Muscle weakness, functional capacities and recovery for COVID-19 ICU survivors
Abstract Background Few studies have evaluated muscle strength in COVID-19 ICU survivors. We aimed to report the incidence of limb and respiratory muscle weakness in COVID-19 ICU survivors. Method We performed a cross sectional study in two ICU tertiary Hospital Settings. COVID-19 ICU survivors were...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2021-03-01
|
| Series: | BMC Anesthesiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12871-021-01274-0 |
| _version_ | 1818369449204383744 |
|---|---|
| author | Clément Medrinal Guillaume Prieur Tristan Bonnevie Francis-Edouard Gravier Denys Mayard Emmanuelle Desmalles Pauline Smondack Bouchra Lamia Yann Combret Guillaume Fossat |
| author_facet | Clément Medrinal Guillaume Prieur Tristan Bonnevie Francis-Edouard Gravier Denys Mayard Emmanuelle Desmalles Pauline Smondack Bouchra Lamia Yann Combret Guillaume Fossat |
| author_sort | Clément Medrinal |
| collection | DOAJ |
| description | Abstract Background Few studies have evaluated muscle strength in COVID-19 ICU survivors. We aimed to report the incidence of limb and respiratory muscle weakness in COVID-19 ICU survivors. Method We performed a cross sectional study in two ICU tertiary Hospital Settings. COVID-19 ICU survivors were screened and respiratory and limb muscle strength were measured at the time of extubation. An ICU mobility scale was performed at ICU discharge and walking capacity was self-evaluated by patients 30 days after weaning from mechanical ventilation. Results Twenty-three patients were included. Sixteen (69%) had limb muscle weakness and 6 (26%) had overlap limb and respiratory muscle weakness. Amount of physiotherapy was not associated with muscle strength. 44% of patients with limb weakness were unable to walk 100 m 30 days after weaning. Conclusion The large majority of COVID-19 ICU survivors developed ICU acquired limb muscle weakness. 44% of patients with limb weakness still had severely limited function one-month post weaning. |
| first_indexed | 2024-12-13T23:24:01Z |
| format | Article |
| id | doaj.art-19693b2d7103478c965b4786e0c3d188 |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-12-13T23:24:01Z |
| publishDate | 2021-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-19693b2d7103478c965b4786e0c3d1882022-12-21T23:27:37ZengBMCBMC Anesthesiology1471-22532021-03-012111510.1186/s12871-021-01274-0Muscle weakness, functional capacities and recovery for COVID-19 ICU survivorsClément Medrinal0Guillaume Prieur1Tristan Bonnevie2Francis-Edouard Gravier3Denys Mayard4Emmanuelle Desmalles5Pauline Smondack6Bouchra Lamia7Yann Combret8Guillaume Fossat9Normandie Univ, UNIROUENNormandie Univ, UNIROUENNormandie Univ, UNIROUENNormandie Univ, UNIROUENService de Médecine Intensive Réanimation, Centre Hospitalier Régional d’OrléansService de Médecine Intensive Réanimation, Centre Hospitalier Régional d’OrléansADIR AssociationNormandie Univ, UNIROUENIntensive Care Unit Department, Groupe Hospitalier du HavreService de Médecine Intensive Réanimation, Centre Hospitalier Régional d’OrléansAbstract Background Few studies have evaluated muscle strength in COVID-19 ICU survivors. We aimed to report the incidence of limb and respiratory muscle weakness in COVID-19 ICU survivors. Method We performed a cross sectional study in two ICU tertiary Hospital Settings. COVID-19 ICU survivors were screened and respiratory and limb muscle strength were measured at the time of extubation. An ICU mobility scale was performed at ICU discharge and walking capacity was self-evaluated by patients 30 days after weaning from mechanical ventilation. Results Twenty-three patients were included. Sixteen (69%) had limb muscle weakness and 6 (26%) had overlap limb and respiratory muscle weakness. Amount of physiotherapy was not associated with muscle strength. 44% of patients with limb weakness were unable to walk 100 m 30 days after weaning. Conclusion The large majority of COVID-19 ICU survivors developed ICU acquired limb muscle weakness. 44% of patients with limb weakness still had severely limited function one-month post weaning.https://doi.org/10.1186/s12871-021-01274-0COVID-19Intensive care unitMechanical ventilationMuscle weaknessPhysiotherapy |
| spellingShingle | Clément Medrinal Guillaume Prieur Tristan Bonnevie Francis-Edouard Gravier Denys Mayard Emmanuelle Desmalles Pauline Smondack Bouchra Lamia Yann Combret Guillaume Fossat Muscle weakness, functional capacities and recovery for COVID-19 ICU survivors BMC Anesthesiology COVID-19 Intensive care unit Mechanical ventilation Muscle weakness Physiotherapy |
| title | Muscle weakness, functional capacities and recovery for COVID-19 ICU survivors |
| title_full | Muscle weakness, functional capacities and recovery for COVID-19 ICU survivors |
| title_fullStr | Muscle weakness, functional capacities and recovery for COVID-19 ICU survivors |
| title_full_unstemmed | Muscle weakness, functional capacities and recovery for COVID-19 ICU survivors |
| title_short | Muscle weakness, functional capacities and recovery for COVID-19 ICU survivors |
| title_sort | muscle weakness functional capacities and recovery for covid 19 icu survivors |
| topic | COVID-19 Intensive care unit Mechanical ventilation Muscle weakness Physiotherapy |
| url | https://doi.org/10.1186/s12871-021-01274-0 |
| work_keys_str_mv | AT clementmedrinal muscleweaknessfunctionalcapacitiesandrecoveryforcovid19icusurvivors AT guillaumeprieur muscleweaknessfunctionalcapacitiesandrecoveryforcovid19icusurvivors AT tristanbonnevie muscleweaknessfunctionalcapacitiesandrecoveryforcovid19icusurvivors AT francisedouardgravier muscleweaknessfunctionalcapacitiesandrecoveryforcovid19icusurvivors AT denysmayard muscleweaknessfunctionalcapacitiesandrecoveryforcovid19icusurvivors AT emmanuelledesmalles muscleweaknessfunctionalcapacitiesandrecoveryforcovid19icusurvivors AT paulinesmondack muscleweaknessfunctionalcapacitiesandrecoveryforcovid19icusurvivors AT bouchralamia muscleweaknessfunctionalcapacitiesandrecoveryforcovid19icusurvivors AT yanncombret muscleweaknessfunctionalcapacitiesandrecoveryforcovid19icusurvivors AT guillaumefossat muscleweaknessfunctionalcapacitiesandrecoveryforcovid19icusurvivors |