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Roles of Early Mobilization Program in Preventing Muscle Weakness and Decreasing Psychiatric Disorders in Patients with Coronavirus Disease 2019 Pneumonia: A Retrospective Observational Cohort Study

Although many coronavirus 2019 patients have experienced persistent symptoms and a long-term decline in quality of life after discharge, the details of these persistent symptoms and the effect of early rehabilitation are still unclear. We conducted a single-center, retrospective observational study...

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Autores principales: Kotani, Toru, Sugiyama, Mizuki, Matsuzaki, Fumika, Kubodera, Kota, Saito, Jin, Kaneki, Mika, Shono, Atsuko, Maruo, Hiroko, Mori, Maiko, Ohta, Shin, Kasai, Fumihito
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8267911/
https://www.ncbi.nlm.nih.gov/pubmed/34209010
http://dx.doi.org/10.3390/jcm10132941
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author Kotani, Toru
Sugiyama, Mizuki
Matsuzaki, Fumika
Kubodera, Kota
Saito, Jin
Kaneki, Mika
Shono, Atsuko
Maruo, Hiroko
Mori, Maiko
Ohta, Shin
Kasai, Fumihito
author_facet Kotani, Toru
Sugiyama, Mizuki
Matsuzaki, Fumika
Kubodera, Kota
Saito, Jin
Kaneki, Mika
Shono, Atsuko
Maruo, Hiroko
Mori, Maiko
Ohta, Shin
Kasai, Fumihito
author_sort Kotani, Toru
collection PubMed
description Although many coronavirus 2019 patients have experienced persistent symptoms and a long-term decline in quality of life after discharge, the details of these persistent symptoms and the effect of early rehabilitation are still unclear. We conducted a single-center, retrospective observational study to investigate the prevalence of persistent symptoms three months after discharge from the intensive care unit by checking the medical records. All patients received an early mobilization program. Four out of 13 patients (31%) had postintensive care syndrome. No patients had muscle weakness, and 11 patients (85%) returned to their previous work. However, psychiatric disorder, such as anxiety (23%) and posttraumatic stress disorder (15%), were observed. Eleven patients claimed persistent symptoms, including fatigue and numbness in the extremities. Our results suggest that the implementation of an early rehabilitation program plays some role in preventing muscle weakness and that decreasing psychiatric disorders should be a next target of patient care in the intensive care unit.
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spelling pubmed-82679112021-07-10 Roles of Early Mobilization Program in Preventing Muscle Weakness and Decreasing Psychiatric Disorders in Patients with Coronavirus Disease 2019 Pneumonia: A Retrospective Observational Cohort Study Kotani, Toru Sugiyama, Mizuki Matsuzaki, Fumika Kubodera, Kota Saito, Jin Kaneki, Mika Shono, Atsuko Maruo, Hiroko Mori, Maiko Ohta, Shin Kasai, Fumihito J Clin Med Article Although many coronavirus 2019 patients have experienced persistent symptoms and a long-term decline in quality of life after discharge, the details of these persistent symptoms and the effect of early rehabilitation are still unclear. We conducted a single-center, retrospective observational study to investigate the prevalence of persistent symptoms three months after discharge from the intensive care unit by checking the medical records. All patients received an early mobilization program. Four out of 13 patients (31%) had postintensive care syndrome. No patients had muscle weakness, and 11 patients (85%) returned to their previous work. However, psychiatric disorder, such as anxiety (23%) and posttraumatic stress disorder (15%), were observed. Eleven patients claimed persistent symptoms, including fatigue and numbness in the extremities. Our results suggest that the implementation of an early rehabilitation program plays some role in preventing muscle weakness and that decreasing psychiatric disorders should be a next target of patient care in the intensive care unit. MDPI 2021-06-30 /pmc/articles/PMC8267911/ /pubmed/34209010 http://dx.doi.org/10.3390/jcm10132941 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kotani, Toru
Sugiyama, Mizuki
Matsuzaki, Fumika
Kubodera, Kota
Saito, Jin
Kaneki, Mika
Shono, Atsuko
Maruo, Hiroko
Mori, Maiko
Ohta, Shin
Kasai, Fumihito
Roles of Early Mobilization Program in Preventing Muscle Weakness and Decreasing Psychiatric Disorders in Patients with Coronavirus Disease 2019 Pneumonia: A Retrospective Observational Cohort Study
title Roles of Early Mobilization Program in Preventing Muscle Weakness and Decreasing Psychiatric Disorders in Patients with Coronavirus Disease 2019 Pneumonia: A Retrospective Observational Cohort Study
title_full Roles of Early Mobilization Program in Preventing Muscle Weakness and Decreasing Psychiatric Disorders in Patients with Coronavirus Disease 2019 Pneumonia: A Retrospective Observational Cohort Study
title_fullStr Roles of Early Mobilization Program in Preventing Muscle Weakness and Decreasing Psychiatric Disorders in Patients with Coronavirus Disease 2019 Pneumonia: A Retrospective Observational Cohort Study
title_full_unstemmed Roles of Early Mobilization Program in Preventing Muscle Weakness and Decreasing Psychiatric Disorders in Patients with Coronavirus Disease 2019 Pneumonia: A Retrospective Observational Cohort Study
title_short Roles of Early Mobilization Program in Preventing Muscle Weakness and Decreasing Psychiatric Disorders in Patients with Coronavirus Disease 2019 Pneumonia: A Retrospective Observational Cohort Study
title_sort roles of early mobilization program in preventing muscle weakness and decreasing psychiatric disorders in patients with coronavirus disease 2019 pneumonia: a retrospective observational cohort study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8267911/
https://www.ncbi.nlm.nih.gov/pubmed/34209010
http://dx.doi.org/10.3390/jcm10132941
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