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Muscle strength and functional outcome after prone positioning in COVID-19 ICU survivors
OBJECTIVE: To evaluate the muscle strength and functional level of patients discharged from intensive care unit (ICU) in relation to the swimmer position as a nurse intervention during pronation. METHODS: Prospective study conducted in the hub COVID-19 center in Milan (Italy), between March and June...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Authors. Published by Elsevier Ltd.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8552588/ https://www.ncbi.nlm.nih.gov/pubmed/34789437 http://dx.doi.org/10.1016/j.iccn.2021.103160 |
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author | Binda, Filippo Rossi, Veronica Gambazza, Simone Privitera, Emilia Galazzi, Alessandro Marelli, Federica Santambrogio, Martina Adamini, Ileana Grasselli, Giacomo Laquintana, Dario |
author_facet | Binda, Filippo Rossi, Veronica Gambazza, Simone Privitera, Emilia Galazzi, Alessandro Marelli, Federica Santambrogio, Martina Adamini, Ileana Grasselli, Giacomo Laquintana, Dario |
author_sort | Binda, Filippo |
collection | PubMed |
description | OBJECTIVE: To evaluate the muscle strength and functional level of patients discharged from intensive care unit (ICU) in relation to the swimmer position as a nurse intervention during pronation. METHODS: Prospective study conducted in the hub COVID-19 center in Milan (Italy), between March and June 2020. All patients with COVID-19 discharged alive from ICU who received invasive mechanical ventilation were included. Forward continuation ratio model was fitted to explore the statistical association between muscle strength grades and body positioning during ICU stay. RESULTS: Over the 128 patients admitted to ICU, 87 patients were discharged alive from ICU, with available follow-up measures at hospital discharge. Thirty-four patients (39.1%) were treated with prone positioning as rescue therapy, for a total of 106 pronation cycles with a median duration of 72 (IQR 60–83) hours. Prone positioning did not influence the odds of showing particular level of muscle strength, in any of the evaluated districts, namely shoulder (OR 1.34, 95%CI:0.61–2.97), elbow (OR 1.10, 95%CI:0.45–2.68) and wrist (OR 0.97, 95%CI:0.58–1.63). Only in the shoulder district, age showed evidence of association with strength (OR 1.06, 95%CI:1.02–1.10), affecting people as they get older. No significant sequalae related to swimmer position were reported by physiotherapists or nurses. CONCLUSION: Swimmer position adopted during prone ventilation is not associated with worse upper limb strength or poor mobility level in COVID-19 survivors after hospital discharge. |
format | Online Article Text |
id | pubmed-8552588 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | The Authors. Published by Elsevier Ltd. |
record_format | MEDLINE/PubMed |
spelling | pubmed-85525882021-10-29 Muscle strength and functional outcome after prone positioning in COVID-19 ICU survivors Binda, Filippo Rossi, Veronica Gambazza, Simone Privitera, Emilia Galazzi, Alessandro Marelli, Federica Santambrogio, Martina Adamini, Ileana Grasselli, Giacomo Laquintana, Dario Intensive Crit Care Nurs Research Article OBJECTIVE: To evaluate the muscle strength and functional level of patients discharged from intensive care unit (ICU) in relation to the swimmer position as a nurse intervention during pronation. METHODS: Prospective study conducted in the hub COVID-19 center in Milan (Italy), between March and June 2020. All patients with COVID-19 discharged alive from ICU who received invasive mechanical ventilation were included. Forward continuation ratio model was fitted to explore the statistical association between muscle strength grades and body positioning during ICU stay. RESULTS: Over the 128 patients admitted to ICU, 87 patients were discharged alive from ICU, with available follow-up measures at hospital discharge. Thirty-four patients (39.1%) were treated with prone positioning as rescue therapy, for a total of 106 pronation cycles with a median duration of 72 (IQR 60–83) hours. Prone positioning did not influence the odds of showing particular level of muscle strength, in any of the evaluated districts, namely shoulder (OR 1.34, 95%CI:0.61–2.97), elbow (OR 1.10, 95%CI:0.45–2.68) and wrist (OR 0.97, 95%CI:0.58–1.63). Only in the shoulder district, age showed evidence of association with strength (OR 1.06, 95%CI:1.02–1.10), affecting people as they get older. No significant sequalae related to swimmer position were reported by physiotherapists or nurses. CONCLUSION: Swimmer position adopted during prone ventilation is not associated with worse upper limb strength or poor mobility level in COVID-19 survivors after hospital discharge. The Authors. Published by Elsevier Ltd. 2022-04 2021-10-28 /pmc/articles/PMC8552588/ /pubmed/34789437 http://dx.doi.org/10.1016/j.iccn.2021.103160 Text en © 2021 The Authors Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Research Article Binda, Filippo Rossi, Veronica Gambazza, Simone Privitera, Emilia Galazzi, Alessandro Marelli, Federica Santambrogio, Martina Adamini, Ileana Grasselli, Giacomo Laquintana, Dario Muscle strength and functional outcome after prone positioning in COVID-19 ICU survivors |
title | Muscle strength and functional outcome after prone positioning in COVID-19 ICU survivors |
title_full | Muscle strength and functional outcome after prone positioning in COVID-19 ICU survivors |
title_fullStr | Muscle strength and functional outcome after prone positioning in COVID-19 ICU survivors |
title_full_unstemmed | Muscle strength and functional outcome after prone positioning in COVID-19 ICU survivors |
title_short | Muscle strength and functional outcome after prone positioning in COVID-19 ICU survivors |
title_sort | muscle strength and functional outcome after prone positioning in covid-19 icu survivors |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8552588/ https://www.ncbi.nlm.nih.gov/pubmed/34789437 http://dx.doi.org/10.1016/j.iccn.2021.103160 |
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