.8 ± 7.4 days. The mean duration to sitting out of bed was 13.46± 8.1 days and ambulation was 17±11.6 days.92.30% were independent for ambulation at hospital discharge and were able to return home.
Majority of patients who were admitted to ICU and required intubation were able to ambulate independently at discharge and return home.