Research Square (Research Square),
Год журнала:
2023,
Номер
unknown
Опубликована: Дек. 1, 2023
Abstract
Background:
Posttraumatic
stress
disorder
(PTSD)
after
a
stay
in
the
intensive
care
unit
(ICU)
can
affect
one
five
ICU
survivors.
At
beginning
of
coronavirus
disease
2019
(COVID-19)
pandemic,
admission
to
for
COVID-19
was
stressful
due
severity
this
disease.
This
study
assessed
whether
associated
with
higher
prevalence
PTSD
compared
other
causes
adjustment
pre-ICU
psychological
factors.
Methods:
prospective
observational
comparative
cohort
included
31
ICUs.
Eligible
patients
were
adult
survivors
hospitalized
during
first
wave
pandemic
France,
regardless
reason
admission.
The
substantial
symptoms
at
6
months
using
Checklist
DSM-5
(PCL-5).
Sociodemographics,
clinical
data,
history
childhood
trauma
(Childhood
Trauma
Questionnaire
[CTQ]),
and
exposure
potentially
traumatic
events
(Life
Events
[LEC-5])
assessed.
Results:
Of
778
COVID-19,
417
assigned
non-COVID-19
cohorts,
respectively.
Fourteen
(4.9%)
11
(4.9%),
respectively,
presented
presumptive
diagnosis
(
p
=
0.976).
After
adjusting
age,
sex,
score
admission,
use
invasive
mechanical
ventilation,
duration,
CTQ
LEC-5,
status
not
PCL-5.
Only
female
sex
PTSD.
However,
reported
significantly
more
intrusion
avoidance
than
non-COVID
(39%
vs.
29%,
0.015
27%
19%,
0.030),
median
PCL-5
(9
[3,
20]
4
[2,
16],
0.034).
Conclusion:
Admission
another
cause
France.
Trial
Registration:
Clinicaltrials.gov
Identifier
NCT03991611,
registered
on
June19,
Current
data
suggests
that
coronavirus
disease
2019
(COVID-19)
survivors
experience
long-lasting
problems.
It
is
not
yet
understood
how
long
these
symptoms
last.
The
goal
of
this
study
was
to
compile
all
the
currently
available
evaluate
COVID-19's
long-term
effects
at
12
months
and
above.
We
looked
for
studies
published
by
December
15,
2022,
in
PubMed
Embase
discussed
follow-up
findings
COVID-19
who
had
been
alive
least
a
year.
A
random-effect
model
carried
out
determine
combined
prevalence
different
long-COVID
symptoms.
Joanna
Briggs
Institute
tool
used
assess
risk
bias
included
studies,
I2
statistics
were
heterogeneity.
After
reviewing
3,209
46
deemed
admissible,
with
an
aggregate
population
17976.
At
above,
57%
patients
reported
minimum
one
symptom,
five
most
prevalent
were:
dyspnea
on
exertion
(34%,
95%
CI
0.2;
0.94);
difficulty
concentration
(32%,
0.16;
0.52);
fatigue
(31%,
0.22;
0.40);
frailty
0.06;
0.78);
arthromyalgia
(28%,
0.09;
0.6).
present
showed
beyond,
sizable
fraction
still
have
lasting
impair
several
body
systems.
Long-COVID
require
urgent
understanding
pathophysiological
processes
development
tailored
treatments.
Abstract
Background
Posttraumatic
stress
disorder
(PTSD)
after
a
stay
in
the
intensive
care
unit
(ICU)
can
affect
one
five
ICU
survivors.
At
beginning
of
coronavirus
disease
2019
(COVID-19)
pandemic,
admission
to
for
COVID-19
was
stressful
due
severity
this
disease.
This
study
assessed
whether
associated
with
higher
prevalence
PTSD
compared
other
causes
adjustment
pre-ICU
psychological
factors.
Methods
prospective
observational
comparative
cohort
included
31
ICUs.
Eligible
patients
were
adult
survivors
hospitalized
during
first
wave
pandemic
France,
regardless
reason
admission.
The
presumptive
diagnosis
at
6
months
using
Checklist
DSM-5
(PCL-5).
Sociodemographics,
clinical
data,
history
childhood
trauma
(Childhood
Trauma
Questionnaire
[CTQ]),
and
exposure
potentially
traumatic
events
(Life
Events
[LEC-5])
assessed.
Results
Of
778
417
361
assigned
non-COVID-19
cohorts,
respectively.
Fourteen
(4.9%)
11
(4.9%),
respectively,
presented
(
p
=
0.976).
After
adjusting
age,
sex,
score
admission,
use
invasive
mechanical
ventilation,
duration,
CTQ
LEC-5,
status
not
PCL-5.
Only
female
sex
PTSD.
However,
reported
significantly
more
intrusion
avoidance
symptoms
than
non-COVID
(39%
vs.
29%,
0.015
27%
19%,
0.030),
median
PCL-5
(9
[3,
20]
4
[2,
16],
0.034).
Conclusion
Admission
another
cause
France.
frequent
patients.
Trial
Registration
:
Clinicaltrials.gov
Identifier
NCT03991611,
registered
on
June
19,
2019.
World Journal of Psychiatry,
Год журнала:
2023,
Номер
13(4), С. 191 - 217
Опубликована: Апрель 18, 2023
The
coronavirus
disease
2019
(COVID-19)
pandemic
produced
changes
in
intensive
care
units
(ICUs)
patient
and
health
organizations.
event
increased
patients'
risk
of
developing
psychological
symptoms
during
after
hospitalisation.
These
consequences
also
affected
those
family
members
who
could
not
access
the
hospital.
In
addition,
initial
lack
knowledge
about
virus
its
management,
climate
fear
uncertainty,
workload
becoming
infected
being
contagious,
had
a
strong
impact
on
healthcare
staff
This
highlighted
importance
interventions
aimed
at
providing
support
to
ICUs,
involving
patients,
their
relatives,
staff;
this
might
involve
reorganisation
daily
routine
rearrangement
ICU
duties.To
conduct
systematic
review
issues
ICUs
COVID-19
staff.We
investigated
PubMed
ClinicalTrials.gov
databases
found
65
eligible
articles,
upon
which
we
commented.Our
results
point
perceived
stress
distress
staff,
patients
relatives
worry
for
with
severe
acute
respiratory
syndrome
coronavirus-2
relatives.
Furthermore,
promising
were
obtained
some
programmes
aiming
improving
measures
all
categories.As
limited
direct
inter-individual
interactions,
role
using
digital
tools
virtual
reality
is
increasingly
important.
All
considered,
our
indicate
an
essential
psychologists
ICUs.
Frontiers in Sports and Active Living,
Год журнала:
2023,
Номер
5
Опубликована: Дек. 8, 2023
Since
the
outset
of
COVID-19
pandemic,
global
healthcare
community
has
faced
challenge
understanding
and
addressing
ongoing
multi-faceted
SARS-CoV-2
infection
outcomes.
As
millions
individuals
worldwide
continue
to
navigate
complexities
post-hospitalization
recovery,
reinfection
rates,
increasing
prevalence
Long-COVID
symptoms,
comprehensive
rehabilitation
strategies
are
greatly
needed.
Previous
studies
have
highlighted
potential
synergy
between
exercise
nutrition,
suggesting
that
their
integration
into
patient
programs
may
yield
improved
clinical
outcomes
for
survivors
COVID-19.
Our
group
aimed
consolidate
existing
knowledge
following
implementation
patient,
intervention,
comparison,
outcome
(PICO)
search
on
distinct
combined
impacts
nutrition
interventions
in
facilitating
recovery
patients
hospitalization,
with
a
specific
focus
implications
both
public
health
practice.
The
incorporation
targeted
nutritional
alongside
exercise-based
expedite
ultimately
promoting
independence
performing
activities
daily
living
(ADLs).
Nonetheless,
an
imperative
expanded
scientific
inquiry
remains,
particularly
realm
interventions.
This
mini-review
underscores
compelling
prospects
offered
by
amalgamated
approach,
advocating
seamless
as
integral
components
rehabilitation.
pursuit
synergistic
effects
effectiveness
stands
crucial
objective
advancing
care
refining
wake
this
enduring
crisis.
