The Influence of COVID-19 on Patient Mobilization and Injury Attributes in the ICU: A Retrospective Analysis of a Level II Trauma Center
The objectives of this study were to determine the effect of COVID-19 on physical therapy (PT) mobilization of trauma patients and to determine if mobilization affected patient course in the ICU. This retrospective study included patients who were admitted to the ICU of a level II trauma center. The...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-02-01
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| Series: | Trauma Care |
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| Online Access: | https://www.mdpi.com/2673-866X/4/1/5 |
| _version_ | 1797239184405037056 |
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| author | Yelissa Navarro Elizabeth Huang Chandler Johnson Forrest Clark Samuel Coppola Suraj Modi Gordon L. Warren Jarrod A. Call |
| author_facet | Yelissa Navarro Elizabeth Huang Chandler Johnson Forrest Clark Samuel Coppola Suraj Modi Gordon L. Warren Jarrod A. Call |
| author_sort | Yelissa Navarro |
| collection | DOAJ |
| description | The objectives of this study were to determine the effect of COVID-19 on physical therapy (PT) mobilization of trauma patients and to determine if mobilization affected patient course in the ICU. This retrospective study included patients who were admitted to the ICU of a level II trauma center. The patients were divided into two groups, i.e., those admitted before (<i>n</i> = 378) and after (<i>n</i> = 499) 1 April 2020 when Georgia’s COVID-19 shelter-in-place order was mandated. The two groups were contrasted on nominal and ratio variables using Chi-square and Student’s <i>t</i>-tests. A secondary analysis focused specifically on the after-COVID patients examined the extent to which mobilization (<i>n</i> = 328) or lack of mobilization (<i>n</i> = 171) influenced ICU outcomes (e.g., mortality, readmission). The two groups were contrasted on nominal and ratio variables using Chi-square and Student’s <i>t</i>-tests. The after-COVID patients had higher injury severity as a greater proportion was classified as severely injured (i.e., >15 on Injury Severity Score) compared to the before-COVID patients. After-COVID patients also had a greater cumulative number of comorbidities and experienced greater complications in the ICU. Despite this, there was no difference between patients in receiving a PT consultation or days to mobilization. Within the after-COVID cohort, those who were mobilized were older, had greater Glasgow Coma Scale scores, had longer total hospital days, and had a lesser mortality rate, and a higher proportion were female. Despite shifting patient injury attributes post-COVID-19, a communicable disease, mobilization care remained consistent and effective. |
| first_indexed | 2024-04-24T17:47:30Z |
| format | Article |
| id | doaj.art-a6aab9cb1c0744e4897a8e53e6b85a2e |
| institution | Directory Open Access Journal |
| issn | 2673-866X |
| language | English |
| last_indexed | 2024-04-24T17:47:30Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Trauma Care |
| spelling | doaj.art-a6aab9cb1c0744e4897a8e53e6b85a2e2024-03-27T14:06:31ZengMDPI AGTrauma Care2673-866X2024-02-0141445910.3390/traumacare4010005The Influence of COVID-19 on Patient Mobilization and Injury Attributes in the ICU: A Retrospective Analysis of a Level II Trauma CenterYelissa Navarro0Elizabeth Huang1Chandler Johnson2Forrest Clark3Samuel Coppola4Suraj Modi5Gordon L. Warren6Jarrod A. Call7Medical College of Georgia, AU/UGA Medical Partnership, Athens, GA 30602, USAMedical College of Georgia, AU/UGA Medical Partnership, Athens, GA 30602, USAMedical College of Georgia, AU/UGA Medical Partnership, Athens, GA 30602, USAMedical College of Georgia, AU/UGA Medical Partnership, Athens, GA 30602, USAMedical College of Georgia, AU/UGA Medical Partnership, Athens, GA 30602, USAMedical College of Georgia, AU/UGA Medical Partnership, Athens, GA 30602, USADepartment of Physical Therapy, Georgia State University, Atlanta, GA 30302, USADepartment of Physiology & Pharmacology, University of Georgia, Athens, GA 30602, USAThe objectives of this study were to determine the effect of COVID-19 on physical therapy (PT) mobilization of trauma patients and to determine if mobilization affected patient course in the ICU. This retrospective study included patients who were admitted to the ICU of a level II trauma center. The patients were divided into two groups, i.e., those admitted before (<i>n</i> = 378) and after (<i>n</i> = 499) 1 April 2020 when Georgia’s COVID-19 shelter-in-place order was mandated. The two groups were contrasted on nominal and ratio variables using Chi-square and Student’s <i>t</i>-tests. A secondary analysis focused specifically on the after-COVID patients examined the extent to which mobilization (<i>n</i> = 328) or lack of mobilization (<i>n</i> = 171) influenced ICU outcomes (e.g., mortality, readmission). The two groups were contrasted on nominal and ratio variables using Chi-square and Student’s <i>t</i>-tests. The after-COVID patients had higher injury severity as a greater proportion was classified as severely injured (i.e., >15 on Injury Severity Score) compared to the before-COVID patients. After-COVID patients also had a greater cumulative number of comorbidities and experienced greater complications in the ICU. Despite this, there was no difference between patients in receiving a PT consultation or days to mobilization. Within the after-COVID cohort, those who were mobilized were older, had greater Glasgow Coma Scale scores, had longer total hospital days, and had a lesser mortality rate, and a higher proportion were female. Despite shifting patient injury attributes post-COVID-19, a communicable disease, mobilization care remained consistent and effective.https://www.mdpi.com/2673-866X/4/1/5early mobilizationmedical recordstrauma severity |
| spellingShingle | Yelissa Navarro Elizabeth Huang Chandler Johnson Forrest Clark Samuel Coppola Suraj Modi Gordon L. Warren Jarrod A. Call The Influence of COVID-19 on Patient Mobilization and Injury Attributes in the ICU: A Retrospective Analysis of a Level II Trauma Center Trauma Care early mobilization medical records trauma severity |
| title | The Influence of COVID-19 on Patient Mobilization and Injury Attributes in the ICU: A Retrospective Analysis of a Level II Trauma Center |
| title_full | The Influence of COVID-19 on Patient Mobilization and Injury Attributes in the ICU: A Retrospective Analysis of a Level II Trauma Center |
| title_fullStr | The Influence of COVID-19 on Patient Mobilization and Injury Attributes in the ICU: A Retrospective Analysis of a Level II Trauma Center |
| title_full_unstemmed | The Influence of COVID-19 on Patient Mobilization and Injury Attributes in the ICU: A Retrospective Analysis of a Level II Trauma Center |
| title_short | The Influence of COVID-19 on Patient Mobilization and Injury Attributes in the ICU: A Retrospective Analysis of a Level II Trauma Center |
| title_sort | influence of covid 19 on patient mobilization and injury attributes in the icu a retrospective analysis of a level ii trauma center |
| topic | early mobilization medical records trauma severity |
| url | https://www.mdpi.com/2673-866X/4/1/5 |
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